IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v292y2022ics0277953621008753.html
   My bibliography  Save this article

Revealing the racial and spatial disparity in pediatric asthma: A Kansas City case study

Author

Listed:
  • Kane, Natalie

Abstract

Black and other socially disadvantaged children are disproportionately burdened by high rates of pediatric asthma. Intraurban variation in environmental risk factors and limited access to high-resolution health data make it difficult to identify vulnerable patients, communities, or the immediate exposures that may contribute to pediatric asthma exacerbation. This article presents a novel, interdisciplinary health disparities research and intervention strategy applied to the problem of pediatric asthma in Kansas City. First, address-level electronic health records from a major children's hospital in the Kansas City region are used to map the distribution of asthma encounters in 2012 at a high spatial resolution. Census tract Environmental Justice Screening Method (EJSM) indicators are then developed to scan for patterns in both the population health risks and vulnerabilities that may contribute to the burden of asthma in different communities. A Bayesian Profile Regression cluster analysis is used to systematically explore the complex relationships between census tract EJSM indicators and pediatric asthma incidence rates, helping to identify population characteristics and risk factors associated with both high and low rates of pediatric asthma throughout the region. The EJSM scanning exercise and BPR analysis demonstrate that each community faces a distinct set of risks and vulnerabilities that can contribute to the rate of acute pediatric asthma acute care encounters, providing targets for research and intervention. It is clear, however, that different forms of social disadvantage are driving high rates of pediatric asthma, which is closely tied to uneven development patterns and racial residential segregation. The results provide a starting point for designing place-based health disparities research and intervention strategies catered to the unique needs of vulnerable patients and communities; disparities-focused research and intervention strategies that leverage local knowledge and resources through community-based practices.

