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 |
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| creator | 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 |
| description | 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 |
| doi_str_mv | 10.1111/irv.12483 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5720587</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A711690512</galeid><sourcerecordid>A711690512</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5763-89396338b7371d30f5eb2cad064b764497de9d8c30c8209143b0f6ccf5daf8e83</originalsourceid><addsrcrecordid>eNp1kV1PFTEQhhujEUQv_ANmE2_04hza7fbrxoQQUBISEhFvm247yynZbY9tFwO_nuLBoxhsLzrpPPNOZl6E3hK8JPXs-3S9JG0n6TO0SwTDi5Yz9Xwbd3gHvcr5CmPGJeteop1WStEKwXfR0Xm03oyNgwJp8sGEkps4ND4M4wzh1jSrmNe-mNHfmuJjqJmmrKC5CL6Aa86LKZBfoxeDGTO8eXj30MXx0bfDL4vTs88nhwenC8sEpwupqOKUyl5QQRzFA4O-tcZh3vWCd50SDpSTlmIrW6xIR3s8cGsH5swgQdI99Gmju577CZyFUJIZ9Tr5yaQbHY3XjzPBr_RlvNZMtJhJUQU-PAik-GOGXPTks4VxNAHinDVRlEnSKqYq-v4f9CrOKdTxKsUVlVIR_Ie6NCPourVY-9p7UX0gCOEKM9JWavkEVa-DydsYYPD1_1HBx02BTTHnBMN2RoL1vee6eq5_eV7Zd38vZUv-NrkC-xvgZ-1y838lffL1-0byDpIZtM4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1969388910</pqid></control><display><type>article</type><title>Social determinants of influenza hospitalization in the United States</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Access via Wiley Online Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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 <5% of persons living below poverty had an AOR of 1.31 (95% CI 1.16‐1.47), those living in a tract with ≥5% vs <5% of persons living in crowded conditions had an AOR of 1.17 (95% CI 1.11‐1.23), and those living in a tract with ≥40% vs <5% female heads of household had an AOR of 1.32 (95% CI 1.25‐1.40).
Conclusion
Census tract‐based determinants account for 11% of the variability in influenza hospitalization.</description><identifier>ISSN: 1750-2640</identifier><identifier>EISSN: 1750-2659</identifier><identifier>DOI: 10.1111/irv.12483</identifier><identifier>PMID: 28872776</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; African Americans ; African Americans - statistics & numerical data ; Aged ; Analysis ; Census ; census tract‐based determinants ; Censuses ; Child ; Child, Preschool ; disparities ; Economic factors ; Family Characteristics ; Female ; geocoding ; Health aspects ; Hospitalization ; Hospitalization - economics ; Hospitalization - statistics & numerical data ; Humans ; Influenza ; influenza hospitalization ; Influenza, Human - epidemiology ; Influenza, Human - mortality ; Influenza, Human - virology ; Male ; Middle Aged ; Minority & ethnic groups ; Morbidity ; Mortality ; Multilevel ; multilevel modeling ; Odds Ratio ; Original ; Population Surveillance ; Poverty ; Regression analysis ; Regression models ; Regression, Psychology ; Respiratory diseases ; Social factors ; socioeconomic determinants ; Socioeconomic Factors ; United States - epidemiology ; Viruses ; Young Adult</subject><ispartof>Influenza and other respiratory viruses, 2017-11, Vol.11 (6), p.479-488</ispartof><rights>2017 The Authors. Published by John Wiley & Sons Ltd.</rights><rights>2017 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.</rights><rights>COPYRIGHT 2017 John Wiley & Sons, Inc.</rights><rights>2017. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5763-89396338b7371d30f5eb2cad064b764497de9d8c30c8209143b0f6ccf5daf8e83</citedby><cites>FETCH-LOGICAL-c5763-89396338b7371d30f5eb2cad064b764497de9d8c30c8209143b0f6ccf5daf8e83</cites><orcidid>0000-0002-1230-1068</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720587/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720587/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28872776$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chandrasekhar, Rameela</creatorcontrib><creatorcontrib>Sloan, Chantel</creatorcontrib><creatorcontrib>Mitchel, Edward</creatorcontrib><creatorcontrib>Ndi, Danielle</creatorcontrib><creatorcontrib>Alden, Nisha</creatorcontrib><creatorcontrib>Thomas, Ann</creatorcontrib><creatorcontrib>Bennett, Nancy M.</creatorcontrib><creatorcontrib>Kirley, Pam D.</creatorcontrib><creatorcontrib>Hill, Mary</creatorcontrib><creatorcontrib>Anderson, Evan J.</creatorcontrib><creatorcontrib>Lynfield, Ruth</creatorcontrib><creatorcontrib>Yousey‐Hindes, Kimberly</creatorcontrib><creatorcontrib>Bargsten, Marisa</creatorcontrib><creatorcontrib>Zansky, Shelley M.</creatorcontrib><creatorcontrib>Lung, Krista</creatorcontrib><creatorcontrib>Schroeder, Monica</creatorcontrib><creatorcontrib>Monroe, Maya</creatorcontrib><creatorcontrib>Eckel, Seth</creatorcontrib><creatorcontrib>Markus, Tiffanie M.</creatorcontrib><creatorcontrib>Cummings, Charisse N.</creatorcontrib><creatorcontrib>Garg, Shikha</creatorcontrib><creatorcontrib>Schaffner, William</creatorcontrib><creatorcontrib>Lindegren, Mary Lou</creatorcontrib><title>Social determinants of influenza hospitalization in the United States</title><title>Influenza and other respiratory viruses</title><addtitle>Influenza Other Respir Viruses</addtitle><description>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 <5% of persons living below poverty had an AOR of 1.31 (95% CI 1.16‐1.47), those living in a tract with ≥5% vs <5% of persons living in crowded conditions had an AOR of 1.17 (95% CI 1.11‐1.23), and those living in a tract with ≥40% vs <5% female heads of household had an AOR of 1.32 (95% CI 1.25‐1.40).
