Neighborhood and social environmental influences on child chronic disease prevalence
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We investigate how distinct residential environments uniquely influence chronic child disease prevalence. Aggregating over 200,000 pediatric geocoded medical records to the census tract of residence and linking them to neighborhood-level measures, we use multiple data analysis techniques to assess how heterogeneous exposures of social and environmental neighborhood conditions influence an index of child chronic disease (CCD) prevalence for the neighborhood. We find there is a graded relationship between degree of overall neighborhood disadvantage and children’s chronic disease such that the highest neighborhood CCD scores are found in communities with the highest concentrated disadvantage. After considering individual- and family-level characteristics, results show that higher levels of neighborhood concentrated disadvantage and air pollution exposure associate with higher risks of children having at least one chronic condition. Overall, our analysis serves as a comprehensive start for future researchers interested in assessing which neighborhood factors matter most for child chronic health conditions.
KeywordsChild chronic disease Concentrated disadvantage Pollution exposure Neighborhoods
The authors thank Kristin Osiecki for her help with the environmental air quality data and Mackenzie Brewer, Jean Aroom, and Naomi Hausman for their help with the maps.
Houston Endowment (2012-249-0270), Dr. Rachel T. Kimbro.
Compliance with ethical standards
The research was conducted in accord with prevailing ethical principles and reviewed by the Rice University and Baylor College of Medicine Institutional Review Boards.
Conflict of interest
The authors declare that they have no conflict of interest.
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