Open AccessChronic pediatric health conditions among youth living in public housing and receiving care in a large hospital system in Bronx, NY
Author(s) -
Earle C. Chambers,
Caroline Heller,
Kevin Fiori,
Kathleen McAuliff,
Jürgen Rehm
Publication year - 2020
Publication title -
global pediatric health
Language(s) - English
Resource type - Journals
ISSN - 2333-794X
DOI - 10.1177/2333794x20971164
Subject(s) - medicine , asthma , public health , depression (economics) , public housing , obesity , anxiety , young adult , gerontology , environmental health , pediatrics , psychiatry , nursing , economics , macroeconomics , civil engineering , engineering
This study compared the prevalence of chronic pediatric health conditions for youth in public housing with youth not in public housing using clinical electronic health record (EHR) and housing data. Youth (ages 2-17 years) in a large urban health system were identified and categorized into two housing types—public housing (n = 10 770) and not in public housing (n = 84 883) by age (young childhood, middle childhood, young adolescence). The prevalence of some pediatric conditions was higher in public housing but varied by age. Disparities in health conditions among youth in public housing were more common in early adolescence: asthma (26.4 vs 18.6; P < .001); obesity (28.5 vs 24.6; P < .001); depression/anxiety (19.2 vs 17.3; P = .008); behavioral disorders (8.1 vs 5.3; P < .001). These results show that chronic pediatric conditions like asthma and obesity that lead to significant morbidity into adulthood are more common among youth living in public housing. However, this pattern is not consistent across all chronic conditions.