Geographic disparities in new onset of internalizing disorders in Pennsylvania adolescents using electronic health records.
Geographic disparities in new onset of internalizing disorders in Pennsylvania adolescents using electronic health records.
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DOI：
10.1016/j.sste.2021.100439
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发表时间：
2022-06
影响因子：
3.4
通讯作者：
Schwartz, Brian S.
中科院分区：
文献类型：
--
作者：
Gorski-Steiner, Irena;O'Dell, Sean;Bandeen-Roche, Karen;Volk, Heather E.;Goes, Fernando S.;Schwartz, Brian S.
我们评估了社区类型和特征与宾夕法尼亚州青少年新发内化障碍的关系，以确定风险的位置和规模。使用巢式病例对照研究，我们从2008-2016年的电子健康记录中抽取受试者，要求病例（n = 7974）有两个药物订单或诊断表明内化障碍;对照组（n = 31，895）频率匹配。受试者被分配到三个社区分类：乡镇，自治市，城市人口普查区;城市化地区，城市群，农村地区;和组合。使用Logistic回归与广义估计方程，我们发现，与乡镇相比，最高的优势是在城市群-城市人口普查区（优势比，95%置信区间：1.78，1.41-2.26）;最低的城市化地区-城市人口普查区（0.85，0.74-0.97）。较高的社区社会经济剥夺与城市群中的几率增加（1.21，1.00-1.48）和较高的绿色度与城市群中的几率降低（0.73，0.62-0.86）相关。
We evaluated associations of community types and features with new-onset internalizing disorders among Pennsylvania adolescents to identify the location and scale of risk. Using a nested case-control study, we drew subjects from electronic health records 2008–2016, requiring cases (n = 7974) to have two medication orders or diagnoses indicating an internalizing disorder; controls (n = 31,895) were frequency-matched. Subjects were assigned to three community classifications: townships, boroughs, city census tracts; urbanized areas, urban clusters, rural areas; and a combination. Using logistic regression with generalized estimating equations, we found that compared to rural-townships, the highest odds were in urban cluster-city census tracts (odds ratio, 95% confidence interval: 1.78, 1.41–2.26); lowest in urbanized area-city census tracts (0.85, 0.74–0.97). Higher community socioeconomic deprivation was associated with increased odds in urban clusters (1.21, 1.00–1.48) and higher greenness with decreased odds in urban clusters (0.73, 0.62–0.86).
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影响因子：
7.6
作者：
Breton, JJ;Bergeron, L;Lépine, S
通讯作者：
Lépine, S
影响因子：
6.6
作者：
Cheng, Chih-Ming;Hsu, Ju-Wei;Chen, Mu-Hong
通讯作者：
Chen, Mu-Hong
影响因子：
4.9
作者：
Cohen, Steven A.;Cook, Sarah K.;Sando, Trisha A.
通讯作者：
Sando, Trisha A.
影响因子：
3.1
作者：
Kessler, Ronald C.;Petukhova, Maria;Sampson, Nancy A.;Zaslavsky, Alan M.;Wittchen, Hans-Ullrich
通讯作者：
Wittchen, Hans-Ullrich
DOI：
10.1097/ede.0000000000000387
发表时间：
2016-03
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Casey JA;Savitz DA;Rasmussen SG;Ogburn EL;Pollak J;Mercer DG;Schwartz BS
通讯作者：
Schwartz BS