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Social Disparities in Housing and Related Pediatric Injury: A Multilevel Study

Author

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  • Shenassa, E.D.
  • Stubbendick, A.
  • Brown, M.J.

Abstract

Objectives. We conducted an ecologic analysis to determine whether housing characteristics mediate the associations between concentration of poverty and pediatric injury and between concentration of racial minorities and pediatric injury and whether the association between housing conditions and pediatric injury is independent of other risks. Methods. We created a hierarchical data set by linking individual-level data for pediatric injury with census data. Effect sizes were estimated with a Poisson model. Results. After adjustment for owner occupancy and the percentage of housing built before 1950, the association between concentration of poverty and pediatric injury was attenuated. For concentration of racial minorities, only percentage of owner occupancy had some mediating effect. In hierarchical models, housing characteristics remained independent and significant predictors of pediatric injury. Conclusions. The association between community characteristics and pediatric injury is partially mediated by housing conditions. Risk of pediatric injury associated with housing conditions is independent of other risks.

Suggested Citation

  • Shenassa, E.D. & Stubbendick, A. & Brown, M.J., 2004. "Social Disparities in Housing and Related Pediatric Injury: A Multilevel Study," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 633-639.
  • Handle: RePEc:aph:ajpbhl:2004:94:4:633-639_0
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    Cited by:

    1. Mathilde Sengoelge & Merel Leithaus & Matthias Braubach & Lucie Laflamme, 2019. "Are There Changes in Inequalities in Injuries? A Review of Evidence in the WHO European Region," IJERPH, MDPI, vol. 16(4), pages 1-22, February.
    2. Leventhal, Tama & Newman, Sandra, 2010. "Housing and child development," Children and Youth Services Review, Elsevier, vol. 32(9), pages 1165-1174, September.
    3. Demetrio Carmona-Derqui & Jonathan Torres-Tellez & Alberto Montero-Soler, 2023. "Effects of Housing Deprivation on Health: Empirical Evidence from Spain," IJERPH, MDPI, vol. 20(3), pages 1-15, January.
    4. James McDonell, 2007. "Neighborhood Characteristics, Parenting, and Children’s Safety," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 83(1), pages 177-199, August.
    5. Emanuel Alcala & Paul Brown & John A. Capitman & Mariaelena Gonzalez & Ricardo Cisneros, 2019. "Cumulative Impact of Environmental Pollution and Population Vulnerability on Pediatric Asthma Hospitalizations: A Multilevel Analysis of CalEnviroScreen," IJERPH, MDPI, vol. 16(15), pages 1-12, July.
    6. Elizabeth Orton & Denise Kendrick & Joe West & Laila J Tata, 2012. "Independent Risk Factors for Injury in Pre-School Children: Three Population-Based Nested Case-Control Studies Using Routine Primary Care Data," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
    7. Zheng Zhou & Ying Ma & Wenbin Du & Kaiji Zhou & Shaojie Qi, 2022. "Housing Conditions and Adolescents’ Socioemotional Well-being: An Empirical Examination from China," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(5), pages 2721-2741, October.
    8. Juan Pablo Díaz-Sánchez & Moisés Obaco & Javier Romaní, 2022. "Measuring Overcrowding in Households with Children: Official vs. Actual Thresholds in the Ecuadorian Case," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(2), pages 383-398, April.
    9. Reading, Richard & Jones, Andrew & Haynes, Robin & Daras, Konstantinos & Emond, Alan, 2008. "Individual factors explain neighbourhood variations in accidents to children under 5 years of age," Social Science & Medicine, Elsevier, vol. 67(6), pages 915-927, September.
    10. Laflamme, Lucie & Hasselberg, Marie & Reimers, Anne-Mari & Cavalini, Luciana Tricai & Ponce de Leon, Antonio, 2009. "Social determinants of child and adolescent traffic-related and intentional injuries: A multilevel study in Stockholm County," Social Science & Medicine, Elsevier, vol. 68(10), pages 1826-1834, May.
    11. Gomez-Vidal, Cristina & Gomez, Anu Manchikanti, 2021. "Invisible and unequal: Unincorporated community status as a structural determinant of health," Social Science & Medicine, Elsevier, vol. 285(C).

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