Health Disparities Among People Infected With Influenza, Rhode Island, 2013-2018
| Autor: | Kori Otero, Leonard A. Mermel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent 01 natural sciences Young Adult 03 medical and health sciences 0302 clinical medicine Environmental health Influenza Human medicine Humans 030212 general & internal medicine 0101 mathematics Child Socioeconomic status Aged business.industry Research Public health 010102 general mathematics Public Health Environmental and Occupational Health Rhode Island Health Status Disparities Middle Aged Health equity Hospitalization Socioeconomic Factors Child Preschool Income Educational Status Female business |
| Zdroj: | Public Health Rep |
| ISSN: | 1468-2877 0033-3549 |
| DOI: | 10.1177/0033354920951151 |
| Popis: | Objectives Health disparities are associated with poor outcomes related to public health. The objective of this study was to assess health disparities associated with influenza infection based on median household income and educational attainment. Methods We geocoded people with documented confirmed influenza infection by home address to identify the US Census 2010 tract in which they lived during 4 influenza surveillance seasons (2013-2014, 2015-2016, 2016-2017, and 2017-2018) in Rhode Island. We dichotomized influenza as severe if the person with influenza infection was hospitalized (ie, inpatient) or as nonsevere if the person was not hospitalized (ie, outpatient). We examined 2 socioeconomic factors: median household income (defined as low, medium low, medium high, and high) and educational attainment (defined as a ratio among people who completed Results The incidence of influenza per 100 000 person-years was significantly higher in populations with low vs high median household income (620 vs 303; P < .001) and in populations with low vs high educational attainment (583 vs 323; P < .001). The RR of a severe infection in the quartile with the lowest educational attainment (0.57) was significantly higher than the RR in the other 3 quartiles of educational attainment (range, 0.36-0.39; P = .01). However, the RR of a severe infection was higher in the 3 quartiles of median household income (range, 0.38-0.40) than in the quartile with the lowest median household income (0.29). Conclusions People in Rhode Island with a lower socioeconomic status are at greater risk of an influenza infection than people with higher socioeconomic status. The reasons for these disparities require further investigation. |
| Databáze: | OpenAIRE |
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