A - 15 Incorporating the Child Opportunity Index and Area Deprivation Index in Sport Concussion Research

IF 2.1 4区 心理学 Q2 PSYCHOLOGY
G. L. Iverson, J. Santangelo, J. E. Maietta, N. E. Cook
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引用次数: 0

Abstract

Social determinants of health, including socioeconomic status (SES) and neighborhood characteristics, are underrepresented in concussion research. We examined two measures of neighborhood advantage and opportunity among patients accessing a multidisciplinary sports concussion clinic in Greater Boston. We collected the Child Opportunity Index (COI) and Area Deprivation Index (ADI) state decile scores and national percentile ranks for all new patients who presented to our clinic in 2023. The COI is an index of neighborhood conditions that may impact childhood development (e.g., education quality, SES, access to healthy food) with ratings from Very Low to Very High. The ADI characterizes an area’s socioeconomic conditions (e.g., income, housing quality, employment, education), with higher scores representing more disadvantage. There were 247 new patients who visited the clinic (Mage = 17.5, SDage = 5.2, 47.8% Girls/Women, 81.4% White, 4.0% Black, 6.5% Asian, 4.9% Hispanic). The majority lived in an area with a High or Very High state COI (74%) and High or Very High national COI (88%). The median ADI state decile was 2.00 (IQR = 1.00–4.00) and the median national percentile was 10.00 (IQR = 5.00–18.00) (representing the highest 10% of advantage). The state deciles for the two measures were correlated (Spearman rho = 0.64), but not redundant. The COI and ADI are important, accessible measures of SES that can be included in future studies. Patients from low SES were greatly underrepresented in the clinic compared to the population of our metropolitan area. Patients were predominantly from higher SES, consistent with prior studies suggesting socioeconomic disparities accessing specialty concussion care.
A - 15 在运动震荡研究中纳入儿童机会指数和地区贫困指数
健康的社会决定因素,包括社会经济地位(SES)和邻里特征,在脑震荡研究中的代表性不足。我们研究了在大波士顿地区一家多学科运动脑震荡诊所就诊的患者中邻里优势和机会的两种衡量标准。 我们收集了 2023 年到我们诊所就诊的所有新患者的儿童机会指数(COI)和地区贫困指数(ADI)的州十等分和全国百分位数排名。儿童机会指数(COI)是对可能影响儿童发展的邻里条件(如教育质量、社会经济地位、获得健康食品的机会)进行评级的指数,评级从非常低到非常高不等。ADI 表征了一个地区的社会经济状况(如收入、住房质量、就业、教育),得分越高代表越不利。 共有 247 名新患者前来就诊(男性年龄 = 17.5,女性平均年龄 = 5.2,女孩/妇女占 47.8%,白人占 81.4%,黑人占 4.0%,亚裔占 6.5%,西班牙裔占 4.9%)。大多数人居住在州 COI 为 "高 "或 "很高 "的地区(74%)和全国 COI 为 "高 "或 "很高 "的地区(88%)。各州 ADI 十分位数的中位数为 2.00(IQR = 1.00-4.00),全国百分位数的中位数为 10.00(IQR = 5.00-18.00)(代表优势最高的 10%)。这两项指标的国家十等分相关(Spearman rho = 0.64),但并非多余。 COI和ADI是衡量社会经济地位的重要且易得的指标,可纳入未来的研究中。与我们所在的大都市地区的人口相比,低社会经济地位的患者在门诊中的比例明显偏低。患者主要来自较高的社会经济地位,这与之前的研究结果一致,表明在获得脑震荡专科治疗方面存在社会经济差异。
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来源期刊
CiteScore
4.60
自引率
7.70%
发文量
358
审稿时长
6-12 weeks
期刊介绍: The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.
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