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    Effect of Race/Ethnicity and Socioeconomic Status on Pandemic H1N1-Related Outcomes in Massachusetts

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    Authors
    Placzek, Hilary
    Madoff, Lawrence C.
    Student Authors
    Hilary Placzek
    UMass Chan Affiliations
    Department of Medicine, Division of Infectious Diseases and Immunology
    Document Type
    Journal Article
    Publication Date
    2013-11-14
    Keywords
    Clinical Epidemiology
    Epidemiology
    Immunology and Infectious Disease
    Infectious Disease
    Influenza Humans
    Virus Diseases
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910053/
    Abstract
    Objectives. We linked hospital discharge and American Community Survey and US Census data to investigate 2009 H1N1 influenza (H1N1)-related outcomes by racial/ethnic groups and socioeconomic status (SES). Methods. We examined the population discharged from any acute care hospital in Massachusetts and calculated rates of intensive care unit (ICU) stay by racial/ethnic and SES groups between April 26 and September 30, 2009. We used logistic regression models to identify predictors of ICU stay. Results. Of 4874 H1N1-related hospitalizations, 526 (11%) were admitted to the ICU. Those in less affluent SES groups had lower risk of ICU stay than the most affluent SES group. Compared with Whites, Hispanics had significantly lower risk of 2009 H1N1-related ICU stay (odds ratio = 0.52; 95% confidence interval = 0.32, 0.86). Only 13% of Whites admitted to the ICU were in the lowest SES group, compared with 63% of Hispanics and 43% of Blacks. Conclusions. To our knowledge, this is the first statewide description of 2009 H1N1 influenza-related ICU stays according to racial/ethnic group and SES in the United States. Future work should investigate evidence related to social determinants of health among racial/ethnic groups to reduce disparities in relation to pandemic influenza. (Am J Public Health. Published online ahead of print November 14, 2013: e1-e8. doi:10.2105/AJPH.2013.301626).
    Source

    Placzek H, Madoff L. Effect of Race/Ethnicity and Socioeconomic Status on Pandemic H1N1-Related Outcomes in Massachusetts. Am J Public Health. 2013 Nov 14.

    DOI
    10.2105/AJPH.2013.301626
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/33314
    PubMed ID
    24228651
    Related Resources

    Link to article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.2105/AJPH.2013.301626
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