Cited by 230Health disparities and outcomesPublic Health and Social InequalitiesUrban, Neighborhood, and Segregation Studies

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Integrating Social Determinants of Health With Treatment and Prevention: A New Tool to Assess Local Area Deprivation

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Maroko, Andrew R., Doan, Thao M., Arno, Peter S., Hubel, Megan, Yi, Shirley, Viola, Deborah·2016·Preventing Chronic Disease

DOI 10.5888/pcd13.160221PMC PMC5027849

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Abstract

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.

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Authors: Maroko, A. R., Doan, T. M., Arno, P. S., Hubel, M., Yi, S., & Viola, D.
Affiliations: Westchester Medical Center (US)
Corresponding author: Maroko, Andrew R.
ORCID: Maroko, Andrew R.
Doan, Thao M.
Venue: Preventing Chronic Disease
Publisher: Centers for Disease Control and Prevention - Preventing Chronic Disease
Published: 2016-09-15
Volume: 13
Pages: E128-E128
ISSN: 1545-1151 (ISSN-L)
DOI: 10.5888/pcd13.160221
PMC: PMC5027849
OpenAlex: W2511464381
Cited by: 230
References: 7
Citations by year: 2026: 33 · 2025: 63 · 2024: 53 · 2023: 41 · 2022: 27 · 2021: 9 · 2020: 2 · 2019: 1
FWCI: 0.44
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: public-domain
Locations: Preventing Chronic Disease (publishedVersion, public-domain)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
CUNY Academic Works (City University of New York) (submittedVersion)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Health › Public Health and Social Inequalities
Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
Keywords: social determinants of health, Area Deprivation Index, socioeconomic deprivation, geographic scale, hospitalization rates, disease prevention, New York State
MeSH terms: Hospitalization, Humans, New York, Preventive Health Services, Social Work, Socioeconomic Factors, Social Determinants of Health

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Integrating Social Determinants of Health With Treatment and Prevention: A New Tool to Assess Local Area Deprivation

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