The Use of Spatial Statistics to Identify Asthma Risk Factors in an Urban Community

Autor: Jones, V. Faye, Lawson, Patricia, Robson, Greg, Buchanan, Billie, Aldrich, Tim
Zdroj: Pediatric Asthma, Allergy & Immunology; March 2004, Vol. 17 Issue: 1 p3-13, 11p
Abstrakt: Spatial epidemiological methods were used to identify relationships between pediatric asthma hospitalizations and specific demographic factors. A cross-sectional analysis of pediatric asthma hospital discharge data was linked to demographic, sociodemographic, and zip code-based information. Five hundred thirty-seven admissions were reported from 32 zip code areas. The mean crude rate of asthma discharges was 138.76/100,000, with 13 of these zip code areas exceeding this rate; 10 were adjacent (p< 0.002). Asthma rates organized by zip code found that the distribution of poverty (p< 0.0001), proportion of African-American residents (p< .0001), and educational attainment (p< 0.0001) in Jefferson County had similar aggregation patterns. Physician location was inversely correlated. Spatial epidemiology is a useful tool to demonstrate relationships between demographic information and disease rates, thus permitting intervention that is focused on high-risk communities.
Databáze: Supplemental Index