Research ArticleOriginal Research

The Association Between Neighborhood Socioeconomic and Housing Characteristics with Hospitalization: Results of a National Study of Veterans

Elham Hatef, Hadi Kharrazi, Karin Nelson, Philip Sylling, Xiaomeng Ma, Elyse C. Lasser, Kelly M. Searle, Zachary Predmore, Adam J. Batten, Idamay Curtis, Stephan Fihn and Jonathan P. Weiner
The Journal of the American Board of Family Medicine November 2019, 32 (6) 890-903; DOI: https://doi.org/10.3122/jabfm.2019.06.190138

References

  1. 1.↵
    1. Bachrach D,
    2. Pfister H,
    3. Wallis K,
    4. Lipson M
    . Addressing patients' social needs: An emerging business case for provider investment. 2014. Available from:https://www.commonwealthfund.org/sites/default/files/documents/___media_files_publications_fund_report_2014_may_1749_bachrach_addressing_patients_social_needs_v2.pdf. Accessed April 8, 2019.
  2. 2.↵
    Health Research & Educational Trust. Social determinants of health series: housing and the role of hospitals. Health Research & Educational Trust. 2017. Available from: https://www.aha.org/ahahret-guides/2017–08-22-social-determinants-health-series-housing-role-hospitals. Accessed April 8, 2019.
  3. 3.↵
    National Prevention Council. National prevention strategy: America's plan for better health and wellness. U.S. Department of Health and Human Services, Office of the Surgeon General. 2011. Available from: https://www.surgeongeneral.gov/priorities/prevention/strategy/report.pdf. Accessed April 8, 2019.
  4. 4.↵
    Root Cause Coalition. Housing and health: the connection, and innovative steps health systems are taking to address housing to improve health. The Root Cause Coalition. 2016. Available from: http://www.rootcausecoalition.org/wp-content/uploads/2016/11/White-Paper-Housing-and-Health.pdf. Accessed April 8, 2019.
  5. 5.↵
    1. Solari CD,
    2. Morris S,
    3. Shivji A,
    4. de Souza T
    . The 2015 annual homeless assessment report to congress, part 2: estimates of homelessness in the united states. U.S. Department of Housing and Urban Development, Office of Community Planning and Development. 2016. Available from: https://www.hudexchange.info/onecpd/assets/File/2015-AHAR-Part-2.pdf. Accessed April 8, 2019.
  6. 6.↵
    Centers for Disease Control and Prevention. Most recent asthma data. Centers for Disease Control and Prevention Web Site. Available from: https://www.cdc.gov/asthma/asthmadata.htm. Accessed April 8, 2019.
  7. 7.↵
    1. Braveman P,
    2. Dekker M,
    3. Egerter S,
    4. Sadegh-Nobari T,
    5. Pollack C
    . Housing and health. Robert Wood Johnson Foundation. 2011. Available from: https://www.rwjf.org/en/library/research/2011/05/housing-and-health.html. Accessed April 8, 2019.
  8. 8.↵
    1. Downing J
    . The health effects of the foreclosure crisis and unaffordable housing: a systematic review and explanation of evidence. Soc Sci Med 2016;162:88–96.
    OpenUrl
  9. 9.↵
    1. March E,
    2. Ettinger de Cuba S,
    3. Cook JT,
    4. et al
    . Behind closed doors: the hidden health impacts of being behind on rent. Children's HealthWatch. 2011. Available from: https://housingalliancepa.org/155-p/. Accessed April 8, 2019.
  10. 10.↵
    1. Pollack CE,
    2. Griffin BA,
    3. Lynch J
    . Housing affordability and health among homeowners and renters. Am J of Prev Med 2010;39:515–521.
