Ascertaining variation in hospitalization risk among immigrants using small area analysis

Preventive Medicine
Peter MuennigDaniel J Pallin

Abstract

Data on hospitalization of immigrants to the United States are sparse, but small area analysis may improve the utility of existing data. Applying logistic regression analysis to 2000 census and hospitalization data for New York City, we examined the odds of hospital admission by major diagnostic category and global region of birth after controlling for covariates. We used individual-level covariates to control for age, race, and gender. By matching the patient's zip code of residence to census data, we then added median household income, the proportion of persons born in a particular global region, and the proportion of foreign-born persons living in the same zip code as independent variables. The total proportion of foreign-born persons in a zip code predicts a lower hospitalization rate for most major diagnostic categories and most foreign-born groups. However, Africa-born persons have a higher odds of hospitalization for most major diagnostic categories - up to 1.79 (95% confidence interval 1.73, 1.86) for blood and blood forming disorders - relative to native-born persons. The odds of hospitalization among Africa-born persons for most conditions are over 3 times higher than other foreign-born groups. Hospitalization odds fo...Continue Reading

References

Dec 1, 1998·JAMA : the Journal of the American Medical Association·J Zhang, K F Yu
Mar 11, 1999·The New England Journal of Medicine·P MuennigM S Chan
May 4, 1999·American Journal of Public Health·J Sundquist, M A Winkleby
Jun 12, 1999·Annals of Internal Medicine·J E CarrilloJ R Betancourt
Feb 5, 2004·American Journal of Public Health·Donna ShelleyDee Burton
May 29, 2004·American Journal of Preventive Medicine·Haomiao JiaElaine Borawski
Aug 31, 2004·American Journal of Public Health·Lorna E ThorpeThomas R Frieden
Oct 26, 2005·Annals of Epidemiology·Luz ClaudioJames Godbold

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Citations

Jan 9, 2014·BMC Medical Education·Rocco RicciardiDavid J Schoetz
Mar 5, 2008·BMC Health Services Research·Andrea BuronXavier Castells
Jun 27, 2009·BMC Public Health·Pilar Carrasco-GarridoAngel Gil de Miguel
Aug 13, 2015·The Journal of Surgical Research·Rocco RicciardiPeter W Marcello
Aug 15, 2006·Preventive Medicine·Alfredo Morabia, Michael C Costanza
Nov 6, 2012·Preventive Medicine·Alfredo Morabia, Michael C Costanza
Mar 5, 2014·Clinical Linguistics & Phonetics·Harald ClahsenSolveig Chilla

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