Eintrag weiter verarbeiten
Neighborhood Characteristics and Emergency Department Utilization
Gespeichert in:
| Zeitschriftentitel: | Academic Emergency Medicine |
|---|---|
| Personen und Körperschaften: | , , , |
| In: | Academic Emergency Medicine, 10, 2003, 8, S. 853-859 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Li, Guohua Grabowski, Jurek G. McCarthy, Melissa L. Kelen, Gabor D. Li, Guohua Grabowski, Jurek G. McCarthy, Melissa L. Kelen, Gabor D. |
|---|---|
| author |
Li, Guohua Grabowski, Jurek G. McCarthy, Melissa L. Kelen, Gabor D. |
| spellingShingle |
Li, Guohua Grabowski, Jurek G. McCarthy, Melissa L. Kelen, Gabor D. Academic Emergency Medicine Neighborhood Characteristics and Emergency Department Utilization Emergency Medicine General Medicine |
| author_sort |
li, guohua |
| spelling |
Li, Guohua Grabowski, Jurek G. McCarthy, Melissa L. Kelen, Gabor D. 1069-6563 1553-2712 Wiley Emergency Medicine General Medicine http://dx.doi.org/10.1197/aemj.10.8.853 <jats:title>Abstract</jats:title><jats:p> <jats:bold>Objectives:</jats:bold> Neighborhood environments have been linked to the prevalence and incidence rates of a variety of diseases and injuries. This study assessed the relations between neighborhood demographic and socioeconomic characteristics and emergency department (ED) utilization. <jats:bold>Methods:</jats:bold> Billing data for the calendar year 2000 for adult patients residing within a one‐mile radius of the study ED were geo‐coded based on home addresses and merged with neighborhood data from the U.S. Census Bureau. Annual ED visit rates per 100 population were computed for each census block within the study area and analyzed in relation to neighborhood characteristics. <jats:bold>Results:</jats:bold> The study area consisted of 714 census blocks and 42,278 adult residents, with a total of 16,427 visits to the study ED. Annual ED visit rates increased from 17 visits per 100 population for neighborhoods where less than 50% of the population were African American to 51 visits per 100 population for neighborhoods where all residents were African American (p < 0.001). Annual ED visit rates decreased from 53% for neighborhoods where <20% of housing units were owner‐occupied to 27% for neighborhoods with >45% owner‐occupied housing units (p < 0.001). Multivariate linear regression modeling revealed that proportions of African American residents and owner‐occupied housing units were significantly associated with ED utilization, independent of age and gender compositions and the distance between residence and the study ED. <jats:bold>Conclusions:</jats:bold> Even within a small geographic area, ED utilization may vary greatly by neighborhood characteristics. Neighborhood racial composition and housing tenure are independent predictors of ED visit rates in this urban community.</jats:p> Neighborhood Characteristics and Emergency Department Utilization Academic Emergency Medicine |
| doi_str_mv |
10.1197/aemj.10.8.853 |
| facet_avail |
Online Free |
| finc_class_facet |
Medizin |
| format |
ElectronicArticle |
| fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE5Ny9hZW1qLjEwLjguODUz |
| id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE5Ny9hZW1qLjEwLjguODUz |
| institution |
DE-Ch1 DE-L229 DE-D275 DE-Bn3 DE-Brt1 DE-Zwi2 DE-D161 DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 |
| imprint |
Wiley, 2003 |
| imprint_str_mv |
Wiley, 2003 |
| issn |
1069-6563 1553-2712 |
| issn_str_mv |
1069-6563 1553-2712 |
| language |
English |
| mega_collection |
Wiley (CrossRef) |
| match_str |
li2003neighborhoodcharacteristicsandemergencydepartmentutilization |
| publishDateSort |
2003 |
| publisher |
Wiley |
| recordtype |
ai |
| record_format |
ai |
| series |
Academic Emergency Medicine |
| source_id |
49 |
| title |
Neighborhood Characteristics and Emergency Department Utilization |
| title_unstemmed |
Neighborhood Characteristics and Emergency Department Utilization |
| title_full |
Neighborhood Characteristics and Emergency Department Utilization |
| title_fullStr |
Neighborhood Characteristics and Emergency Department Utilization |
| title_full_unstemmed |
Neighborhood Characteristics and Emergency Department Utilization |
| title_short |
Neighborhood Characteristics and Emergency Department Utilization |
| title_sort |
neighborhood characteristics and emergency department utilization |
| topic |
Emergency Medicine General Medicine |
| url |
http://dx.doi.org/10.1197/aemj.10.8.853 |
| publishDate |
2003 |
| physical |
853-859 |
| description |