Conclusion
Census tract‐based determinants account for 11% of the variability in influenza hospitalization.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>African Americans - statistics & numerical data</subject><subject>Aged</subject><subject>Analysis</subject><subject>Census</subject><subject>census tract‐based determinants</subject><subject>Censuses</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>disparities</subject><subject>Economic factors</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>geocoding</subject><subject>Health aspects</subject><subject>Hospitalization</subject><subject>Hospitalization - economics</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Influenza</subject><subject>influenza hospitalization</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - mortality</subject><subject>Influenza, Human - virology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Multilevel</subject><subject>multilevel modeling</subject><subject>Odds Ratio</subject><subject>Original</subject><subject>Population Surveillance</subject><subject>Poverty</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Regression, Psychology</subject><subject>Respiratory diseases</subject><subject>Social factors</subject><subject>socioeconomic determinants</subject><subject>Socioeconomic Factors</subject><subject>United States - epidemiology</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>1750-2640</issn><issn>1750-2659</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kV1PFTEQhhujEUQv_ANmE2_04hza7fbrxoQQUBISEhFvm247yynZbY9tFwO_nuLBoxhsLzrpPPNOZl6E3hK8JPXs-3S9JG0n6TO0SwTDi5Yz9Xwbd3gHvcr5CmPGJeteop1WStEKwXfR0Xm03oyNgwJp8sGEkps4ND4M4wzh1jSrmNe-mNHfmuJjqJmmrKC5CL6Aa86LKZBfoxeDGTO8eXj30MXx0bfDL4vTs88nhwenC8sEpwupqOKUyl5QQRzFA4O-tcZh3vWCd50SDpSTlmIrW6xIR3s8cGsH5swgQdI99Gmju577CZyFUJIZ9Tr5yaQbHY3XjzPBr_RlvNZMtJhJUQU-PAik-GOGXPTks4VxNAHinDVRlEnSKqYq-v4f9CrOKdTxKsUVlVIR_Ie6NCPourVY-9p7UX0gCOEKM9JWavkEVa-DydsYYPD1_1HBx02BTTHnBMN2RoL1vee6eq5_eV7Zd38vZUv-NrkC-xvgZ-1y838lffL1-0byDpIZtM4</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Chandrasekhar, Rameela</creator><creator>Sloan, Chantel</creator><creator>Mitchel, Edward</creator><creator>Ndi, Danielle</creator><creator>Alden, Nisha</creator><creator>Thomas, Ann</creator><creator>Bennett, Nancy M.</creator><creator>Kirley, Pam D.</creator><creator>Hill, Mary</creator><creator>Anderson, Evan J.</creator><creator>Lynfield, Ruth</creator><creator>Yousey‐Hindes, Kimberly</creator><creator>Bargsten, Marisa</creator><creator>Zansky, Shelley M.</creator><creator>Lung, Krista</creator><creator>Schroeder, Monica</creator><creator>Monroe, Maya</creator><creator>Eckel, Seth</creator><creator>Markus, Tiffanie M.</creator><creator>Cummings, Charisse N.</creator><creator>Garg, Shikha</creator><creator>Schaffner, William</creator><creator>Lindegren, Mary Lou</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1230-1068</orcidid></search><sort><creationdate>201711</creationdate><title>Social determinants of influenza hospitalization in the United States</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5763-89396338b7371d30f5eb2cad064b764497de9d8c30c8209143b0f6ccf5daf8e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans</topic><topic>African Americans - statistics & numerical data</topic><topic>Aged</topic><topic>Analysis</topic><topic>Census</topic><topic>census tract‐based determinants</topic><topic>Censuses</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>disparities</topic><topic>Economic factors</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>geocoding</topic><topic>Health aspects</topic><topic>Hospitalization</topic><topic>Hospitalization - economics</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Influenza</topic><topic>influenza hospitalization</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - mortality</topic><topic>Influenza, Human - virology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Multilevel</topic><topic>multilevel modeling</topic><topic>Odds Ratio</topic><topic>Original</topic><topic>Population Surveillance</topic><topic>Poverty</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Regression, Psychology</topic><topic>Respiratory diseases</topic><topic>Social factors</topic><topic>socioeconomic determinants</topic><topic>Socioeconomic Factors</topic><topic>United States - epidemiology</topic><topic>Viruses</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chandrasekhar, Rameela</creatorcontrib><creatorcontrib>Sloan, Chantel</creatorcontrib><creatorcontrib>Mitchel, Edward</creatorcontrib><creatorcontrib>Ndi, Danielle</creatorcontrib><creatorcontrib>Alden, Nisha</creatorcontrib><creatorcontrib>Thomas, Ann</creatorcontrib><creatorcontrib>Bennett, Nancy M.