Luke Anderson, Betsy Hopson, Caroline Caudill, Brandon G Rocque, Jeffrey Blount, Anastasia Arynchyna-Smith, Jessica Thrower, James Johnston, Curtis Rozzelle
Evaluation of multidisciplinary high-risk pregnancy clinic for myelomeningocele
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
despite important determinant health outcomes measures structural racism lacking studies examining relationship social determinants health sdoh overdose deaths aim study examine association per capita revenue generated fines forfeitures novel measure structural racism sdoh countylevel overdose deaths 20172020 longitudinal analysis 2846 counties 20172020 used bivariate multivariate generalized estimating equations models estimate associations county overdose mortality rates sdoh characteristics including fines forfeitures measure multivariate model higher per capita fine forfeiture revenue 576 ci 476 678 households receiving food stamps 115 ci 077 153 residents veterans 107 ci 052 163 substance use treatment availability 469 ci 303 633 lower population density 0002 ci 0004 0001 percent black residents 07 ci 101 042 significantly associated higher overdose death rates significant additive interaction fines forfeitures measure 010 ci 003 017 percent black residents findings suggest structural racism along sdoh associated overdose deaths future research focus connecting individuallevel data fines forfeitures overdose deaths health outcomes include measures justicerelated fines court fees assess whether interventions aimed increasing economic vitality disadvantaged communities impact overdose deaths meaningful way