Association of county-level provider density and social vulnerability with colorectal cancer-related mortality

Surgery, Journal Year: 2024, Volume and Issue: 176(1), P. 44 - 50

Published: May 10, 2024

Language: Английский

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Social determinants of health and disparate disability accumulation in a cohort of Black, Hispanic, and White patients with multiple sclerosis

Multiple Sclerosis Journal, Journal Year: 2023, Volume and Issue: 29(10), P. 1304 - 1315

Published: July 12, 2023

Black and Hispanic patients with multiple sclerosis (MS) have been shown to accumulate greater sclerosis-associated disability (MSAD) than White patients. Disparities in social determinants of health (SDOH) among these groups also reported.To determine the extent which associations race ethnicity MSAD may be attributable differences SDOH.Retrospective chart analysis at an academic MS center grouped by self-identified (n = 95), 93), 98) race/ethnicity. Individual patient addresses were geocoded matched neighborhood-level area deprivation index (ADI) vulnerability (SVI).Average Expanded Disability Status Scale (EDSS) scores last-recorded evaluations (1.7 ± 2.0) significantly lower (2.8 2.4, p 0.001) (2.6 2.6, 0.020) Neither nor was associated EDSS multivariable linear regression models that included individual-level SDOH indicators either ADI or SVI.Black are not include individual indicators. Further research should elucidate mechanisms structural inequities affect disease course.

Language: Английский

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Measuring Historic and Longitudinal Social Vulnerability in Disaster-Prone Communities: A Modification to the Centers for Disease Control and Prevention Social Vulnerability Index (CDC-SVI)

Disaster Medicine and Public Health Preparedness, Journal Year: 2023, Volume and Issue: 17

Published: Jan. 1, 2023

Researchers have developed numerous indices to identify vulnerable sub-populations. The Centers for Disease Control and Prevention (CDC) Social Vulnerability Index (SVI) is the most common highly serviceable, but it has some temporal limitations considering that variables used in calculating CDC-SVI were not available before 1980. Changes societal composition over time can impact social vulnerability. This study defines an alternate, similar, index could serve as a surrogate without limitations.An inventory analysis of historical census data (1960-2018) was develop Modified SVI allows historic analyses. To consider chronic effect vulnerabilities, longitudinal introduced elucidate how community's multidimensional experiences exacerbate vulnerability disaster events, such COVID-19 pandemic. We use Harris County, Texas, this case examine performs against original CDC-SVI.This generate maps, find patterns, inform measure. results showed good agreement among CDC-SVI. also observed satisfactory performance identifying areas are pandemic.The overcomes associated with CDC-SVI, captures events time.

Language: Английский

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Who Gets Sick From COVID-19? Sociodemographic Correlates of Severe Adult Health Outcomes During Alpha- and Delta-Variant Predominant Periods: September 2020–November 2021

The Journal of Infectious Diseases, Journal Year: 2023, Volume and Issue: unknown

Published: Aug. 22, 2023

Because COVID-19 case data do not capture most SARS-CoV-2 infections, the actual risk of severe disease and death per infection is unknown. Integrating sociodemographic into analysis can show consequential health disparities.

Language: Английский

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Dynamics of Covid-19 mortality and social determinants of health: a spatiotemporal analysis of exceedance probabilities

Annals of Epidemiology, Journal Year: 2021, Volume and Issue: 62, P. 51 - 58

Published: May 25, 2021

Language: Английский

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