Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA

We examined population-based surveillance data from the Tennessee Emerging Infections Program to determine whether neighborhood socioeconomic status was associated with influenza hospitalization rates. Hospitalization data collected during October 2007–April 2014 were geocoded (N = 1,743) and linked...

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Main Authors: Chantel Sloan, Rameela Chandrasekhar, Edward F. Mitchel, William Schaffner, Mary Lou Lindegren
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2015-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/21/9/14-1861_article
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author Chantel Sloan
Rameela Chandrasekhar
Edward F. Mitchel
William Schaffner
Mary Lou Lindegren
author_facet Chantel Sloan
Rameela Chandrasekhar
Edward F. Mitchel
William Schaffner
Mary Lou Lindegren
author_sort Chantel Sloan
collection DOAJ
description We examined population-based surveillance data from the Tennessee Emerging Infections Program to determine whether neighborhood socioeconomic status was associated with influenza hospitalization rates. Hospitalization data collected during October 2007–April 2014 were geocoded (N = 1,743) and linked to neighborhood socioeconomic data. We calculated age-standardized annual incidence rates, relative index of inequality, and concentration curves for socioeconomic variables. Influenza hospitalizations increased with increased percentages of persons who lived in poverty, had female-headed households, lived in crowded households, and lived in population-dense areas. Influenza hospitalizations decreased with increased percentages of persons who were college educated, were employed, and had health insurance. Higher incidence of influenza hospitalization was also associated with lower neighborhood socioeconomic status when data were stratified by race.
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spelling doaj.art-396de3e40d3c4702be95b5025658a4762022-12-22T01:37:18ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592015-09-012191602161010.3201/eid2109.141861Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USAChantel SloanRameela ChandrasekharEdward F. MitchelWilliam SchaffnerMary Lou LindegrenWe examined population-based surveillance data from the Tennessee Emerging Infections Program to determine whether neighborhood socioeconomic status was associated with influenza hospitalization rates. Hospitalization data collected during October 2007–April 2014 were geocoded (N = 1,743) and linked to neighborhood socioeconomic data. We calculated age-standardized annual incidence rates, relative index of inequality, and concentration curves for socioeconomic variables. Influenza hospitalizations increased with increased percentages of persons who lived in poverty, had female-headed households, lived in crowded households, and lived in population-dense areas. Influenza hospitalizations decreased with increased percentages of persons who were college educated, were employed, and had health insurance. Higher incidence of influenza hospitalization was also associated with lower neighborhood socioeconomic status when data were stratified by race.https://wwwnc.cdc.gov/eid/article/21/9/14-1861_articlehealth care disparitiesinfluenzaminority healthspatial analysisCensus BureauTennessee
spellingShingle Chantel Sloan
Rameela Chandrasekhar
Edward F. Mitchel
William Schaffner
Mary Lou Lindegren
Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA
Emerging Infectious Diseases
health care disparities
influenza
minority health
spatial analysis
Census Bureau
Tennessee
title Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA
title_full Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA
title_fullStr Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA
title_full_unstemmed Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA
title_short Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA
title_sort socioeconomic disparities and influenza hospitalizations tennessee usa
topic health care disparities
influenza
minority health
spatial analysis
Census Bureau
Tennessee
url https://wwwnc.cdc.gov/eid/article/21/9/14-1861_article
work_keys_str_mv AT chantelsloan socioeconomicdisparitiesandinfluenzahospitalizationstennesseeusa
AT rameelachandrasekhar socioeconomicdisparitiesandinfluenzahospitalizationstennesseeusa
AT edwardfmitchel socioeconomicdisparitiesandinfluenzahospitalizationstennesseeusa
AT williamschaffner socioeconomicdisparitiesandinfluenzahospitalizationstennesseeusa
AT maryloulindegren socioeconomicdisparitiesandinfluenzahospitalizationstennesseeusa