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Ignoring Goldfarb’s Warning: Why Studying and Addressing the Social Context Matters

Published on Apr 1, 2020in The Journal of Pediatrics3.739
· DOI :10.1016/j.jpeds.2019.11.014
Nia Jenee Heard-Garris3
Estimated H-index: 3
(NU: Northwestern University),
Karen M Sheehan14
Estimated H-index: 14
(NU: Northwestern University),
Elizabeth R. Alpern27
Estimated H-index: 27
(NU: Northwestern University)
Abstract
  • References (10)
  • Citations (0)
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Objective To evaluate emergency department (ED) pediatric mortality by patient neighborhood income. Study design We calculated the incidence of ED pediatric mortality via a cross-sectional study of children Results There were 64 893 ED deaths during the study period (incidence 17.3 per 100 000 person-years). The incidence of ED mortality increased with decreasing neighborhood income: compared with the wealthiest income quartile, the poorest, second, and third quartiles had adjusted incidence rat...
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Background To provide optimal care, medical students should understand that the social determinants of health (SDH) impact their patients’ well-being. Those charged with teaching SDH to future physicians, however, face a paucity of curricular guidance.
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Much of the current health disparities literature fails to account for the fact that the nation is largely segregated, leaving racial groups exposed to different health risks and with variable access to health services based on where they live. We sought to determine if racial health disparities typically reported in national studies remain the same when black and white Americans live in integrated settings. Focusing on a racially integrated, low-income neighborhood of Southwest Baltimore, Maryl...
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Neighborhood influences on children and youth are the subjects of increasing numbers of studies, but there is concern that these investigations may be biased, because they typically rely on census-based units as proxies for neighborhoods. This pilot study tested several methods of defining neighborhood units based on maps drawn by residents, and compared the results with census definitions of neighborhoods. When residents' maps were used to create neighborhood boundary definitions, the resulting...
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