Chronic pediatric health conditions among youth living in public housing and receiving care in a large hospital system in Bronx, NY.
Earle C ChambersCaroline HellerKevin Peter FioriKathleen McAuliffColin D RehmPublished in: Global pediatric health (2020)
This study compared the prevalence of chronic pediatric health conditions for youth in public housing with youth not in public housing using clinical electronic health record (EHR) and housing data. Youth (ages 2-17 years) in a large urban health system were identified and categorized into two housing types-public housing (n = 10 770) and not in public housing (n = 84 883) by age (young childhood, middle childhood, young adolescence). The prevalence of some pediatric conditions was higher in public housing but varied by age. Disparities in health conditions among youth in public housing were more common in early adolescence: asthma (26.4 vs 18.6; P < .001); obesity (28.5 vs 24.6; P < .001); depression/anxiety (19.2 vs 17.3; P = .008); behavioral disorders (8.1 vs 5.3; P < .001). These results show that chronic pediatric conditions like asthma and obesity that lead to significant morbidity into adulthood are more common among youth living in public housing. However, this pattern is not consistent across all chronic conditions.
Keyphrases
- mental health
- mental illness
- healthcare
- electronic health record
- physical activity
- depressive symptoms
- public health
- young adults
- type diabetes
- adverse drug
- risk factors
- metabolic syndrome
- insulin resistance
- chronic obstructive pulmonary disease
- weight loss
- palliative care
- childhood cancer
- health information
- sleep quality
- early life
- climate change
- air pollution
- chronic pain
- social media
- body mass index
- middle aged
- adipose tissue
- clinical decision support
- data analysis
- acute care
- big data