Social Risks and Health Care Utilization Among a National Sample of Children With Asthma

Tyris, Jordan; Rodean, Jonathan; Kulesa, John; Dixon, Gabrina; Bhansali, Priti; Gayle, Tamara; Akani, Damilola; Magyar, Matthew; Tamaskar, Nisha; Parikh, Kavita

doi:10.1016/j.acap.2022.07.025

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…It also shows the stepwise increasing association between burden of SDoH and gaps in CC. A similar measure of burden of adverse SDoH was reported by Tyris et al (2022) to show its increasing association with health care utilization among children with asthma. However, it does not look at CC specifically (Tyris et al, 2022).…”

Section: Discussionsupporting

confidence: 64%

Adverse Social Determinants of Health and Gaps in Care Coordination Among Children

Rajan,

Pinheiro,

Abramson

et al. 2023

Journal of Ambulatory Care Management

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Gaps in care coordination (CC) can have detrimental impacts on children's health. It is unclear how much adverse social determinants of health (SDoH) may affect CC gaps. We determined whether exposure to adverse SDoH is associated with experiencing more gaps in CC using a representative national sample of children. Children with inadequate or no health insurance (adjusted odds ratio [aOR] = 2.41; 95% confidence interval [CI], 2.19-2.66) and living in disadvantaged neighborhoods (aOR = 1.53; 95% CI, 1.33-1.75) have a higher likelihood of having gaps in CC, as do those with higher counts of adverse SDoH (aOR = 2.17; 95% CI, 1.85-2.53). Thus, interventions to improve CC for children should consider adverse SDoH.

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Section: Discussionsupporting

confidence: 64%

Adverse Social Determinants of Health and Gaps in Care Coordination Among Children

Rajan,

Pinheiro,

Abramson

et al. 2023

Journal of Ambulatory Care Management

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“…This suggests that the racist public policies and practices implemented almost 100 years ago continue to create areas of social vulnerability, limited opportunity, and poor health outcomes. Several studies have further explored the structural and social risks associated with adverse asthma outcomes [53,54 ▪▪ ,55 ▪▪ ,56]. Experiencing discrimination, along with markers of poverty, exposure to violent crime, and caregiver educational attainment, are all associated with increased healthcare utilization for children with asthma.…”

Section: Systemic Racism and Asthma Riskmentioning

confidence: 99%

“…Experiencing discrimination, along with markers of poverty, exposure to violent crime, and caregiver educational attainment, are all associated with increased healthcare utilization for children with asthma. Tyris et al [56], utilizing the National Survey of Children's Health, identified 14 social risks associated with increased asthma utilization. The highest adjusted odds ratios were found for families experiencing discrimination, receiving free/reduced lunch, and being a victim of violence.…”

Section: Systemic Racism and Asthma Riskmentioning

confidence: 99%

Socioeconomic determinants of asthma health

Simoneau

Gaffin

2023

Current Opinion in Pediatrics

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Purpose of reviewThe current review provides an assessment of the recent pediatric literature evaluating socioeconomic drivers of asthma incidence and morbidity. The review addresses the specific social determinants of health related to housing, indoor and outdoor environmental exposures, healthcare access and quality, and the impact of systematic racism.Recent findingsMany social risk factors are associated with adverse asthma outcomes. Children living in low-income, urban neighborhoods have greater exposure to both indoor and outdoor hazards, including molds, mice, second-hand smoke, chemicals, and air pollutants, all of which are associated with adverse asthma outcomes. Providing asthma education in the community – via telehealth, school-based health centers, or peer mentors – are all effective methods for improving medication adherence and asthma outcomes. The racially segregated neighborhoods created by the racist ‘redlining’ policies implemented decades ago, persist today as hotspots of poverty, poor housing conditions, and adverse asthma outcomes.SummaryRoutine screening for social determinants of health in clinical settings is important to identify the social risk factors of pediatric patients with asthma. Interventions targeting social risk factors can improve pediatric asthma outcomes, but more studies are needed related to social risk interventions.

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