    OpenUrl
  11. 11.↵
    1. Kushel MB,
    2. Gupta R,
    3. Gee L,
    4. Haas JS
    . Housing instability and food insecurity as barriers to health care among low-income americans. J Gen Intern Med 2006;21:71–77.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Burgard SA,
    2. Seefeldt KS,
    3. Zelner S
    . Housing instability and health: findings from the Michigan recession and recovery study. Soc Sci Med 2012;75:2215–2224.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Wennberg DE,
    2. Sharp SM,
    3. Bevan G,
    4. Skinner JS,
    5. Gottlieb DJ,
    6. Wennberg JE
    . A population health approach to reducing observational intensity bias in health risk adjustment: Cross sectional analysis of insurance claims. BMJ 2014;348:g2392.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Nelson K,
    2. Schwartz G,
    3. Hernandez S,
    4. Simonetti J,
    5. Curtis I,
    6. Fihn SD
    . The association between neighborhood environment and mortality: results from a national study of veterans. J Gen Intern Med 2017;32:416–422.
    OpenUrl
  15. 15.↵
    1. Lushniak BD,
    2. Alley DE,
    3. Ulin B,
    4. Graffunder C
    . The national prevention strategy: leveraging multiple sectors to improve population health. Am J Public Health 2015;105:229–231.
    OpenUrl
  16. 16.↵
    1. Brown SH,
    2. Lincoln MJ,
    3. Groen PJ,
    4. Kolodner RM
    . VistA—U.S. Department of Veterans Affairs national–scale HIS. Int J Med Inform 2003;69(2–3):135–156.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    U.S. Department of Veterans Affairs. Corporate data warehouse (CDW). Updated 2017. Available from:https://www.hsrd.research.va.gov/for_researchers/vinci/cdw.cfm. Accessed April 8, 2019.
  18. 18.↵
    1. Gagne JJ,
    2. Glynn RJ,
    3. Avorn J,
    4. Levin R,
    5. Schneeweiss S
    . A combined comorbidity score predicted mortality in elderly patients better than existing scores. J Clin Epidemiol 2011;64:749–759.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Lindemann EA,
    2. Chen ES,
    3. Wang Y,
    4. Skube SJ,
    5. Melton GB
    . Representation of social history factors across age groups: a topic analysis of free-text social documentation. AMIA Annu Symp Proc 2018;2017:1169–1178.
    OpenUrl
  20. 20.↵
    1. Winden TJ,
    2. Chen ES,
    3. Wang Y,
    4. Lindemann E,
    5. Melton GB
    . Residence, living situation, and living conditions information documentation in clinical practice. AMIA Annu Symp Proc 2018l2017:1783.
  21. 21.↵
    1. Winden TJ,
    2. Chen ES,
    3. Monsen KA,
    4. Wang Y,
    5. Melton GB
    . Evaluation of flowsheet documentation in the electronic health record for residence, living situation, and living conditions. AMIA Jt Summits Transl Sci Proc 2018;2017:236–245.
    OpenUrl
  22. 22.↵
    1. Merkin SS,
    2. Basurto-Dávila R,
    3. Karlamangla A,
    4. et al
    . Neighborhoods and cumulative biological risk profiles by race/ethnicity in a national sample of U.S. adults: NHANES III. Ann Epidemiol 2009;19:194–201.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    The United States Census Bureau. American Community Survey (ACS). Available from: https://www.census.gov/programs-surveys/acs/. Accessed April 8, 2019.
  24. 24.↵
    1. Zeger SL,
    2. Liang KY
    . Longitudinal data analysis for discrete and continuous outcomes. Biometrics 1986;42:121–130.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    National Academies of Sciences, Engineering, and Medicine. Accounting for social risk factors in Medicare payment: Identifying social risk factors. Washington, DC: The National Academies Press. www.nap.edu/read/21858/chapter/1. Published 2016. Accessed July 2019;21.
  26. 26.↵
    1. Collins TW,
    2. Grineski SE,
    3. Morales DX
    . Sexual orientation, gender, and environmental injustice: unequal carcinogenic air pollution risks in greater Houston. Ann Am Assoc Geogr 2017;107:72–92.
