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

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.

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

Abstract 10079: Socioeconomic Status and the Development of Atrial Fibrillation in Hispanics, African Americans and non-Hispanic Whites

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Eric Shulman ◽  
Philip Aagaard ◽  
Faraj Kargoli ◽  
Ethan Hoch ◽  
Scott Schafler ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
New York ◽  
Socioeconomic Status ◽  
African Americans ◽  
New York State ◽  
Rank Test ◽  
Cox Regression Analysis ◽  
York State ◽  
Log Rank Test ◽  
Race Ethnicity

Introduction: Atrial fibrillation (AF) is the most common arrhythmia and is associated with significant morbidity and mortality. Despite having a higher burden of traditional AF risk factors, African American and Hispanic minorities have a lower incidence of AF when compared to non-Hispanic Whites, referred to as the “racial paradox.” Hypothesis: We investigated if socioeconomic status (SES) could be an explanatory factor for the “racial paradox.” Methods: An ECG/EMR database from a tertiary-care center in New York State was interrogated for individuals free of AF for development of subsequent AF from 2000-2013. SES was assessed per zip code via a log composite of six measures Z-scored to the New York State average (income; value of housing unit; percentage of receiving interest/dividend/rental income; education; percentage completed college; individuals in professional positions). SES was reclassified into decile groups (1 lowest and 10 highest). The Log-Rank test was used to determine difference in survival times to develop AF by race/ethnicity stratified by SES decile. Cox regression analysis controlling for all baseline differences was used to estimate the independent predictive ability of SES for AF. P-trend was calculated by race/ethnicity to determine if there was a trend by SES decile to develop AF. Results: We identified 48,631 persons (43% Hispanic, 37% African Americans and 20% non-Hispanic White, mean age 59 years, mean follow-up of 3.2 years) of which 4,556 AF cases occurred. Hispanics and African Americans had lower AF risk than Whites in all SES deciles (p-value < 0.001 by Log Rank Test). Higher SES was borderline associated with lower AF risk (HR=0.990, 95% CI 0.980-1.001, p=0.061). P-trend analysis was not significant by any race/ethnic group by SES deciles for AF (Figure 1). Conclusions: Our study suggests that non-Hispanic Whites are at higher risk for AF compared to non-Whites, and this is independent of socioeconomic status.

Socioeconomic Status Is an Important Determinant of the Use of Invasive Procedures After Acute Myocardial Infarction in New York State

Circulation ◽  
2000 ◽  
Vol 102 (Supplement 3) ◽  
pp. III-107-III-115 ◽  
Author(s):  
E. F. Philbin ◽  
P. A. McCullough ◽  
T. G. DiSalvo ◽  
G. W. Dec ◽  
P. L. Jenkins ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
New York ◽  
Socioeconomic Status ◽  
Important Determinant ◽  
New York State ◽  
Invasive Procedures ◽  
York State

The effect of the global financial crisis on preventable hospitalizations among the homeless in New York State

2018 ◽  
Vol 23 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Brandi White ◽  
Charles Ellis ◽  
Walter Jones ◽  
William Moran ◽  
Kit Simpson
Keyword(s):  
Primary Care ◽  
New York ◽  
Financial Crisis ◽  
Global Financial Crisis ◽  
New York State ◽  
Preventable Hospitalizations ◽  
York State ◽  
Hospitalization Rates ◽  
The Global Financial Crisis ◽  
The Impact

Objective Periods of economic instability may increase preventable hospitalizations because of increased barriers to accessing primary care. For underserved populations such as the homeless, these barriers may be more pronounced due to limited resources in the health care safety net. This study examined the impact of the global financial crisis of 2007–2008 on access to care for the homeless in New York State. Methods Hospitalizations for ambulatory care sensitive conditions (ACSCs) were used as a proxy measure for primary care access. Admissions for ACSCs were identified in the New York State Inpatient Database from 2006 to 2012. Hospitalization rates for ACSCs were calculated for the homeless and nonhomeless. Multivariable linear regression was used to investigate the impact of the financial crisis on hospitalization rates for ACSCs. Results The findings indicate that during the financial crisis, homeless adults had significantly higher preventable hospitalizations than nonhomeless adults, and the uninsured homeless had significantly higher preventable hospitalizations when compared to other homeless subgroups. After the financial crisis, preventable hospitalizations for the homeless stabilized but remained at higher rates than those for the nonhomeless. Conclusions These findings are important to developing health policies designed to provide effective care for underserved population such as the homeless.

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