Community Socioeconomic Disadvantage and the Survival of Infants With Congenital Heart Defects
| Autor: | Wendy N. Nembhard, James E. Kucik, Owen Devine, Cynthia S. Minkovitz, Ying Wang, Pamela Donohue, Thomas A. Burke |
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| Rok vydání: | 2014 |
| Předmět: |
Heart Defects
Congenital macromolecular substances Kaplan-Meier Estimate Online Research and Practice Residence Characteristics Humans Medicine Healthcare Disparities Poverty Socioeconomic status Survival analysis Proportional Hazards Models Socioeconomic disadvantage business.industry Proportional hazards model Hazard ratio Infant Newborn Public Health Environmental and Occupational Health Infant Survival Analysis Infant newborn United States Confidence interval Socioeconomic Factors business Demography |
| Zdroj: | American Journal of Public Health. 104:e150-e157 |
| ISSN: | 1541-0048 0090-0036 |
| Popis: | Objectives. We examined the association between survival of infants with severe congenital heart defects (CHDs) and community-level indicators of socioeconomic status. Methods. We identified infants born to residents of Arizona, New Jersey, New York, and Texas between 1999 and 2007 with selected CHDs from 4 population-based, statewide birth defect surveillance programs. We linked data to the 2000 US Census to obtain 11 census tract–level socioeconomic indicators. We estimated survival probabilities and hazard ratios adjusted for individual characteristics. Results. We observed differences in infant survival for 8 community socioeconomic indicators (P Conclusions. The increased mortality risk among infants with CHDs living in socioeconomically deprived communities might indicate barriers to quality and timely care at which public health interventions might be targeted. |
| Databáze: | OpenAIRE |
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