دورية أكاديمية

The Effect of Neighborhood Disorganization on Care Engagement Among Children With Chronic Conditions Living in a Large Urban City.

التفاصيل البيبلوغرافية
العنوان: The Effect of Neighborhood Disorganization on Care Engagement Among Children With Chronic Conditions Living in a Large Urban City.
المؤلفون: Kim SJ; Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago (Dr Kim and Ms Weiler); and Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago (Drs Martin, Caskey, Van Voorhees, and Glassgow)., Martin M, Caskey R, Weiler A, Van Voorhees B, Glassgow AE
المصدر: Family & community health [Fam Community Health] 2023 Apr-Jun 01; Vol. 46 (2), pp. 112-122.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7809641 Publication Model: Print Cited Medium: Internet ISSN: 1550-5057 (Electronic) Linking ISSN: 01606379 NLM ISO Abbreviation: Fam Community Health Subsets: MEDLINE
أسماء مطبوعة: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Germantown, Md., Aspen Systems Corporation.
مواضيع طبية MeSH: Crime* , Anomie*, Humans ; Child ; Black People ; Chicago ; Chronic Disease ; Residence Characteristics ; Black or African American
مستخلص: Neighborhood context plays an important role in producing and reproducing current patterns of health disparity. In particular, neighborhood disorganization affects how people engage in health care. We examined the effect of living in highly disorganized neighborhoods on care engagement, using data from the Coordinated Healthcare for Complex Kids (CHECK) program, which is a care delivery model for children with chronic conditions on Medicaid in Chicago. We retrieved demographic data from the US Census Bureau and crime data from the Chicago Police Department to estimate neighborhood-level social disorganization for the CHECK enrollees. A total of 6458 children enrolled in the CHECK between 2014 and 2017 were included in the analysis. Families living in the most disorganized neighborhoods, compared with areas with lower levels of disorganization, were less likely to engage in CHECK. Black families were less likely than Hispanic families to be engaged in the CHECK program. We discuss potential mechanisms through which disorganization affects care engagement. Understanding neighborhood context, including social disorganization, is key to developing more effective comprehensive care models.
Competing Interests: The authors declare no conflict of interest.
(Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc.)
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معلومات مُعتمدة: R01 MD014839 United States MD NIMHD NIH HHS; U54 MD012523 United States MD NIMHD NIH HHS
تواريخ الأحداث: Date Created: 20230217 Date Completed: 20230222 Latest Revision: 20240712
رمز التحديث: 20240712
مُعرف محوري في PubMed: PMC9930887
DOI: 10.1097/FCH.0000000000000356
PMID: 36799944
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-5057
DOI:10.1097/FCH.0000000000000356