Abstract 20: Patterns of Stroke Center Certification and the Impact on Stroke Mortality in Counties of New York State

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Emily Chapman ◽  
Kurt A Yaeger ◽  
J D Mocco
Keyword(s):  
New York ◽  
Socioeconomic Status ◽  
Household Income ◽  
New York State ◽  
Stroke Care ◽  
Stroke Mortality ◽  
Median Household Income ◽  
Stroke Incidence ◽  
York State ◽  
The Relationship

Introduction: To establish a statewide stroke system in March 2019, New York State (NYS) created the Stroke Designation Program. Stroke centers (SCs) must be certified by a state-approved certifying organization (CO), which is tasked with initial designation and ongoing re-certification. Previous research has found an association at the national level between socioeconomic status and access to higher levels of acute stroke care. Objective: This study characterizes the relationship between socioeconomic status of NYS populations and stroke care level access by comparing median household income and wealth in counties with and without certified SCs. Methods: Population and median household income from the U.S. Census (2010), stroke epidemiological data from the Center for Disease Control, and Area Deprivation Index (ADI) data (ranked within NYS) from the Neighborhood Atlas, a project that quantifies disadvantage by census tract, were collected and averaged for each county. Income has been used to assess local wealth and ADI to analyze community health risks. Certification data were mined from quality check databases for The Joint Commission and Det Norske Veritas, the most commonly used COs. Student’s t-tests compared income and ADI in counties with at least one certified SC to those without. Linear regression characterized the relationship between income and ADI with number of certified SCs, stroke incidence and stroke mortality. Results: All 62 counties in NYS were investigated to yield 40 certified SCs. Counties with at least one certified SC had a significantly higher income ($68,183.63 vs. $57,155.12; p=0.03) and lower ADI (5.90 vs. 7.37; p=0.004) compared to counties with no certified SC. Higher income (p<0.001) and lower ADI (p<0.001) were also associated with more certified SCs. Counties with fewer certified SCs had significantly higher stroke mortality (p<0.001) despite having similar stroke incidence. Conclusion: Socioeconomic heterogeneity in NYS counties is correlated to differential access to certified SCs and quality stroke care, as fewer centers are found in lower-income and disadvantaged communities. Although populations with less access experience stroke at similar rates, this study finds higher death rates in these counties.

Abstract P142: The Impact of Regional Socioeconomic Status on Stroke Center Certification in the Northeastern United States

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Emily Chapman ◽  
Kurt Yaeger ◽  
J D Mocco
Keyword(s):  
United States ◽  
Socioeconomic Status ◽  
Household Income ◽  
Stroke Care ◽  
Median Household Income ◽  
Northeastern United States ◽  
Stroke Incidence ◽  
The Impact ◽  
The Relationship ◽  
The U.S

Introduction: The northeastern United States has been a national leader in stroke healthcare delivery. The current roster of designated comprehensive, primary, thrombectomy-capable and acute stroke ready centers is the result of respective state initiatives. Access to certified stroke centers (SCs) varies by county as states have widely varied certification processes and typically rely on certifying organizations (COs) to identify stroke centers. Previous research has found an association at the national level between likelihood of stroke certification and local socioeconomic status. Objective: This study describes the relationship between socioeconomic status of patient populations in the Northeast U.S. and their access to quality stroke care by comparing median household income and wealth in counties with and without certified SCs. Methods: Population and median household income for 218 counties in Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont were collected from the U.S. Census (2010), stroke epidemiological data were collected from the Center for Disease Control, and Area Deprivation Index (ADI) data (ranked within the U.S.) were collected from the Neighborhood Atlas, a project that quantifies disadvantage. Median household income has been used to quantify local population wealth and ADI to analyze community health risks. Certification data were mined from quality check databases for The Joint Commission and Det Norske Veritas, the most commonly used COs, and yielded 259 certified centers. Linear regression characterized the relationship between income and ADI with number of certified SCs, stroke incidence and stroke mortality. Results: Higher income (p<0.001) and lower ADI (p<0.001) were associated with having more certified SCs (p<0.001). Counties with a higher stroke incidence had significantly more certified SCs (p=0.01). Conclusions: Throughout the counties of the Northeastern U.S., access to quality stroke care depends on local wealth and resources. At the same time, the current analysis indicates that SC certification distribution does appear to correlate to those counties where stroke incidence is highest.

