PMID- 33244434
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220418
IS  - 2059-8661 (Electronic)
IS  - 2059-8661 (Linking)
VI  - 4
IP  - 5
DP  - 2020 Apr 6
TI  - Mobile home residence as a risk factor for adverse events among children in a 
      mixed rural-urban community: A case for geospatial analysis.
PG  - 443-450
LID - 10.1017/cts.2020.34 [doi]
AB  - BACKGROUND: Given the significant health effects, we assessed geospatial patterns 
      of adverse events (AEs), defined as physical or sexual abuse and accidents or 
      poisonings at home, among children in a mixed rural-urban community. METHODS: We 
      conducted a population-based cohort study of children (<18 years) living in 
      Olmsted County, Minnesota, to assess geographic patterns of AEs between April 
      2004 and March 2009 using International Classification of Diseases, Ninth 
      Revision codes. We identified hotspots by calculating the relative difference 
      between observed and expected case densities accounting for population 
      characteristics (; hotspot >/= 0.33) using kernel density methods. A Bayesian 
      geospatial logistic regression model was used to test for association of subject 
      characteristics (including residential features) with AEs, adjusting for age, 
      sex, and socioeconomic status (SES). RESULTS: Of the 30,227 eligible children 
      (<18 years), 974 (3.2%) experienced at least one AE. Of the nine total hotspots 
      identified, five were mobile home communities (MHCs). Among non-Hispanic White 
      children (85% of total children), those living in MHCs had higher AE prevalence 
      compared to those outside MHCs, independent of SES (mean posterior odds ratio: 
      1.80; 95% credible interval: 1.22-2.54). MHC residency in minority children was 
      not associated with higher prevalence of AEs. Of addresses requiring manual 
      correction, 85.5% belonged to mobile homes. CONCLUSIONS: MHC residence is a 
      significant unrecognized risk factor for AEs among non-Hispanic, White children 
      in a mixed rural-urban community. Given plausible outreach difficulty due to 
      address discrepancies, MHC residents might be a geographically underserved 
      population for clinical care and research.
CI  - (c) The Association for Clinical and Translational Science 2020.
FAU - Patel, Archna A
AU  - Patel AA
AUID- ORCID: 0000-0003-2753-1744
AD  - Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
FAU - Wheeler, Philip H
AU  - Wheeler PH
AD  - Precision Population Science Lab, Mayo Clinic, Rochester, MN, USA.
FAU - Wi, Chung-Il
AU  - Wi CI
AD  - Precision Population Science Lab, Mayo Clinic, Rochester, MN, USA.
AD  - Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
FAU - Derauf, Chris
AU  - Derauf C
AD  - Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
AD  - Child and Family Advocacy Program, Mayo Clinic, Rochester, MN, USA.
FAU - Ryu, Euijung
AU  - Ryu E
AD  - Precision Population Science Lab, Mayo Clinic, Rochester, MN, USA.
AD  - Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
FAU - Zahrieh, David
AU  - Zahrieh D
AD  - Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
FAU - Bjur, Kara A
AU  - Bjur KA
AD  - Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
FAU - Juhn, Young J
AU  - Juhn YJ
AD  - Precision Population Science Lab, Mayo Clinic, Rochester, MN, USA.
AD  - Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
LA  - eng
PT  - Journal Article
DEP - 20200406
PL  - England
TA  - J Clin Transl Sci
JT  - Journal of clinical and translational science
JID - 101689953
PMC - PMC7681126
OTO - NOTNLM
OT  - Mobile home
OT  - adverse events
OT  - children
OT  - geospatial
OT  - hotspot
OT  - rural
OT  - socioeconomic status
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2020/11/28 06:00
MHDA- 2020/11/28 06:01
PMCR- 2020/04/06
CRDT- 2020/11/27 05:45
PHST- 2020/11/27 05:45 [entrez]
PHST- 2020/11/28 06:00 [pubmed]
PHST- 2020/11/28 06:01 [medline]
PHST- 2020/04/06 00:00 [pmc-release]
AID - S2059866120000345 [pii]
AID - 10.1017/cts.2020.34 [doi]
PST - epublish
SO  - J Clin Transl Sci. 2020 Apr 6;4(5):443-450. doi: 10.1017/cts.2020.34.