title: Integrating Social Determinants of Health With Treatment and Prevention: A New Tool to Assess Local Area Deprivation.
abstract: We assessed the appropriate geographic scale to apply an area deprivation index (ADI), which reflects a geographic area's level of socioeconomic deprivation and is associated with health outcomes, to identify and screen patients for social determinants of health. We estimated the relative strength of the association between the ADI at various geographic levels and a range of hospitalization rates by using age-adjusted odds ratios in an 8-county region of New York State. The 10-km local ADI estimates had the strongest associations with all hospitalization rates (higher odds ratios) followed by estimates at 20 km, 30 km, and the regional scale. A locally sensitive ADI is an ideal measure to identify and screen for the health care and social services needs and to advance the integration of social determinants of health with clinical treatment and disease prevention.
authors.affiliation: CUNY School of Public Health and Health Policy, 55 W 125th St, New York, NY 10027. Email: andrew.maroko@sph.cuny.edu.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Maroko
authors.affiliation: Center for Regional Healthcare Innovation, Westchester Medical Center Health Network, Hawthorne, New York.
authors.forename: Thao M
authors.initials: TM
authors.lastname: Doan
authors.affiliation: Political Economy Research Institute, University of Massachusetts, Amherst, Massachusetts.
authors.forename: Peter S
authors.initials: PS
authors.lastname: Arno
authors.affiliation: CUNY School of Public Health and Health Policy, New York, New York.
authors.forename: Megan
authors.initials: M
authors.lastname: Hubel
authors.affiliation: CUNY School of Public Health and Health Policy, New York, New York.
authors.forename: Shirley
authors.initials: S
authors.lastname: Yi
authors.affiliation: Center for Regional Healthcare Innovation, Westchester Medical Center Health Network, Hawthorne, New York.
authors.forename: Deborah
authors.initials: D
authors.lastname: Viola
mesh_terms: D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D009518:New York; D011314:Preventive Health Services; D064890:Social Determinants of Health / Q000592:standards*; D012947:Social Work; D012959:Socioeconomic Factors