Changes in the socioeconomic status of patients receiving TAVR in New York State

2019 ◽  
Vol 35 (1) ◽  
pp. 54-57
Author(s):  
Lisa Q Rong ◽  
Jialin Mao ◽  
Art R Sedrakyan ◽  
Harindra C Wijeysundera ◽  
Ajita Naik ◽  
...  
Keyword(s):  
New York ◽  
Socioeconomic Status ◽  
New York State ◽  
York State

Changes in the hatch rate of Haemonchus contortus eggs between geographic regions

Parasitology ◽  
1976 ◽  
Vol 73 (2) ◽  
pp. 223-238 ◽  
Author(s):  
L. F. Le Jambre ◽  
J. H. Whitlock
Keyword(s):  
New York ◽  
Haemonchus Contortus ◽  
New York State ◽  
Egg Hatch ◽  
Hatch Rate ◽  
Cold Adapted ◽  
Rate Of Development ◽  
York State ◽  
Geographic Regions ◽  
The Relationship

Vulvar phenotypes and the rate of development of eggs over a range of temperatures were used to compare Haemonchus contortus populations in New York State and Ohio. These parameters indicated that the westernmost boundary of the subspecies Haemonchus contortus cayugensis is the Chautauqua valley in New York. The Haemonchus ecotype in Ohio had a vulvar phenotype formula similar to that described for the subspecies Haemonchus contortus contortus. The relationship between slope and intercept of the regression of rate of egg hatch on temperature was different for morphs within ecotypes as well as between the New York and Ohio ecotypes. Linguiform-A appeared to be the cold-adapted morph in both ecotypes. Smooth was the warm-adapted morph in New York with linguiform-B filling that niche in Ohio.

scholarly journals Neighbourhood characteristics and health outcomes: evaluating the association between socioeconomic status, tobacco store density and health outcomes in Baltimore City

2017 ◽  
Vol 27 (e1) ◽  
pp. e19-e24 ◽  
Author(s):  
Panagis Galiatsatos ◽  
Cynthia Kineza ◽  
Seungyoun Hwang ◽  
Juliana Pietri ◽  
Emily Brigham ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Life Expectancy ◽  
Health Outcomes ◽  
Low Income ◽  
Household Income ◽  
Spatial Regression ◽  
Median Household Income ◽  
Baltimore City ◽  
Education Status ◽  
The Relationship

IntroductionSeveral studies suggest that the health of an individual is influenced by the socioeconomic status (SES) of the community in which he or she lives. This analysis seeks to understand the relationship between SES, tobacco store density and health outcomes at the neighbourhood level in a large urban community.MethodsData from the 55 neighbourhoods of Baltimore City were reviewed and parametric tests compared demographics and health outcomes for low-income and high-income neighbourhoods, defined by the 50th percentile in median household income. Summary statistics are expressed as median. Tobacco store density was evaluated as both an outcome and a predictor. Association between tobacco store densities and health outcomes was determined using Moran’s I and spatial regression analyses to account for autocorrelation.ResultsCompared with higher-income neighbourhoods, lower-income neighbourhoods had higher tobacco store densities (30.5 vs 16.5 stores per 10 000 persons, P=0.01), lower life expectancy (68.5 vs 74.9 years, P<0.001) and higher age-adjusted mortality (130.8 vs 102.1 deaths per 10 000 persons, P<0.001), even when controlling for other store densities, median household income, race, education status and age of residents.ConclusionIn Baltimore City, median household income is inversely associated with tobacco store density, indicating poorer neighbourhoods in Baltimore City have greater accessibility to tobacco. Additionally, tobacco store density was linked to lower life expectancy, which underscores the necessity for interventions to reduce tobacco store densities.

