Breaking News
August 14, 2018 - In the addiction battle, is forced rehab the solution?
August 14, 2018 - Busting myths about milk – Scope
August 14, 2018 - Platelet-rich plasma does not enhance cartilage formation capabilities of stem cells
August 14, 2018 - Wearable devices and ‘mhealth’ technology emerge as promising tools for better health
August 14, 2018 - Phase 2 Clinical Data Published Showing Summit’s Ridinilazole Preserved Gut Microbiome of Patients with CDI
August 14, 2018 - Cardiac progenitor cells undergo a cell fate switch to build coronary arteries
August 14, 2018 - Revealed: The molecular mechanism underlying hypertrophic cardiomyopathy, or “workaholic heart”
August 14, 2018 - Diabetes epidemic in Guatemala driven by aging, not obesity
August 14, 2018 - New technology shows potential to streamline the analysis of proteins
August 14, 2018 - Rethinking the stroke rule ‘time is brain’
August 14, 2018 - Incidence of coronary artery compression in children may be more common than previously thought
August 14, 2018 - Study helps to better understand disease caused by Alpha-1 antitrypsin deficiency
August 14, 2018 - AI platform identifies acute neurological illnesses faster than human diagnosis
August 14, 2018 - American College of Rheumatology receives grants to support development of lupus clinical trials
August 14, 2018 - New study explains why women get more migraines than men
August 14, 2018 - American Heart Association Urges Screen Time Limits for Youth
August 14, 2018 - Brief interventions during routine care reduce alcohol use among men with HIV
August 14, 2018 - New genome analysis could identify people at higher risk of common deadly diseases
August 14, 2018 - NIH grant for Mount Sinai to study use of inhaled corticosteroids for treatment of sickle cell disease
August 14, 2018 - Daicel supplies free nanodiamond samples to international researchers
August 14, 2018 - Switching anti-psychotic drugs in first-episode schizophrenia patients does not improve clinical outcomes
August 14, 2018 - Study to examine whether modulating gut bacteria can improve cardiac function in heart failure patients
August 14, 2018 - AI technology could hold key to improving health services
August 14, 2018 - One out of two children not getting enough nutrients needed for their health
August 14, 2018 - Mono-antiplatelet therapy after aortic heart valve replacements may work as well as two drugs
August 14, 2018 - Aid-in-dying patient chooses his last day
August 14, 2018 - Exercise Really Can Chase Away the Blues, to a Point
August 14, 2018 - Surgical mesh implants may cause autoimmune disorders
August 14, 2018 - Researchers develop revolutionary zebrafish model to gain more insight into bone diseases
August 14, 2018 - Researchers discover secret communication hotline between breast cancers and normal cells
August 14, 2018 - Study examines how a person adapts to visual field loss after stroke
August 14, 2018 - Researchers show how specialized nucleic acid-based nanostructures could help target cancer cells
August 14, 2018 - Reducing opioid prescriptions for one operation can also spill over to other procedures
August 14, 2018 - E-cigarettes not so safe but still better than cigarettes
August 14, 2018 - Researchers find link between common ‘harmless’ virus and cardiovascular damage
August 14, 2018 - Initiation of PIMs associated with higher risk of fracture-specific hospitalizations and mortality
August 14, 2018 - Genetically modified mosquitoes and special bed nets help tackle deadly diseases
August 14, 2018 - Advances in treating hep C lead to new option for transplant patients
August 14, 2018 - Study finds quality of doctor-patient discussions about lung cancer screening to be ‘poor’
August 14, 2018 - MSU researchers uncover the effects of aging on regenerative ability of kidneys
August 14, 2018 - Better conditioning, throwing mechanics can help reduce elbow injuries in young baseball pitchers
August 14, 2018 - Brain game doesn’t offer brain gain
August 14, 2018 - Reproductive choices facing women with disabilities require careful consideration
August 14, 2018 - Scientists pinpoint the cause of a rare childhood seizure disorder
August 14, 2018 - Lumpectomy plus radiation associated with reduced risk of breast cancer death, study finds
August 14, 2018 - UAB study shows how ion channel differentiates newborn and mature neurons in the brain
August 14, 2018 - Experts highlight key knowledge gaps that need to be addressed in Ebola vaccine research
August 14, 2018 - Discovery could lead to new drugs against infection and inflammation
August 14, 2018 - Infection Prevention Differs Between Small, Large Hospitals
August 14, 2018 - Mom still matters—In study, young adults tended to prioritize parents over friends
August 14, 2018 - Deep brain stimulation might benefit those with severe alcoholism, preliminary studies show
August 14, 2018 - Study finds increased rate of repeat pregnancies in women with intellectual and developmental disabilities
August 14, 2018 - Lighter sedation fails to reduce risk of postoperative delirium in older patients
August 13, 2018 - Asking better questions about person’s memory could improve doctors’ understanding of patients
August 13, 2018 - U.S. Trauma Doctors Push for Stricter Gun Controls
August 13, 2018 - Asthma and flu: a double whammy
August 13, 2018 - 5 Questions: Donna Zulman on engaging high-need patients in intensive outpatient programs | News Center
August 13, 2018 - Behavioral Nudges Lead to Drop in Prescriptions of Potent Antipsychotic
August 13, 2018 - Potential New Class of Drugs May Reduce Cardiovascular Risk by Targeting Gut Microbes
August 13, 2018 - How to get your kids to eat better
August 13, 2018 - The importance of hearing your patients
August 13, 2018 - Transmission of F. tularensis unlikely to happen through the food chain
August 13, 2018 - Researchers discover epigenetic mechanism underlying ischemic cardiomyopathy
August 13, 2018 - Adolescent health programs receive only a tiny share of international aid, finds research
August 13, 2018 - Fracture risk increases by 30% after gastric bypass, study shows
August 13, 2018 - Quality-improvement project to standardize feeding practices helps micro preemies gain weight
August 13, 2018 - Long-term cannabinoid exposure impairs memory, study shows
August 13, 2018 - New intervention to reduce risk of HIV in young transgender women
August 13, 2018 - Japan human trial tests iPS cell treatment for Parkinson’s
August 13, 2018 - Altered nitrogen metabolism may contribute to emergence of new cancer mutations
August 13, 2018 - Cycling provides greatest health benefits, study finds
August 13, 2018 - Scientists discover biomarker for kidney cancer
August 13, 2018 - New test predicts the risk of serious disease before symptoms appear
August 13, 2018 - Cianna Medical receives FDA 510(k) clearance to extend indication of SCOUT reflector for use in soft tissue localization
August 13, 2018 - Ground-breaking discovery offers new hope for treatment of Alzheimer’s, other neurological diseases
August 13, 2018 - Medical nutrition therapy provided by RDNs benefits patients with chronic kidney disease
August 13, 2018 - Prenatal Tdap vaccination not linked with increased risk of autism in children, study shows
August 13, 2018 - One-Third of Canadian Patients Get Hip Fx Repair Within 24 Hours
August 13, 2018 - ANA (Antinuclear Antibody) Test: MedlinePlus Lab Test Information
August 13, 2018 - Traffic jams in the brain
Kids in tough neighborhoods head to ER more often