Suggested Citation

  • Kane, Natalie, 2022. "Revealing the racial and spatial disparity in pediatric asthma: A Kansas City case study," Social Science & Medicine, Elsevier, vol. 292(C).
    • Handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621008753
    DOI: 10.1016/j.socscimed.2021.114543
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621008753
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.114543?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Bauer, Greta R., 2014. "Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity," Social Science & Medicine, Elsevier, vol. 110(C), pages 10-17.
    2. Sexton, K. & Linder, S.H., 2011. "Cumulative risk assessment for combined health effects from chemical and nonchemical stressors," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 81-88.
    3. Beck, A.F. & Simmons, J.M. & Huang, B. & Kahn, R.S., 2012. "Geomedicine: Area-based socioeconomic measures for assessing risk of hospital reutilization among children admitted for asthma," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 2308-2314.
    4. Krieger, N. & Waterman, P. & Chen, J.T. & Soobader, M.-J. & Subramanian, S.V. & Carson, R., 2002. "Zip code caveat: Bias due to spatiotemporal mismatches between zip codes and US census-defined geographic areas - The public health disparities geocoding project," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1100-1102.
    5. Wilkinson, G.W. & Sager, A. & Selig, S. & Antonelli, R. & Morton, S. & Hirsch, G. & Lee, C.R. & Ortiz, A. & Fox, D. & Lupi, M.V. & Acuff, C. & Wachman, M., 2017. "No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment," American Journal of Public Health, American Public Health Association, vol. 107(S3), pages 223-228.
    6. Liverani, Silvia & Hastie, David I. & Azizi, Lamiae & Papathomas, Michail & Richardson, Sylvia, 2015. "PReMiuM: An R Package for Profile Regression Mixture Models Using Dirichlet Processes," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 64(i07).
    7. Hanna-Attisha, M. & LaChance, J. & Sadler, R.C. & Schnepp, A.C., 2016. "Elevated blood lead levels in children associated with the flint drinking water crisis: A spatial analysis of risk and public health response," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 283-290.
    8. Harris, Kelly M., 2019. "Mapping inequality: Childhood asthma and environmental injustice, a case study of St. Louis, Missouri," Social Science & Medicine, Elsevier, vol. 230(C), pages 91-110.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    2. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    3. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    4. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    5. Parker, Rhiannon & Larkin, Theresa & Cockburn, Jon, 2017. "A visual analysis of gender bias in contemporary anatomy textbooks," Social Science & Medicine, Elsevier, vol. 180(C), pages 106-113.
    6. Rama Natarajan & Dana Aljaber & Dawn Au & Christine Thai & Angelica Sanchez & Alan Nunez & Cristal Resto & Tanya Chavez & Marta M. Jankowska & Tarik Benmarhnia & Jiue-An Yang & Veronica Jones & Jernej, 2020. "Environmental Exposures during Puberty: Window of Breast Cancer Risk and Epigenetic Damage," IJERPH, MDPI, vol. 17(2), pages 1-17, January.
    7. Jessica Naidu & Elizabeth Oddone Paolucci & Tanvir C. Turin, 2023. "A Critical Lens on Health: Key Principles of Critical Discourse Analysis and Its Benefits to Anti-Racism in Population Public Health Research," Societies, MDPI, vol. 13(2), pages 1-10, February.
    8. Jason A. Hubbart & Kaylyn S. Gootman, 2021. "A Call to Broaden Investment in Drinking Water Testing and Community Outreach Programs," Challenges, MDPI, vol. 12(2), pages 1-10, December.
    9. Daniel W Kennedy & Jessica Cameron & Paul P -Y Wu & Kerrie Mengersen, 2021. "Peer groups for organisational learning: Clustering with practical constraints," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-20, June.
    10. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    11. Laura Liu, 2017. "Density Forecasts in Panel Models: A semiparametric Bayesian Perspective," PIER Working Paper Archive 17-006, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 28 Apr 2017.
    12. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.
    13. Kai Chen & Xiaoping Lin & Han Wang & Yujie Qiang & Jie Kong & Rui Huang & Haining Wang & Hui Liu, 2022. "Visualizing the Knowledge Base and Research Hotspot of Public Health Emergency Management: A Science Mapping Analysis-Based Study," Sustainability, MDPI, vol. 14(12), pages 1-23, June.
    14. Patricia Gilholm & Kerrie Mengersen & Helen Thompson, 2020. "Identifying latent subgroups of children with developmental delay using Bayesian sequential updating and Dirichlet process mixture modelling," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-17, June.
    15. Richard Casey Sadler & Amanda Y. Kong & Zachary Buchalski & Erika Renee Chanderraj & Laura A. Carravallah, 2021. "Linking the Flint Food Store Survey: Is Objective or Perceived Access to Healthy Foods Associated with Glycemic Control in Patients with Type 2 Diabetes?," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    16. Matthew Tuson & Matthew Yap & Mei Ruu Kok & Bryan Boruff & Kevin Murray & Alistair Vickery & Berwin A. Turlach & David Whyatt, 2022. "Improving the Efficiency of Geographic Target Regions for Healthcare Interventions," IJERPH, MDPI, vol. 19(22), pages 1-22, November.
    17. Tuyet-Mai H. Hoang & Ainslee Wong, 2022. "Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-25, December.
    18. Evans, Clare R., 2019. "Adding interactions to models of intersectional health inequalities: Comparing multilevel and conventional methods," Social Science & Medicine, Elsevier, vol. 221(C), pages 95-105.
    19. Wai Ling Lee & Jie Jia & Yani Bao, 2016. "Identifying the Gaps in Practice for Combating Lead in Drinking Water in Hong Kong," IJERPH, MDPI, vol. 13(10), pages 1-18, September.
    20. Eric Coker & Robert Gunier & Asa Bradman & Kim Harley & Katherine Kogut & John Molitor & Brenda Eskenazi, 2017. "Association between Pesticide Profiles Used on Agricultural Fields near Maternal Residences during Pregnancy and IQ at Age 7 Years," IJERPH, MDPI, vol. 14(5), pages 1-20, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621008753. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.