    OpenUrl
  27. 27.↵
    1. Kulldorff M
    . A spatial scan statistic. Communications in Statistics—Theory and Methods 1997;26:1481–1496.
    OpenUrlCrossRefWeb of Science
  28. 28.↵
    The R project for statistical computing. Available from: www.r-project.org. Accessed April 8, 2019.
  29. 29.↵
    National Center for Health Statistics. Centers for Disease Control and Prevention. Hospital utilization (in non-federal short-stay hospitals). Available from: https://www.cdc.gov/nchs/fastats/hospital.htm. Updated 2017. Accessed April 8, 2019.
  30. 30.↵
    1. Taylor LA,
    2. Tan AX,
    3. Coyle CE,
    4. et al
    . Leveraging the social determinants of health: What Works? PLoS One 2016;11:e0160217.
    OpenUrl
  31. 31.↵
    1. Calvillo-King L,
    2. Arnold D,
    3. Eubank KJ,
    4. et al
    . Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: Systematic review. J Gen Intern Med 2013;28:269–282.
    OpenUrlCrossRefPubMed
  32. 32.↵
    1. Krishnamurthi N,
    2. Francis J,
    3. Fihn SD,
    4. Meyer CS,
    5. Whooley MA
    . Leading causes of cardiovascular hospitalization in 8.45 million US veterans. PLoS One 2018;13:e0193996.
    OpenUrl
  33. 33.↵
    1. Hu J,
    2. Gonsahn MD,
    3. Nerenz DR
    . Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood) 2014;33:778–785.
    OpenUrlAbstract/FREE Full Text
  34. 34.↵
    1. Nagasako EM,
    2. Reidhead M,
    3. Waterman B,
    4. Dunagan WC
    . Adding socioeconomic data to hospital readmissions calculations may produce more useful results. Health Aff (Millwood) 2014;33:786–791.
    OpenUrlAbstract/FREE Full Text
  35. 35.↵
    1. Bhavsar NA,
    2. Gao A,
    3. Phelan M,
    4. Pagidipati NJ,
    5. Goldstein BA
    . Value of neighborhood socioeconomic status in predicting risk of outcomes in studies that use electronic health record data. JAMA Network Open 2018;1:e182716.
    OpenUrl
  36. 36.↵
    1. Liu SY,
    2. Pearlman DN
    . Hospital readmissions for childhood asthma: The role of individual and neighborhood factors. Public Health Reports (1974-) 2009;124:65–78.
    OpenUrlCrossRefPubMed
  37. 37.↵
    1. Beck AF,
    2. Huang B,
    3. Chundur R,
    4. Kahn RS
    . Housing code violation density associated with emergency department and hospital use by children with asthma. Health Aff (Millwood) 2014;33:1993–2002.
    OpenUrlAbstract/FREE Full Text
  38. 38.↵
    1. Gronlund CJ,
    2. Zanobetti A,
    3. Wellenius GA,
    4. Schwartz JD,
    5. O'Neill MS
    . Vulnerability to renal, heat and respiratory hospitalizations during extreme heat among U.S. elderly. Climatic Change 2016;136:631–645.
    OpenUrl
  39. 39.↵
    1. Xu S,
    2. Fortney JC,
    3. Dong F
    . Community-level correlates of hospitalizations for persons with schizophrenia. Psychiatr Serv 2009;60:772–778.
    OpenUrlCrossRefPubMedWeb of Science
  40. 40.↵
    1. Harkness J,
    2. Newman SJ,
    3. Salkever D
    . The cost-effectiveness of independent housing for the chronically mentally ill: do housing and neighborhood features matter? Health Serv Res 2004;39:1341–1360.
    OpenUrlCrossRefPubMed
  41. 41.↵
    Centers for Medicare and Medicaid Services. Accountable health communities model. Updated 2019. Available from: https://innovation.cms.gov/initiatives/ahcm. Accessed July 7, 2019.
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