Russell R Pate, Michaela A Schenkelberg, Marsha Dowda, Kerry L McIver
Group-based physical activity trajectories in children transitioning from elementary to high school
BMC public health
various social determinants health described predictors clinical outcomes craniosynostosis population however literature lacks granular depiction socioeconomic factors impact outcomes little known relationship patients proximity care center management condition study retrospectively evaluated patients craniosynostosis presented tertiary childrens hospital 2000 2019 outcomes interest included age presentation surgery incidence reoperation length followup patient addresses geocoded plotted two separate shapefiles containing block group information within san diego county shapefiles included percent parental educational attainment bachelors degree higher median household income 2010 year 2010 chosen shapefiles median year data collection study multivariate linear logistic polynomial regression models used analyze relationship geospatial socioeconomic predictors clinical outcomes 574 patients craniosynostosis included study mean sd haversine distance patients home coordinates hospital coordinates 1072 3212 miles adjusting suture fused insurance coverage significant positive correlation distance hospital age index surgery p 0018 correlation distance incidence reoperation p 0266 distance duration followup p 0369 using statistical adjustments lower parental percent educational attainment lower median household income correlated older age index surgery p 0008 p 00066 respectively correlated reoperation p 0986 p 0813 respectively duration followup p 0107 p 0984 respectively results offer evidence living greater distance hospital socioeconomic disparities including parental education median household income may serve barriers prompt recognition diagnosis timely care population however geospatial socioeconomic factors studied seem hinder incidence reoperation length followup suggesting care initiated longitudinal outcomes may less impacted