Asthma Hospitalization Rates and Socioeconomic Status in New York State (1987-1993)

1999 ◽  
Vol 36 (3) ◽  
pp. 239-251 ◽  
Author(s):  
Shao Lin ◽  
Edward Fitzgerald ◽  
Syni-An Hwang ◽  
Jean Pierre Munsie ◽  
Alice Stark
Keyword(s):  
New York ◽  
Socioeconomic Status ◽  
New York State ◽  
York State ◽  
Hospitalization Rates ◽  
Asthma Hospitalization

Alcohol and Homicide: Interviews with Prison Inmates

1994 ◽  
Vol 24 (1) ◽  
pp. 143-163 ◽  
Author(s):  
Barry Spunt ◽  
Paul Goldstein ◽  
Henry Brownstein ◽  
Michael Fendrich ◽  
Sandra Langley
Keyword(s):  
New York ◽  
Alcohol Use ◽  
Conceptual Framework ◽  
New York State ◽  
Policy Implications ◽  
Correctional Facilities ◽  
Prison Inmates ◽  
York State ◽  
Record Data ◽  
The Relationship

In 1989 and 1990 interviews were conducted with 268 homicide offenders incarcerated in New York State correctional facilities for homicides that occurred in 1984. The primary purpose of these interviews was to obtain the offenders' own perspectives as to the drug relatedness of these homicides. In this article we report on data obtained during these interviews focusing on the relationship between alcohol and homicide. We show how interviews with prison inmates overcome some of the problems that exist with studies of the alcohol-homicide connection that rely on official record data. Among our findings are that 19% of the homicides were reported to be related to alcohol use, that the majority of these cases involved arguments or disputes, and that in about half of these cases the respondent was high on at least one other substance. We also examine the “alcohol-related” cases from the perspective of a tripartite conceptual framework that specifies the variety of ways that drugs and violence can be related. The methodological and policy implications of our findings are also discussed.

Places Not Cases? Rethinking Probation: The Effects of Nonprofit Organizations on Rearrest Rates of Probationers

2018 ◽  
Vol 65 (5) ◽  
pp. 657-680
Author(s):  
James C. Wo ◽  
Jihye Park
Keyword(s):  
New York ◽  
Nonprofit Organizations ◽  
New York State ◽  
Risk Groups ◽  
York State ◽  
Show Evidence ◽  
Linear And Nonlinear ◽  
Criminological Theories ◽  
The Relationship

Although scholars have theorized that nonprofit organizations (NPO) contribute to social control in communities, the relationship between NPO and rates of misconduct on the part of certain at-risk groups has received little empirical attention. The current study extends the literature by adopting a place-based approach to understanding differences in probationer misconduct that highlights the role of NPO in communities. Using longitudinal data from New York State counties, we analyze the linear and nonlinear influences that different NPO have on rearrest rates of probationers. Whereas most criminological theories suggest that NPO have a linear and salutary influence, we find evidence of a more nuanced process: NPO unexpectedly show evidence of exerting both salutary and deleterious influences on probationer outcomes.

scholarly journals The Teachers Union-Charter Impasse: Moving Forward from the New York Caps Fight

2010 ◽  
Vol 18 ◽  
pp. 24 ◽  
Author(s):  
Lisa Michele Stulberg
Keyword(s):  
New York ◽  
Media Coverage ◽  
Common Ground ◽  
New York State ◽  
York State ◽  
The Public ◽  
Teachers Union ◽  
Wide Range ◽  
The Relationship ◽  
Two Sides

The public narrative generally frames teachers unions and the charter movement as mistrustful opponents locked in an unresolved impasse. There is little scholarly literature to correct this simplistic narrative of the relationship between charters and unions. This article examines the teachers union- charter relationship through a recent case of active and sometimes bitter charter politics: the fight to lift the charter cap in New York state in 2006 and 2007. This study examines the dynamics of the relationship through an analysis of media coverage of the New York caps fight and interviews with nearly 30 experts with varied views on charter schooling and from a wide range of professional backgrounds. The New York case suggests that ultimately, creating strong unions and effective charter schooling depends on these two sides finding common ground.

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