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Effect of race/ethnicity and socioeconomic status on pandemic H1N1-related outcomes in Massachusetts.
Am J Public Health. 2014 Jan; 104(1):e31-8.AJ

Abstract

OBJECTIVES

We linked hospital discharge and American Community Survey and US Census data to investigate 2009 H1N1 influenza (H1N1)-related outcomes by racial/ethnic groups and socioeconomic status (SES).

METHODS

We examined the population discharged from any acute care hospital in Massachusetts and calculated rates of intensive care unit (ICU) stay by racial/ethnic and SES groups between April 26 and September 30, 2009. We used logistic regression models to identify predictors of ICU stay.

RESULTS

Of 4874 H1N1-related hospitalizations, 526 (11%) were admitted to the ICU. Those in less affluent SES groups had lower risk of ICU stay than the most affluent SES group. Compared with Whites, Hispanics had significantly lower risk of 2009 H1N1-related ICU stay (odds ratio = 0.52; 95% confidence interval = 0.32, 0.86). Only 13% of Whites admitted to the ICU were in the lowest SES group, compared with 63% of Hispanics and 43% of Blacks.

CONCLUSIONS

To our knowledge, this is the first statewide description of 2009 H1N1 influenza-related ICU stays according to racial/ethnic group and SES in the United States. Future work should investigate evidence related to social determinants of health among racial/ethnic groups to reduce disparities in relation to pandemic influenza.

Links

PMC Free PDF

Authors+Show Affiliations

Placzek H
Hilary Placzek is with the Department of Clinical and Population Health Research, University of Massachusetts Medical School, Worcester, and HealthCore, Inc, Andover. Lawrence Madoff is with the Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, and the Division of Epidemiology and Immunization, Massachusetts Department of Public Health, Jamaica Plain.
Madoff L
No affiliation info available

MeSH

AdolescentAdultAge DistributionChildCritical CareFemaleHealth Status DisparitiesHumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanMaleMassachusettsPandemicsRacial GroupsRisk FactorsSex FactorsSocial ClassSocioeconomic Factors

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24228651

Citation

Placzek, Hilary, and Lawrence Madoff. "Effect of Race/ethnicity and Socioeconomic Status On Pandemic H1N1-related Outcomes in Massachusetts." American Journal of Public Health, vol. 104, no. 1, 2014, pp. e31-8.
Placzek H, Madoff L. Effect of race/ethnicity and socioeconomic status on pandemic H1N1-related outcomes in Massachusetts. Am J Public Health. 2014;104(1):e31-8.
Placzek, H., & Madoff, L. (2014). Effect of race/ethnicity and socioeconomic status on pandemic H1N1-related outcomes in Massachusetts. American Journal of Public Health, 104(1), e31-8. https://doi.org/10.2105/AJPH.2013.301626
Placzek H, Madoff L. Effect of Race/ethnicity and Socioeconomic Status On Pandemic H1N1-related Outcomes in Massachusetts. Am J Public Health. 2014;104(1):e31-8. PubMed PMID: 24228651.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of race/ethnicity and socioeconomic status on pandemic H1N1-related outcomes in Massachusetts. AU - Placzek,Hilary, AU - Madoff,Lawrence, Y1 - 2013/11/14/ PY - 2013/11/16/entrez PY - 2013/11/16/pubmed PY - 2014/2/22/medline SP - e31 EP - 8 JF - American journal of public health JO - Am J Public Health VL - 104 IS - 1 N2 - OBJECTIVES: We linked hospital discharge and American Community Survey and US Census data to investigate 2009 H1N1 influenza (H1N1)-related outcomes by racial/ethnic groups and socioeconomic status (SES). METHODS: We examined the population discharged from any acute care hospital in Massachusetts and calculated rates of intensive care unit (ICU) stay by racial/ethnic and SES groups between April 26 and September 30, 2009. We used logistic regression models to identify predictors of ICU stay. RESULTS: Of 4874 H1N1-related hospitalizations, 526 (11%) were admitted to the ICU. Those in less affluent SES groups had lower risk of ICU stay than the most affluent SES group. Compared with Whites, Hispanics had significantly lower risk of 2009 H1N1-related ICU stay (odds ratio = 0.52; 95% confidence interval = 0.32, 0.86). Only 13% of Whites admitted to the ICU were in the lowest SES group, compared with 63% of Hispanics and 43% of Blacks. CONCLUSIONS: To our knowledge, this is the first statewide description of 2009 H1N1 influenza-related ICU stays according to racial/ethnic group and SES in the United States. Future work should investigate evidence related to social determinants of health among racial/ethnic groups to reduce disparities in relation to pandemic influenza. SN - 1541-0048 UR - https://www.unboundmedicine.com/medline/citation/24228651/Effect_of_race/ethnicity_and_socioeconomic_status_on_pandemic_H1N1_related_outcomes_in_Massachusetts_ DB - PRIME DP - Unbound Medicine ER -