<jats:title>Abstract</jats:title><jats:p> <jats:bold>Objectives:</jats:bold> Neighborhood environments have been linked to the prevalence and incidence rates of a variety of diseases and injuries. This study assessed the relations between neighborhood demographic and socioeconomic characteristics and emergency department (ED) utilization. <jats:bold>Methods:</jats:bold> Billing data for the calendar year 2000 for adult patients residing within a one‐mile radius of the study ED were geo‐coded based on home addresses and merged with neighborhood data from the U.S. Census Bureau. Annual ED visit rates per 100 population were computed for each census block within the study area and analyzed in relation to neighborhood characteristics. <jats:bold>Results:</jats:bold> The study area consisted of 714 census blocks and 42,278 adult residents, with a total of 16,427 visits to the study ED. Annual ED visit rates increased from 17 visits per 100 population for neighborhoods where less than 50% of the population were African American to 51 visits per 100 population for neighborhoods where all residents were African American (p < 0.001). Annual ED visit rates decreased from 53% for neighborhoods where <20% of housing units were owner‐occupied to 27% for neighborhoods with >45% owner‐occupied housing units (p < 0.001). Multivariate linear regression modeling revealed that proportions of African American residents and owner‐occupied housing units were significantly associated with ED utilization, independent of age and gender compositions and the distance between residence and the study ED. <jats:bold>Conclusions:</jats:bold> Even within a small geographic area, ED utilization may vary greatly by neighborhood characteristics. Neighborhood racial composition and housing tenure are independent predictors of ED visit rates in this urban community.</jats:p> |
| container_issue |
8 |
| container_start_page |
853 |
| container_title |
Academic Emergency Medicine |
| container_volume |
10 |
| format_de105 |
Article, E-Article |
| format_de14 |
Article, E-Article |
| format_de15 |
Article, E-Article |
| format_de520 |
Article, E-Article |
| format_de540 |
Article, E-Article |
| format_dech1 |
Article, E-Article |
| format_ded117 |
Article, E-Article |
| format_degla1 |
E-Article |
| format_del152 |
Buch |
| format_del189 |
Article, E-Article |
| format_dezi4 |
Article |
| format_dezwi2 |
Article, E-Article |
| format_finc |
Article, E-Article |
| format_nrw |
Article, E-Article |
| _version_ |
1792341725995335680 |
| geogr_code |
not assigned |
| last_indexed |
2024-03-01T16:23:51.373Z |
| geogr_code_person |
not assigned |
| openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=Neighborhood+Characteristics+and+Emergency+Department+Utilization&rft.date=2003-08-01&genre=article&issn=1553-2712&volume=10&issue=8&spage=853&epage=859&pages=853-859&jtitle=Academic+Emergency+Medicine&atitle=Neighborhood+Characteristics+and+Emergency+Department+Utilization&aulast=Kelen&aufirst=Gabor+D.&rft_id=info%3Adoi%2F10.1197%2Faemj.10.8.853&rft.language%5B0%5D=eng |
| SOLR | |
| _version_ | 1792341725995335680 |
| author | Li, Guohua, Grabowski, Jurek G., McCarthy, Melissa L., Kelen, Gabor D. |
| author_facet | Li, Guohua, Grabowski, Jurek G., McCarthy, Melissa L., Kelen, Gabor D., Li, Guohua, Grabowski, Jurek G., McCarthy, Melissa L., Kelen, Gabor D. |
| author_sort | li, guohua |
| container_issue | 8 |
| container_start_page | 853 |
| container_title | Academic Emergency Medicine |
| container_volume | 10 |
| description | <jats:title>Abstract</jats:title><jats:p> <jats:bold>Objectives:</jats:bold> Neighborhood environments have been linked to the prevalence and incidence rates of a variety of diseases and injuries. This study assessed the relations between neighborhood demographic and socioeconomic characteristics and emergency department (ED) utilization. <jats:bold>Methods:</jats:bold> Billing data for the calendar year 2000 for adult patients residing within a one‐mile radius of the study ED were geo‐coded based on home addresses and merged with neighborhood data from the U.S. Census Bureau. Annual ED visit rates per 100 population were computed for each census block within the study area and analyzed in relation to neighborhood characteristics. <jats:bold>Results:</jats:bold> The study area consisted of 714 census blocks and 42,278 adult residents, with a total of 16,427 visits to the study ED. Annual ED visit rates increased from 17 visits per 100 population for neighborhoods where less than 50% of the population were African American to 51 visits per 100 population for neighborhoods where all residents were African American (p < 0.001). Annual ED visit rates decreased from 53% for neighborhoods where <20% of housing units were owner‐occupied to 27% for neighborhoods with >45% owner‐occupied housing units (p < 0.001). Multivariate linear regression modeling revealed that proportions of African American residents and owner‐occupied housing units were significantly associated with ED utilization, independent of age and gender compositions and the distance between residence and the study ED. <jats:bold>Conclusions:</jats:bold> Even within a small geographic area, ED utilization may vary greatly by neighborhood characteristics. Neighborhood racial composition and housing tenure are independent predictors of ED visit rates in this urban community.</jats:p> |
