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

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

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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Figure 1 Regional versus local variation in the area deprivation index (ADI) in the Hudson Valley of New York. Dichotomized ADI values were calibrated on the basis of regional and local 10-km scales by zip code tabulation area.
Figure 1 Regional versus local variation in the area deprivation index (ADI) in the Hudson Valley of New York. Dichotomized ADI values were calibrated on the basis of regional and local 10-km scales by zip code tabulation area.CC BY · PubMed Central
Figure 2 Local area deprivation index (ADI) values versus total hospitalization rate, Hudson Valley, New York. Zip code tabulation areas are indicated with cross hatching to depict local 10-km ADI values above the 15% threshold. Total hospitalization rates (1999–2000) are shown in quartiles. Maps of other health outcomes are available from the author upon request.
Figure 2 Local area deprivation index (ADI) values versus total hospitalization rate, Hudson Valley, New York. Zip code tabulation areas are indicated with cross hatching to depict local 10-km ADI values above the 15% threshold. Total hospitalization rates (1999–2000) are shown in quartiles. Maps of other health outcomes are available from the author upon request.CC BY · PubMed Central

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Metadata

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
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
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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