Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma
Housing Code Violation Density Associated With Emergency Department And Hospital Use By Children With Asthma
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DOI：
10.1377/hlthaff.2014.0496
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发表时间：
2014-11-01
期刊：
影响因子：
9.7
通讯作者：
Kahn, Robert S.
中科院分区：
文献类型：
--
作者：
Beck, Andrew F.;Huang, Bin;Kahn, Robert S.
执行住房政策的地方机构可以与卫生保健系统合作，以针对儿童哮喘护理。这些机构保留的数据可用于查明哮喘高发病率的潜在集群。我们试图评估人口普查地区违反住房法规的密度--与哮喘相关的违规行为（如霉菌或蟑螂的存在）除以住房单元的数量--是否与人口水平的哮喘发病率相关，并可用于预测住院患者随后发病的风险。我们发现，违反住房法规的密度增加与独立于贫困的人口水平发病率相关，并且密度解释了哮喘相关急诊和住院率变化的22%。与居住在最低四分位数的儿童相比，居住在最高四分位数的住房法规违规区域的儿童因哮喘住院的儿童在12个月内再次到急诊室或再次住院的几率要高1.84。整合住房和健康数据可以突出风险地区和患者，以便采取有针对性的干预措施。
Local agencies that enforce housing policies can partner with the health care system to target pediatric asthma care. These agencies retain data that can be used to pinpoint potential clusters of high asthma morbidity. We sought to assess whether the density of housing code violations in census tracts-the in-tract asthma-relevant violations (such as the presence of mold or cockroaches) divided by the number of housing units-was associated with population-level asthma morbidity and could be used to predict a hospitalized patient's risk of subsequent morbidity. We found that increased density in housing code violations was associated with population-level morbidity independent of poverty, and that the density explained 22 percent of the variation in rates of asthma-related emergency department visits and hospitalizations. Children who had been hospitalized for asthma had 1.84 greater odds of a revisit to the emergency department or a rehospitalization within twelve months if they lived in the highest quartile of housing code violation tracts, compared to those living in the lowest quartile. Integrating housing and health data could highlight at-risk areas and patients for targeted interventions.