| doi_str_mv | 10.1197/aemj.10.8.853 |
| facet_avail | Online, Free |
| finc_class_facet | Medizin |
| format | ElectronicArticle |
| format_de105 | Article, E-Article |
| format_de14 | Article, E-Article |
| format_de15 | Article, E-Article |
| format_de520 | Article, E-Article |
| format_de540 | Article, E-Article |
| format_dech1 | Article, E-Article |
| format_ded117 | Article, E-Article |
| format_degla1 | E-Article |
| format_del152 | Buch |
| format_del189 | Article, E-Article |
| format_dezi4 | Article |
| format_dezwi2 | Article, E-Article |
| format_finc | Article, E-Article |
| format_nrw | Article, E-Article |
| geogr_code | not assigned |
| geogr_code_person | not assigned |
| id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE5Ny9hZW1qLjEwLjguODUz |
| imprint | Wiley, 2003 |
| imprint_str_mv | Wiley, 2003 |
| institution | DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14 |
| issn | 1069-6563, 1553-2712 |
| issn_str_mv | 1069-6563, 1553-2712 |
| language | English |
| last_indexed | 2024-03-01T16:23:51.373Z |
| match_str | li2003neighborhoodcharacteristicsandemergencydepartmentutilization |
| mega_collection | Wiley (CrossRef) |
| physical | 853-859 |
| publishDate | 2003 |
| publishDateSort | 2003 |
| publisher | Wiley |
| record_format | ai |
| recordtype | ai |
| series | Academic Emergency Medicine |
| source_id | 49 |
| spelling | Li, Guohua Grabowski, Jurek G. McCarthy, Melissa L. Kelen, Gabor D. 1069-6563 1553-2712 Wiley Emergency Medicine General Medicine http://dx.doi.org/10.1197/aemj.10.8.853 <jats:title>Abstract</jats:title><jats:p> <jats:bold>Objectives:</jats:bold> Neighborhood environments have been linked to the prevalence and incidence rates of a variety of diseases and injuries. This study assessed the relations between neighborhood demographic and socioeconomic characteristics and emergency department (ED) utilization. <jats:bold>Methods:</jats:bold> Billing data for the calendar year 2000 for adult patients residing within a one‐mile radius of the study ED were geo‐coded based on home addresses and merged with neighborhood data from the U.S. Census Bureau. Annual ED visit rates per 100 population were computed for each census block within the study area and analyzed in relation to neighborhood characteristics. <jats:bold>Results:</jats:bold> The study area consisted of 714 census blocks and 42,278 adult residents, with a total of 16,427 visits to the study ED. Annual ED visit rates increased from 17 visits per 100 population for neighborhoods where less than 50% of the population were African American to 51 visits per 100 population for neighborhoods where all residents were African American (p < 0.001). Annual ED visit rates decreased from 53% for neighborhoods where <20% of housing units were owner‐occupied to 27% for neighborhoods with >45% owner‐occupied housing units (p < 0.001). Multivariate linear regression modeling revealed that proportions of African American residents and owner‐occupied housing units were significantly associated with ED utilization, independent of age and gender compositions and the distance between residence and the study ED. <jats:bold>Conclusions:</jats:bold> Even within a small geographic area, ED utilization may vary greatly by neighborhood characteristics. Neighborhood racial composition and housing tenure are independent predictors of ED visit rates in this urban community.</jats:p> Neighborhood Characteristics and Emergency Department Utilization Academic Emergency Medicine |
| spellingShingle | Li, Guohua, Grabowski, Jurek G., McCarthy, Melissa L., Kelen, Gabor D., Academic Emergency Medicine, Neighborhood Characteristics and Emergency Department Utilization, Emergency Medicine, General Medicine |
| title | Neighborhood Characteristics and Emergency Department Utilization |
| title_full | Neighborhood Characteristics and Emergency Department Utilization |
| title_fullStr | Neighborhood Characteristics and Emergency Department Utilization |
| title_full_unstemmed | Neighborhood Characteristics and Emergency Department Utilization |
| title_short | Neighborhood Characteristics and Emergency Department Utilization |
| title_sort | neighborhood characteristics and emergency department utilization |
| title_unstemmed | Neighborhood Characteristics and Emergency Department Utilization |
| topic | Emergency Medicine, General Medicine |
| url | http://dx.doi.org/10.1197/aemj.10.8.853 |