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Housing code violation density associated with emergency department and hospital use by children with asthma

Andrew F Beck1, Bin Huang2, Raj Chundur3

  • 1Andrew F. Beck (andrew.beck1@cchmc.org) is an assistant professor of pediatrics at Cincinnati Children's Hospital Medical Center, in Ohio.

Health Affairs (Project Hope)
|November 5, 2014
PubMed

Insights

Housing code violations are linked to higher pediatric asthma emergency visits and hospitalizations. Addressing housing issues can help identify high-risk areas and children for targeted asthma interventions.

Area of Science:

  • Environmental Health
  • Public Health
  • Pediatric Asthma Research

Background:

  • Pediatric asthma is a significant public health concern, often influenced by environmental factors.
  • Housing conditions, including code violations, are suspected contributors to asthma morbidity.
  • Local agencies possess data on housing quality that could be leveraged for health interventions.

Purpose of the Study:

  • To determine if housing code violation density correlates with population-level pediatric asthma morbidity.
  • To assess the predictive value of housing code violations for subsequent asthma-related hospitalizations in children.
  • To explore the integration of housing and health data for targeted asthma care.

Main Methods:

  • Calculated the density of asthma-relevant housing code violations per census tract.
  • Correlated housing violation density with population-level asthma emergency department visits and hospitalizations, controlling for poverty.
  • Analyzed the association between housing violation density and 12-month rehospitalization or emergency department revisit rates in children previously hospitalized for asthma.

Main Results:

  • Increased density of housing code violations was independently associated with higher population-level asthma morbidity.
  • Housing code violation density explained 22% of the variation in asthma-related emergency department visits and hospitalizations.
  • Children in the highest quartile of housing code violation tracts had 1.84 times greater odds of asthma revisit or rehospitalization within 12 months compared to those in the lowest quartile.

Conclusions:

  • Housing quality, indicated by code violations, is a significant factor in pediatric asthma morbidity.
  • Integrating housing and health data can identify at-risk communities and patients for targeted asthma interventions.
  • Partnerships between housing enforcement agencies and healthcare systems can improve pediatric asthma care outcomes.

Keywords:
AsthmaChildren’s HealthDeterminants Of HealthDisparitiesGeography

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