Neighborhood disadvantage and chronic disease management.

ABSTRACT:

Objective

To assess the relationship between a composite measure of neighborhood disadvantage, the Area Deprivation Index (ADI), and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage (MA) population.

Data sources

Secondary analysis of 2013 Medicare Healthcare Effectiveness Data and Information Set, Medicare enrollment data, and a neighborhood disadvantage indicator.

Study design

We tested the association of neighborhood disadvantage with intermediate health outcomes. Generalized estimating equations were used to adjust for geographic and individual factors including region, sex, race/ethnicity, dual eligibility, disability, and rurality.

Data collection

Data were linked by ZIP+4, representing compact geographic areas that can be lin

SUBMITTER: Durfey SNM 

PROVIDER: S-EPMC6341202 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature