Neighborhood incarceration rate and asthma prevalence in New York city: A multilevel approach

J.W. Frank, C.S. Hong, S.V. Subramanian and E.A. Wang

American Journal of Public Health, 2013, vol. 103, issue 5, e38-e44

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 individuallevel 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 individuallevel 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.

Keywords: adult; article; asthma; classification; demography; economics; ethnology; female; health disparity; health survey; human; male; multilevel analysis; poverty; prevalence; prisoner; smoking; social class; statistics; United States, Adult; Asthma; Female; Health Status Disparities; Health Surveys; Humans; Male; Multilevel Analysis; New York City; Poverty Areas; Prevalence; Prisoners; Residence Characteristics; Smoking; Social Class (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301255_9

DOI: 10.2105/AJPH.2013.301255

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