Geographic disparities in new onset of internalizing disorders in Pennsylvania adolescents using electronic health records.
Adolescents
Anxiety
Depression
Environmental risk factors
Geographic disparities
Journal
Spatial and spatio-temporal epidemiology
ISSN: 1877-5853
Titre abrégé: Spat Spatiotemporal Epidemiol
Pays: Netherlands
ID NLM: 101516571
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
received:
29
01
2021
revised:
20
05
2021
accepted:
23
06
2021
entrez:
12
6
2022
pubmed:
13
6
2022
medline:
15
6
2022
Statut:
ppublish
Résumé
We evaluated associations of community types and features with new-onset internalizing disorders among Pennsylvania adolescents to identify the location and scale of risk. Using a nested case-control study, we drew subjects from electronic health records 2008-2016, requiring cases (n = 7974) to have two medication orders or diagnoses indicating an internalizing disorder; controls (n = 31,895) were frequency-matched. Subjects were assigned to three community classifications: townships, boroughs, city census tracts; urbanized areas, urban clusters, rural areas; and a combination. Using logistic regression with generalized estimating equations, we found that compared to rural-townships, the highest odds were in urban cluster-city census tracts (odds ratio, 95% confidence interval: 1.78, 1.41-2.26); lowest in urbanized area-city census tracts (0.85, 0.74-0.97). Higher community socioeconomic deprivation was associated with increased odds in urban clusters (1.21, 1.00-1.48) and higher greenness with decreased odds in urban clusters (0.73, 0.62-0.86).
Identifiants
pubmed: 35691643
pii: S1877-5845(21)00038-1
doi: 10.1016/j.sste.2021.100439
pmc: PMC9193976
mid: NIHMS1727193
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
100439Subventions
Organisme : NIEHS NIH HHS
ID : F31 ES031478
Pays : United States
Organisme : NIEHS NIH HHS
ID : R21 ES023675
Pays : United States
Organisme : NIEHS NIH HHS
ID : T32 ES007141
Pays : United States
Informations de copyright
Copyright © 2021. Published by Elsevier Ltd.
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