Background: Community-associated Clostridioides difficile infections (CA-CDIs) share many risk factors with health care-associated cases, although the role of socioeconomic factors is poorly understood. This study estimates the influence of several census tract-level measures of socioeconomic status on CA-CDI incidence rates.
Methods: CA-CDI case data from the New Mexico Emerging Infections Program were analyzed using quasi-Poisson regression modeling. Geocoded cases were assigned census tract-level socioeconomic measures to explore racial, ethnic and socioeconomic disparities in CA-CDI incidence.
Results: Regression modeling identified census tract-level socioeconomic measures as well as individual and medical measures that together accounted for 57% of the variance in CA-CDI rates. At the census tract level, socioeconomic factors associated with an increase in CA-CDI incidence included a high percentage of individuals lacking health insurance and a low percentage of individuals with low educational attainment. A subanalysis that included racial and ethnic designation revealed that ethnicity had no significant effect, but compared to white race, other races were significantly more likely to acquire CA-CDI.
Conclusions: Although this work reveals the role of certain socioeconomic and race and ethnicity risk factors in the incidence of CA-CDI, it also underscores the complex relationships that exist between socioeconomic status and access to health care.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ajic.2018.12.014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Association between the Social Vulnerability Index and Access to California High School Athletic Trainers.
J Athl Train
December 2024
University of California, San Francisco, Department of Orthopaedic Surgery.
Context: Social determinants of health are known to affect overall access to youth sports, however, it is not fully understood how multiple social determinants of health may impact access to school-based athletic training services.
Objective: To determine the relationship between Social Vulnerability Index (SVI) scores on access to high school-based athletic trainers in California.
Design: Retrospective, cross-sectional study.
Children's executive functioning and health behaviors across pediatric life stages and ecological contexts.
J Behav Med
January 2025
Department of Counseling Psychology and Human Services, Prevention Science Institute, University of Oregon, Eugene, OR, USA.
Executive functioning (EF) has been linked to chronic disease risk in children. Health behaviors are thought to partially explain this association. The current cross-sectional study evaluated specific domains of EF and varied health behaviors in three pediatric life stages.
View Article and Find Full Text PDFBackground: Neighborhood conditions and their racial patterning represent under-studied factors that could contribute to racial disparities in dementia risk. Neighborhood socioeconomic status (SES) has been linked to dementia, but the racial distribution of SES within a neighborhood may also matter for dementia risk.
Method: Individual-level data from 460 (47% Black, 46% White, 7% other) older adults from the Michigan Cognitive Aging Project (Table 1) were linked to census tract-level data from the National Neighborhood Data Archive.
Reconceptualizing rurality: Exploring community capital to identify distinct rural classes in the United States.
SSM Popul Health
March 2025
Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Article Synopsis
- In population health research, traditional definitions of rurality based on broad population density measures overlook the diverse characteristics of rural areas.
- Researchers employed an exploratory latent class analysis to identify distinct classes of rurality in the US by analyzing data from 15,643 rural census tracts using the Community Capitals Framework.
- Four classes of rurality were identified: Outlying, Developed, Well-Resourced, and Adaptable, each showing significant differences in social vulnerability, suggesting a need for tailored health interventions that consider these unique rural community combinations.
Pursuing healthy homeownership: an evaluation of the neighborhood health trajectories of shared equity homeowners.
BMC Public Health
January 2025
Department of Health Policy and Management, Fielding School of Public Health at UCLA, Box 951772, Los Angeles, CA, 90095-1772, USA.
Background: Shared equity homeownership - a model in which low- and moderate-income households purchase homes at affordable prices on the condition that the houses remain affordable upon resale - has been shown to produce several health-enhancing housing outcomes. These include permanent affordability, housing stability, and modest wealth-building. However, studies suggest low- and moderate-income households may sacrifice neighborhood quality when becoming homeowners, which can undermine the health benefits of homeownership.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!