Comparing Social Disadvantage Indices in Pediatric Populations.

ABSTRACT:

Background and objectives

Place-based social disadvantage indices are increasingly used to promote health equity, but vary in design. We compared associations between 3 commonly used indices (Social Vulnerability Index [SVI], Area Deprivation Index [ADI], and Child Opportunity Index [COI]) and infant well-child check (WCC) attendance and adolescent obesity. We hypothesized that the COI would have the strongest association with child health outcomes.

Methods

We conducted a cross-sectional analysis of 2014-2019 Duke University Health System electronic health record data. Eligible participants were ≤18 years old, had outpatient encounters during the study period, and resided in Durham County, North Carolina. We aggregated indices into deciles; higher deciles represented greater

SUBMITTER: Zolotor A 

PROVIDER: S-EPMC11350100 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature