Social determinants of influenza hospitalization in the United States

Background Influenza hospitalizations result in substantial morbidity and mortality each year. Little is known about the association between influenza hospitalization and census tract‐based socioeconomic determinants beyond the effect of individual factors. Objective To evaluate whether census tract...

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Veröffentlicht in:Influenza and other respiratory viruses 2017-11, Vol.11 (6), p.479-488
Hauptverfasser: Chandrasekhar, Rameela, Sloan, Chantel, Mitchel, Edward, Ndi, Danielle, Alden, Nisha, Thomas, Ann, Bennett, Nancy M., Kirley, Pam D., Hill, Mary, Anderson, Evan J., Lynfield, Ruth, Yousey‐Hindes, Kimberly, Bargsten, Marisa, Zansky, Shelley M., Lung, Krista, Schroeder, Monica, Monroe, Maya, Eckel, Seth, Markus, Tiffanie M., Cummings, Charisse N., Garg, Shikha, Schaffner, William, Lindegren, Mary Lou
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Sprache:eng
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Zusammenfassung:Background Influenza hospitalizations result in substantial morbidity and mortality each year. Little is known about the association between influenza hospitalization and census tract‐based socioeconomic determinants beyond the effect of individual factors. Objective To evaluate whether census tract‐based determinants such as poverty and household crowding would contribute significantly to the risk of influenza hospitalization above and beyond individual‐level determinants. Methods We analyzed 33 515 laboratory‐confirmed influenza‐associated hospitalizations that occurred during the 2009‐2010 through 2013‐2014 influenza seasons using a population‐based surveillance system at 14 sites across the United States. Results Using a multilevel regression model, we found that individual factors were associated with influenza hospitalization with the highest adjusted odds ratio (AOR) of 9.20 (95% CI 8.72‐9.70) for those ≥65 vs 5‐17 years old. African Americans had an AOR of 1.67 (95% CI 1.60‐1.73) compared to Whites, and Hispanics had an AOR of 1.21 (95% CI 1.16‐1.26) compared to non‐Hispanics. Among census tract‐based determinants, those living in a tract with ≥20% vs
ISSN:1750-2640
1750-2659
DOI:10.1111/irv.12483