</creatorcontrib><creatorcontrib>Kirley, Pam D.</creatorcontrib><creatorcontrib>Hill, Mary</creatorcontrib><creatorcontrib>Anderson, Evan J.</creatorcontrib><creatorcontrib>Lynfield, Ruth</creatorcontrib><creatorcontrib>Yousey‐Hindes, Kimberly</creatorcontrib><creatorcontrib>Bargsten, Marisa</creatorcontrib><creatorcontrib>Zansky, Shelley M.</creatorcontrib><creatorcontrib>Lung, Krista</creatorcontrib><creatorcontrib>Schroeder, Monica</creatorcontrib><creatorcontrib>Monroe, Maya</creatorcontrib><creatorcontrib>Eckel, Seth</creatorcontrib><creatorcontrib>Markus, Tiffanie M.</creatorcontrib><creatorcontrib>Cummings, Charisse N.</creatorcontrib><creatorcontrib>Garg, Shikha</creatorcontrib><creatorcontrib>Schaffner, William</creatorcontrib><creatorcontrib>Lindegren, Mary Lou</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Influenza and other respiratory viruses</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chandrasekhar, Rameela</au><au>Sloan, Chantel</au><au>Mitchel, Edward</au><au>Ndi, Danielle</au><au>Alden, Nisha</au><au>Thomas, Ann</au><au>Bennett, Nancy M.</au><au>Kirley, Pam D.</au><au>Hill, Mary</au><au>Anderson, Evan J.</au><au>Lynfield, Ruth</au><au>Yousey‐Hindes, Kimberly</au><au>Bargsten, Marisa</au><au>Zansky, Shelley M.</au><au>Lung, Krista</au><au>Schroeder, Monica</au><au>Monroe, Maya</au><au>Eckel, Seth</au><au>Markus, Tiffanie M.</au><au>Cummings, Charisse N.</au><au>Garg, Shikha</au><au>Schaffner, William</au><au>Lindegren, Mary Lou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social determinants of influenza hospitalization in the United States</atitle><jtitle>Influenza and other respiratory viruses</jtitle><addtitle>Influenza Other Respir Viruses</addtitle><date>2017-11</date><risdate>2017</risdate><volume>11</volume><issue>6</issue><spage>479</spage><epage>488</epage><pages>479-488</pages><issn>1750-2640</issn><eissn>1750-2659</eissn><abstract>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 <5% of persons living below poverty had an AOR of 1.31 (95% CI 1.16‐1.47), those living in a tract with ≥5% vs <5% of persons living in crowded conditions had an AOR of 1.17 (95% CI 1.11‐1.23), and those living in a tract with ≥40% vs <5% female heads of household had an AOR of 1.32 (95% CI 1.25‐1.40).
Conclusion
Census tract‐based determinants account for 11% of the variability in influenza hospitalization.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>28872776</pmid><doi>10.1111/irv.12483</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1230-1068</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Influenza and other respiratory viruses, 2017-11, Vol.11 (6), p.479-488 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection); PubMed Central |
| subjects | Adolescent Adult African Americans African Americans - statistics & numerical data Aged Analysis Census census tract‐based determinants Censuses Child Child, Preschool disparities Economic factors Family Characteristics Female geocoding Health aspects Hospitalization Hospitalization - economics Hospitalization - statistics & numerical data Humans Influenza influenza hospitalization Influenza, Human - epidemiology Influenza, Human - mortality Influenza, Human - virology Male Middle Aged Minority & ethnic groups Morbidity Mortality Multilevel multilevel modeling Odds Ratio Original Population Surveillance Poverty Regression analysis Regression models Regression, Psychology Respiratory diseases Social factors socioeconomic determinants Socioeconomic Factors United States - epidemiology Viruses Young Adult |
| title | Social determinants of influenza hospitalization in the United States |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T13%3A24%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Social%20determinants%20of%20influenza%20hospitalization%20in%20the%20United%20States&rft.jtitle=Influenza%20and%20other%20respiratory%20viruses&rft.au=Chandrasekhar,%20Rameela&rft.date=2017-11&rft.volume=11&rft.issue=6&rft.spage=479&rft.epage=488&rft.pages=479-488&rft.issn=1750-2640&rft.eissn=1750-2659&rft_id=info:doi/10.1111/irv.12483&rft_dat=%3Cgale_pubme%3EA711690512%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1969388910&rft_id=info:pmid/28872776&rft_galeid=A711690512&rfr_iscdi=true |