wow-inequalities/02-data/intermediate/wos_sample/a8e9585884816864c80dd9fa324468b2-beck-andrew-f.-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'BACKGROUND AND OBJECTIVES: Health care reform offers a new opportunity
to address child health disparities. This study sought to characterize
racial differences in pediatric asthma readmissions with a focus on the
potential explanatory role of hardships that might be addressed in
future patient care models.
METHODS: We enrolled 774 children, aged 1 to 16 years, admitted for
asthma or bronchodilator-responsive wheezing in a population-based
prospective observational cohort. The outcome was time to readmission.
Child race, socioeconomic status (measured by lower income and caregiver
educational attainment), and hardship (caregivers looking for work,
having no one to borrow money from, not owning a car or home, and being
single/never married) were recorded. Analyses used Cox proportional
hazards.
RESULTS: The cohort was 57\% African American, 33\% white, and 10\%
multiracial/other; 19\% were readmitted within 12 months. After
adjustment for asthma severity classification, African Americans were
twice as likely to be readmitted as whites (hazard ratio: 1.98; 95\%
confidence interval: 1.42 to 2.77). Compared with whites, African
American caregivers were significantly more likely to report lower
income and educational attainment, difficulty finding work, having no
one to borrow money from, not owning a car or home, and being
single/never married (all P <= .01). Hardships explained 41\% of the
observed racial disparity in readmission; jointly, socioeconomic status
and hardship explained 49\%.
CONCLUSIONS: African American children were twice as likely to be
readmitted as white children; hardships explained > 40\% of this
disparity. Additional factors (eg, pollution, tobacco exposure, housing
quality) may explain residual disparities. Targeted interventions could
help achieve greater child health equity.'
affiliation: 'Beck, AF (Corresponding Author), 3333 Burnet Ave,ML 7035, Cincinnati,
OH 45229 USA.
Beck, Andrew F.; Sauers, Hadley S.; Newman, Nicholas C.; Kahn, Robert S., Cincinnati
Childrens Hosp Med Ctr, Div Gen \& Community Pediat, Cincinnati, OH 45229 USA.
Beck, Andrew F.; Simmons, Jeffrey M.; Sauers, Hadley S., Cincinnati Childrens Hosp
Med Ctr, Div Hosp Med, Cincinnati, OH 45229 USA.
Moncrief, Terri, Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Allergy \&
Immunol, Cincinnati, OH 45229 USA.
Huang, Bin; Chen, Chen; Ryan, Patrick H., Cincinnati Childrens Hosp Med Ctr, Dept
Pediat, Div Biostat \& Epidemiol, Cincinnati, OH 45229 USA.'
author: Beck, Andrew F. and Huang, Bin and Simmons, Jeffrey M. and Moncrief, Terri
and Sauers, Hadley S. and Chen, Chen and Ryan, Patrick H. and Newman, Nicholas C.
and Kahn, Robert S.
author-email: andrew.beck1@cchmc.org
author_list:
- family: Beck
given: Andrew F.
- family: Huang
given: Bin
- family: Simmons
given: Jeffrey M.
- family: Moncrief
given: Terri
- family: Sauers
given: Hadley S.
- family: Chen
given: Chen
- family: Ryan
given: Patrick H.
- family: Newman
given: Nicholas C.
- family: Kahn
given: Robert S.
da: '2023-09-28'
doi: 10.1542/peds.2013-2437
eissn: 1098-4275
files: []
issn: 0031-4005
journal: PEDIATRICS
keywords: childhood asthma; readmissions; racial disparities; pediatrics
keywords-plus: 'HEALTH-CARE; HOSPITAL READMISSIONS; CHILDHOOD ASTHMA; UNITED-STATES;
CHILDREN; POPULATION; OUTCOMES; QUALITY; RISK; DETERMINANTS'
language: English
month: MAR
number: '3'
number-of-cited-references: '54'
orcid-numbers: 'Huang, Bin/0000-0001-9724-675X
Newman, Nicholas/0000-0003-1963-4006
Sauers-Ford, Hadley/0000-0002-7218-2953'
pages: 431-439
papis_id: 43fca090b8abe72f61a8aa1c5f90bbbe
ref: Beck2014rolefinancial
researcherid-numbers: 'Ryan, Patrick/HDO-1133-2022
Ryan, Patrick H/L-7062-2015
Huang, Bin/G-2468-2014
Huang, Bin/U-2867-2019
Newman, Nicholas/J-9066-2019
'
times-cited: '117'
title: Role of Financial and Social Hardships in Asthma Racial Disparities
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000335330700010
usage-count-last-180-days: '0'
usage-count-since-2013: '33'
volume: '133'
web-of-science-categories: Pediatrics
year: '2014'