New Caregiver Diagnoses of Severe Depression and Child Asthma Controller Medication Adherence
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
5. Limitations
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
BHI® | Blue Health Intelligence |
HSS-HCC | Department of Health and Human Services Hierarchical Condition Categories |
SVI | Social Vulnerability Index |
CHF | Congestive Heart Failure |
CAD | Coronary Artery Disease |
COPD | Chronic Obstructive Pulmonary Disease |
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New Parent Depression Diagnosis | No New Parent Depression Diagnosis | Difference [2] Minus [1] | p-Value for Diff | Lower CL | Upper CL | |
---|---|---|---|---|---|---|
Number Children | 619 | 155,590 | ||||
Child Age | 4.84 ± 2.39 | 6.04 ± 2.89 | −1.198 | 0.000 | −1.387 | −1.008 |
Child Gender | 388 (63%) | 97,066 (62.4) | 0.002 | 0.938 | −0.037 | 0.041 |
Sibling Count | 1.15 ± 0.98 | 1.23 ± 1.00 | −0.082 | 0.038 | −0.159 | −0.005 |
Variables Measured at the Zipcode Level | ||||||
Zip Code is Urban | 524 (85%) | 130,073 (84%) | 0.010 | 0.536 | −0.019 | 0.039 |
Social Vulnerability Index | 0.54 ± 0.25 | 0.53 ± 0.24 | 0.009 | 0.343 | −0.010 | 0.029 |
Components of the SVI | ||||||
Poverty Rate | 12.04 ± 7.46 | 11.91 ± 7.86 | 0.131 | 0.665 | −0.463 | 0.725 |
Unemployment Rate | 7.17 ± 3.38 | 7.00 ± 3.36 | 0.167 | 0.223 | −0.102 | 0.436 |
Per Capita Income, 1000 s | 30.95 ± 10.54 | 32.10 ± 12.35 | −1.146 | 0.007 | −1.985 | −0.307 |
Percentage Without High School Diploma | 9.95 ± 6.61 | 10.16 ± 7.23 | −0.205 | 0.443 | −0.731 | 0.320 |
Percentage Population Aged 65 or Older | 13.93 ± 5.24 | 14.4 ± 5.21 | −0.469 | 0.027 | −0.886 | −0.053 |
Percentage Population Age 17 or Younger | 24.16 ± 4.42 | 23.72 ± 4.64 | 0.441 | 0.014 | 0.090 | 0.793 |
Percentage Disabled | 11.78 ± 4.03 | 11.87 ± 4.45 | −0.089 | 0.587 | −0.409 | 0.232 |
Percentage Single-Parent Households | 8.76 ± 3.62 | 8.43 ± 3.74 | 0.332 | 0.024 | 0.044 | 0.620 |
Percentage Minority | 27.33 ± 21.87 | 27.15 ± 22.37 | 0.172 | 0.846 | −1.568 | 1.912 |
Percentage Not Fluent in English | 2.35 ± 3.75 | 2.53 ± 3.96 | −0.179 | 0.239 | −0.478 | 0.119 |
Percentage in Housing with >10 Units | 8.96 ± 8.72 | 9.53 ± 10.7 | −0.570 | 0.107 | −1.264 | 0.124 |
Percentage in Mobile Homes | 5.6 ± 7.59 | 6.1 ± 8.42 | −0.501 | 0.104 | −1.105 | 0.103 |
Percentage Crowded Dwellings | 2.06 ± 2.12 | 2.11 ± 2.42 | −0.051 | 0.554 | −0.220 | 0.118 |
Percentage Households with No Vehicle | 5.49 ± 4.14 | 5.89 ± 5.7 | −0.397 | 0.018 | −0.727 | −0.067 |
Percentage in Group Quarters | 1.79 ± 3.42 | 1.97 ± 4.16 | −0.180 | 0.195 | −0.453 | 0.092 |
Percentage Uninsured | 10.35 ± 5.68 | 10.38 ± 6.27 | −0.036 | 0.875 | −0.488 | 0.416 |
Coefficient Estimate | Standard Error | p-Value | Lower CL | Upper CL | |
---|---|---|---|---|---|
New Depression Diagnosis | −1.761 | 0.786 | 0.025 | −3.050 | −0.473 |
Full Coverage Previous Quarter | 14.114 | 0.088 | 0.000 | 13.969 | 14.259 |
Child Age | −3.445 | 0.017 | 0.000 | −3.473 | −3.418 |
Sibling Count | −1.544 | 0.114 | 0.000 | −1.730 | −1.357 |
Social Vulnerability Index | −1.277 | 1.007 | 0.205 | −2.929 | 0.374 |
Zip Code is Urban | −2.990 | 1.092 | 0.006 | −4.781 | −1.199 |
[1] | [2] | [3] | [4] | [5] | |
---|---|---|---|---|---|
Coefficient Estimate | Standard Error | p-Value | Lower CL | Upper CL | |
Panel A: New Diabetes Diagnosis (n = 3638) | |||||
New Diabetes | −3.018 | 1.210 | 0.013 | −5.002 | −1.034 |
Full Coverage Previous Quarter | 27.716 | 0.197 | 0.000 | 27.393 | 28.040 |
Child Age | −0.042 | 0.026 | 0.109 | −0.084 | 0.001 |
Sibling Count | −1.338 | 0.074 | 0.000 | −1.460 | −1.216 |
Social Vulnerability Index | −4.343 | 0.308 | 0.000 | −4.848 | −3.837 |
Zip Code is Urban | −2.401 | 0.205 | 0.000 | −2.737 | −2.064 |
Panel B: New Chronic Obstructive Pulmonary Disease Diagnosis (n = 6958) | |||||
New COPD Health | 0.663 | 0.895 | 0.459 | −0.805 | 2.131 |
Full Coverage Previous Quarter | 27.928 | 0.198 | 0.000 | 27.604 | 28.252 |
Child Age | −0.036 | 0.026 | 0.167 | −0.078 | 0.007 |
Sibling Count | −1.355 | 0.074 | 0.000 | −1.477 | −1.234 |
Social Vulnerability Index | −4.349 | 0.308 | 0.000 | −4.855 | −3.844 |
Zip Code is Urban | −2.307 | 0.205 | 0.000 | −2.643 | −1.970 |
Panel C: New Cancer Diagnosis (n = 1863) | |||||
New Cancer DX | −1.410 | 1.685 | 0.403 | −4.174 | 1.353 |
Full Coverage Previous Quarter | 27.715 | 0.197 | 0.000 | 12.826 | 28.038 |
Child Age | −0.038 | 0.026 | 0.143 | −0.080 | 0.005 |
Sibling Count | −1.343 | 0.074 | 0.000 | 13.826 | −1.221 |
Social Vulnerability Index | −4.367 | 0.308 | 0.000 | −4.872 | −3.861 |
Zip Code is Urban | −2.478 | 0.205 | 0.000 | −2.814 | −2.142 |
Panel D: New Congestive Heart Failure Diagnosis (n = 266) | |||||
New CHF DX | 0.834 | 3.900 | 0.831 | −5.561 | 7.230 |
Full Coverage Previous Quarter | 27.722 | 0.197 | 0.000 | 27.398 | 28.045 |
Child Age | −0.042 | 0.026 | 0.105 | −0.084 | 0.001 |
Sibling Count | −1.345 | 0.074 | 0.000 | −1.467 | −1.223 |
Social Vulnerability Index | −4.343 | 0.308 | 0.000 | −4.848 | −3.837 |
Zip Code is Urban | −2.469 | 0.205 | 0.000 | −2.806 | −2.133 |
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Currie, J.M.; Mercer, M.; Michael, R.; Pichardo, D. New Caregiver Diagnoses of Severe Depression and Child Asthma Controller Medication Adherence. Int. J. Environ. Res. Public Health 2023, 20, 5986. https://doi.org/10.3390/ijerph20115986
Currie JM, Mercer M, Michael R, Pichardo D. New Caregiver Diagnoses of Severe Depression and Child Asthma Controller Medication Adherence. International Journal of Environmental Research and Public Health. 2023; 20(11):5986. https://doi.org/10.3390/ijerph20115986
Chicago/Turabian StyleCurrie, Janet M., Michele Mercer, Russ Michael, and Daniel Pichardo. 2023. "New Caregiver Diagnoses of Severe Depression and Child Asthma Controller Medication Adherence" International Journal of Environmental Research and Public Health 20, no. 11: 5986. https://doi.org/10.3390/ijerph20115986