Minority Health Archive

Social Disparities in Housing and Related Pediatric Injury: A Multilevel Study

Shenassa, Edmond D. and Stubbendick, Amy and Brown, Mary Jean (2004) Social Disparities in Housing and Related Pediatric Injury: A Multilevel Study. American Journal of Public Health, 94 (4). pp. 633-639. ISSN 0090-0036

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Objectives. We conducted an ecologic analysis to determine whether housing characteristics mediate the associations between concentration of poverty and pediatric injury and between concentration of racial minorities and pediatric injury and whether the association between housing conditions and pediatric injury is independent of other risks. Methods. We created a hierarchical data set by linking individual-level data for pediatric injury with census data. Effect sizes were estimated with a Poisson model. Results. After adjustment for owner occupancy and the percentage of housing built before 1950, the association between concentration of poverty and pediatric injury was attenuated. For concentration of racial minorities, only percentage of owner occupancy had some mediating effect. In hierarchical models, housing characteristics remained independent and significant predictors of pediatric injury. Conclusions. The association between community characteristics and pediatric injury is partially mediated by housing conditions. Risk of pediatric injury associated with housing conditions is independent of other risks.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Pediatric Injury; housing characteristics; poverty; racial minorities
Subjects: Health > Disparities
Health > Prenatal & Pediatric Health
Health > Public Health > Health Risk Factors
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Depositing User: Users 141 not found.
Date Deposited: 03 Oct 2008
Last Modified: 30 Jun 2011 10:34
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1063

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