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Neighborhood Risk and Hospital Use for Pediatric Asthma, Rhode Island, 2005–2014

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The highest-risk neighborhoods were concentrated in urban areas of Rhode Island and distribution of neighborhoods with higher rates of emergency department use and hospitalizations was consistent with the distribution of higher-risk neighborhoods.

Figure 1.
Distribution of quintiles of 3 measures used to assess the association between neighborhood risk and pediatric asthma hospital use among children aged 2 to 17 years (number of asthma emergency department [ED] visits or hospitalizations = 23,187), Rhode Island. A, Neighborhood risk index; the higher the index, the higher the prevalence of adverse socioeconomic and health-related factors, 2010–2014. B, Average annual emergency department visit rate per 100 children, 2005–2014. C, Average annual hospitalization rate per 100 children, 2005–2014. Data on neighborhood risk were collected from the 2010–2014 American Community Survey and the 2010 US Census. Data on emergency department visits and hospitalization were collected from a statewide hospital network administrative database, 2005–2014.

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Figure 2.
Pediatric asthma emergency department and hospitalization rates per 100 children by quintile of neighborhood risk among children aged 2 to 17 years, Rhode Island, 2005–2014. Data on neighborhood risk were collected from the 2010–2014 American Community Survey and the 2010 US Census. Data on emergency department visits and hospitalization were collected from a statewide hospital network administrative database. n’s along the x
-axis indicate the number of census block groups. Error bars indicate standard error.

Quintile of Neighborhood Risk No. of Census Block Groups Visit Rate per 100 Children Standard Error
Emergency department
1 (Lowest risk) 177 0.27 0.02
2 151 0.44 0.03
3 148 0.56 0.04
4 160 0.91 0.06
5 (Highest risk) 172 1.45 0.06
Hospitalization
1 (Lowest risk) 177 0.26 0.03
2 151 0.31 0.02
3 148 0.34 0.02
4 160 0.48 0.02
5 (Highest risk) 172 0.66 0.03

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