TY  - JOUR
AU  - Maroko, Andrew R.
AU  - Doan, Thao M.
AU  - Arno, Peter S.
AU  - Hubel, Megan
AU  - Yi, Shirley
AU  - Viola, Deborah
PY  - 2016
TI  - Integrating Social Determinants of Health With Treatment and Prevention: A New Tool to Assess Local Area Deprivation
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E128
VL  - 13
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - We assessed the appropriate geographic scale to apply an area deprivation index (ADI), which reflects a geographic area's level of socioeconomic deprivation and is associated with health outcomes, to identify and screen patients for social determinants of health. We estimated the relative strength of the association between the ADI at various geographic levels and a range of hospitalization rates by using age-adjusted odds ratios in an 8-county region of New York State. The 10-km local ADI estimates had the strongest associations with all hospitalization rates (higher odds ratios) followed by estimates at 20 km, 30 km, and the regional scale. A locally sensitive ADI is an ideal measure to identify and screen for the health care and social services needs and to advance the integration of social determinants of health with clinical treatment and disease prevention.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd13.160221
DO  - 10.5888/pcd13.160221
ER  - 
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