The Relationship Between Neighborhood Disadvantage and Kidney Disease Progression in the CKiD Cohort

Neighborhood Disadvantage and Outcomes in Children with Chronic Kidney Disease (CKD) Neighborhood poverty is associated with adverse health outcomes in children, but the specific effects on the health of children with CKD have not been studied. We used data from participants enrolled in the Chronic Kidney Disease in Children (CKiD) study linked to U.S. Census data to explore the association between neighborhood poverty and health characteristics in this population. Children living in areas with the lowest neighborhood income were more likely to be hospitalized and more likely to visit the emergency department for care than children living in higher income neighborhoods, even after accounting for the participants’ race and family income. These markers of socioeconomic status were not associated with kidney disease progression. These findings may reflect barriers to healthcare in lower income neighborhoods.