دورية أكاديمية
Social Deprivation and Multimorbidity Among Community-Based Health Center Patients in the United States.
| العنوان: | Social Deprivation and Multimorbidity Among Community-Based Health Center Patients in the United States. |
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| المؤلفون: | Valenzuela S; Department of Family Medicine, Oregon Health & Science University, Portland., Peak KD; Department of Family Medicine, Oregon Health & Science University, Portland., Huguet N; Department of Family Medicine, Oregon Health & Science University, Portland., Marino M; Department of Family Medicine, Oregon Health & Science University, Portland., Schmidt TD; Research Department, OCHIN Inc., Portland, Oregon., Voss R; Research Department, OCHIN Inc., Portland, Oregon., Quiñones AR; Department of Family Medicine, Oregon Health & Science University, Portland.; OHSU-PSU School of Public Health, Oregon Health & Science University, Portland., Nagel C; College of Nursing, University of Arkansas for Medical Sciences, Little Rock.; College of Public Health, Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock.; University of Arkansas for Medical Sciences, 4310 West Markham St, Little Rock, AR 72205 (cnagel@uams.edu). |
| المصدر: | Preventing chronic disease [Prev Chronic Dis] 2024 Sep 26; Vol. 21, pp. E75. Date of Electronic Publication: 2024 Sep 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Country of Publication: United States NLM ID: 101205018 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-1151 (Electronic) Linking ISSN: 15451151 NLM ISO Abbreviation: Prev Chronic Dis Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Atlanta, Ga.] : U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, [2004]- |
| مواضيع طبية MeSH: | Multimorbidity* , Community Health Centers*/statistics & numerical data, Humans ; Middle Aged ; United States/epidemiology ; Male ; Female ; Retrospective Studies ; Chronic Disease/epidemiology ; Aged ; Social Deprivation ; Prevalence ; Electronic Health Records/statistics & numerical data |
| مستخلص: | Introduction: Multimorbidity - having 2 or more chronic diseases - is a national public health concern that entails burdensome and costly care for patients, their families, and public health programs. Adults residing in socially deprived areas often have limited access to social and material resources. They also experience a greater multimorbidity burden. Methods: We conducted a retrospective cohort analysis of electronic health record (EHR) data from 678 community-based health centers (CHCs) in 27 states from the Accelerating Data Value Across a National Community Health Center (ADVANCE) Network, a clinical research network, from 2012-2019. We used mixed-effects Poisson regression to examine the relationship of area-level social deprivation (eg, educational attainment, household income, unemployment) to chronic disease accumulation among a sample of patients aged 45 years or older (N = 816,921) residing across 9,362 zip code tabulation areas and receiving care in safety-net health organizations. Results: We observed high rates of chronic disease among this national sample. Prevalence of multimorbidity varied considerably by geographic location, both within and between states. People in more socially deprived areas with Social Deprivation Index (SDI) scores in quartiles 2, 3, and 4 had greater initial chronic disease counts - 17.1%, 17.7%, and 18.0%, respectively - but a slower rate of accumulation compared with people in the least-deprived quartile. Our findings were consistent for models of the composite SDI and those evaluating disaggregated measures of area-level educational attainment, household income, and unemployment. Conclusion: Social factors play an important role in the development and progression of multimorbidity, which suggests that an assessment and understanding of area-level social deprivation is necessary for developing public health strategies to address multimorbidity. |
| تواريخ الأحداث: | Date Created: 20240926 Date Completed: 20240926 Latest Revision: 20240926 |
| رمز التحديث: | 20240927 |
| DOI: | 10.5888/pcd21.240060 |
| PMID: | 39325637 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1545-1151 |
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| DOI: | 10.5888/pcd21.240060 |