Kids in tough neighborhoods head to ER more often

image_pdfDownload PDFimage_print

(HealthDay)—Growing up in a disadvantaged neighborhood may mean more visits to the emergency room, a new study suggests.

When children came from areas of “low opportunity,” they were about one-third more likely to have been treated at an urgent care center or an emergency room than kids from areas with more opportunity.

They were also twice as likely to receive care for an assault-related injury compared to kids in the “highest opportunity” areas.

“Health care studies often look at income for a neighborhood, but we thought more broadly about what in a child’s neighborhood could affect their health care,” explained study author Ellen Kersten, a research specialist at the University of California, San Francisco.

An area of low opportunity isn’t just one where people are living in poverty. Instead, the investigators looked at a number of factors, such as:

  • Percentage of school students receiving free lunch,
  • Kids’ proficiency in reading and math,
  • Access to early childhood education and participation in these programs,
  • Percentage of adults who attend college,
  • Access to health facilities,
  • Access to healthy food,
  • Proximity to toxic waste,
  • Parks and open spaces,
  • Unemployment and public assistance rates.

For the study, the researchers looked at areas across San Francisco. The study included more than 47,000 youths under 18 who visited an emergency department or urgent care center between 2007 and 2011.

Almost 40 percent of the kids seen in ERs or urgent care centers were seen for respiratory conditions. Fifteen percent of those were diagnosed with asthma. More than a third of the children were seen for conditions that could usually be handled during a doctor visit. About one-third of the visits were due to injury or trauma.

The researchers then looked to see what type of neighborhoods these children were growing up in. They also compared low opportunity neighborhoods to those traditionally defined as low income, based on U.S. Census data. While these areas often overlapped, areas of low opportunity covered more area.

Kersten said this shows that when studies only look at an area’s income, they may miss people who need health care assistance.

Race and ethnicity played big roles in areas with low opportunity.

“More than 3 out of every 4 African-American or Latino patients in our sample lived in a low opportunity neighborhood compared with just 1 out of every 4 white patients,” Kersten noted.

“And 82 percent of publicly insured patients lived in low opportunity neighborhoods, compared with 27 percent of privately insured patients. These disparities in neighborhood child opportunity translate into disparities in child health,” she added.

Because each low opportunity neighborhood has different challenges, the reasons behind the increased ER and urgent care visits vary, Kersten said.

And that means the solution to this problem will need to be individualized by community, “but could include investments in public schools and day cares, improving access to healthy food and parks, and expanding local hiring and housing assistance programs,” she added.

Dr. Peter Richel, chief of pediatrics at Northern Westchester Hospital in Mount Kisco, N.Y., reviewed the findings.

“Emergency departments are overutilized by those in the lower income brackets. It’s sad to me that not all children have a relationship with a primary care provider,” he said.

“While ER doctors are great and well-trained, they’re not ideal for routine care for children,” Richel explained. “They don’t know the patient’s history. They don’t follow them from newborn to 21, and ERs can be intimidating.

“It’s also not ideal from the health care side. It’s taxing to the facilities and it’s expensive to spend money on highly qualified ER talent to sometimes treat a cold,” he noted.

The study was published online April 6 in the journal Pediatrics.


Explore further:
Kids from low-income areas fare worse after heart surgery, finds study

More information:
Ellen Kersten, Ph.D., research specialist, University of California, San Francisco; Peter Richel, M.D., chief, pediatrics, Northern Westchester Hospital, Mount Kisco, N.Y.; April 6, 2018, Pediatrics, online

Learn about choosing a pediatrician from the American Academy of Pediatrics.

Journal reference:
Pediatrics

Tagged with:

About author

Related Articles