Association of Social Drivers of Health with Hospitalizations for Pediatric Asthma

Association of Social Drivers of Health with Hospitalizations for Pediatric Asthma | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 4 October 2025 V1 Latest version Share on Association of Social Drivers of Health with Hospitalizations for Pediatric Asthma Authors : Amy E. Hanson [email protected] , Samuel Ennett , and Colin Rogerson 0000-0001-5251-2399 Authors Info & Affiliations https://doi.org/10.22541/au.175956318.81425534/v1 223 views 159 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective : Social drivers of health (SDOH) impact health outcomes for children with asthma. Advances in geocoding have enabled better SDOH measurement in research. We aimed to: 1) examine relationship between three SDOH composite indices – Social Vulnerability Index (SVI), Childhood Opportunity Index 3.0 (COI), Area Deprivation Index (ADI) – and asthma patient disposition from the emergency room; and 2) determine which index most closely correlates with admission rates. Methods : Retrospective cohort study of patients 2-18 years presenting with asthma, defined using a computational phenotype requiring: asthma diagnostic code, ≥2 doses of nebulized albuterol, and ≥1 systemic steroid dose within 24 hours of presentation. Data were obtained from 2021-2024 from the Indiana Network for Patient Care, a state-wide health information exchange. Exposures included the three SDOH indices. We used multinomial logistic regression to evaluate associations with patient disposition and recurrent emergency room encounters. Results : Total of 5,965 asthma encounters (4,539 patients) were included, 29.5% of which resulted in admission (56.6% ward, 43.4% ICU). Female gender, chronic illness, ‘other’ preferred language, and >1 year since last outpatient visit increased likelihood of admission. Black race and preferred language of Spanish were associated with lower likelihood (vs. white, English-speaking reference). SVI was the index most closely linked to asthma outcomes and remained in the final regression model, though not statistically significant. Conclusions : Race, language, health insurance, and preventive healthcare access are key drivers of emergency and repeat hospital use in pediatric asthma. SVI may be the most effective ‘geomarker’ to identify high-risk areas for targeted action. Supplementary Material File (pedspulm_aeh_asthma_9.29.docx) Download 218.45 KB File (pedspulm_figure.docx) Download 106.42 KB File (pedspulm_tables_separate.docx) Download 29.03 KB Information & Authors Information Version history V1 Version 1 04 October 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords area deprivation index asthma childhood opportunity index pediatric intensive care unit social vulnerability index Authors Affiliations Amy E. Hanson [email protected] Indiana University Division of Pediatric Critical Care Medicine View all articles by this author Samuel Ennett ICF International Inc View all articles by this author Colin Rogerson 0000-0001-5251-2399 Indiana University Division of Pediatric Critical Care Medicine View all articles by this author Metrics & Citations Metrics Article Usage 223 views 159 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Amy E. Hanson, Samuel Ennett, Colin Rogerson. Association of Social Drivers of Health with Hospitalizations for Pediatric Asthma. Authorea . 04 October 2025. DOI: https://doi.org/10.22541/au.175956318.81425534/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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