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- Title
Neighborhood Incarceration Rate and Asthma Prevalence in New York City: A Multilevel Approach.
- Authors
Frank, Joseph W.; Hong, Clemens S.; Subramanian, S. V.; Wang, Emily A.
- Abstract
Objectives. We examined the association between neighborhood incarceration rate and asthma prevalence and morbidity among New York City adults. Methods. We used multilevel modeling techniques and data from the New York City Community Health Survey (2004) to analyze the association between neighborhood incarceration rate and asthma prevalence, adjusting for individual-level sociodemographic, behavioral, and environmental characteristics. We examined interactions between neighborhood incarceration rate, respondent incarceration history, and race/ethnicity. Results. The mean neighborhood rate of incarceration was 5.4% (range = 2.1%-12.8%). Neighborhood incarceration rate was associated with individual-level asthma prevalence (odds ratio [OR] = 1.06; 95% confidence interval [CI] = 1.03, 1.10) in unadjusted models but not after adjustment for sociodemographic characteristics (OR = 1.01; 95% CI = 0.98, 1.04). This association did not differ according to respondent race/ethnicity. Conclusions. Among New York City adults, the association between neighborhood incarceration rate and asthma prevalence is explained by the sociodemographic composition of neighborhoods and disparities in asthma prevalence at the individual level. Public health practitioners should further engage with criminal justice professionals and correctional health care providers to target asthma outreach efforts toward both correctional facilities and neighborhoods with high rates of incarceration.
- Subjects
NEW York (State); ASTHMA risk factors; HISTORY of criminals; METROPOLITAN areas; SURVEYS; CONFIDENCE intervals; STATISTICAL correlation; EPIDEMIOLOGY; HEALTH services accessibility; HEALTH status indicators; MAPS; RESEARCH methodology; MEDICAL care of prisoners; RESEARCH funding; DATA analysis; MULTIPLE regression analysis; RESIDENTIAL patterns; SECONDARY analysis; SOCIOECONOMIC factors; DISEASE prevalence; STATISTICAL models
- Publication
American Journal of Public Health, 2013, Vol 103, Issue 5, pe38
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301255