Geographic disparities in new onset of internalizing disorders in Pennsylvania adolescents using electronic health records.

ABSTRACT: We evaluated associations of community types and features with new-onset internalizing disorders among Pennsylvania adolescents to identify the location and scale of risk. Using a nested case-control study, we drew subjects from electronic health records 2008-2016, requiring cases (n = 7974) to have two medication orders or diagnoses indicating an internalizing disorder; controls (n = 31,895) were frequency-matched. Subjects were assigned to three community classifications: townships, boroughs, city census tracts; urbanized areas, urban clusters, rural areas; and a combination. Using logistic regression with generalized estimating equations, we found that compared to rural-townships, the highest odds were in urban cluster-city census tracts (odds ratio, 95% confidence interval: 1.78, 1.41-

SUBMITTER: Gorski-Steiner I 

PROVIDER: S-EPMC9193976 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature