James E. Kucik|Wendy N. Nembhard|Pamela Donohue|Owen Devine|Ying Wang|Cynthia S. Minkovitz|Thomas A. Burke
Community Socioeconomic Disadvantage and the Survival of Infants With Congenital Heart Defects
Center for Environmental Health|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Center for Environmental Health|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Center for Environmental Health|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Center for Environmental Health|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Center for Environmental Health|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Center for Environmental Health|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Johns Hopkins University|University of South Florida|Centers for Disease Control and Prevention|Center for Environmental Health
examined association survival infants severe congenital heart defects chds communitylevel indicators socioeconomic statuswe identified infants born residents arizona new jersey new york texas 1999 2007 selected chds 4 populationbased statewide birth defect surveillance programs linked data 2000 us census obtain 11 census tractlevel socioeconomic indicators estimated survival probabilities hazard ratios adjusted individual characteristicswe observed differences infant survival 8 community socioeconomic indicators p 05 greatest mortality risk associated residing communities disadvantaged deciles poverty adjusted hazard ratio ahr 149 95 confidence interval ci 111 199 education ahr 151 95 ci 116 196 operator laborer occupations ahr 154 95 ci 116 196 survival decreased increasing numbers indicators disadvantaged decile communitylevel mortality risk persisted adjusted individuallevel characteristicsthe increased mortality risk among infants chds living socioeconomically deprived communities might indicate barriers quality timely care public health interventions might targeted