Hospitalization for respiratory syncytial virus among California infants: Disparities related to race, insurance, and geography - 09/08/11
, Michael P. Curtis, PhD, Shabbir Ahmad, DVM, MS, PhD
Reprint requests: Laura Sangaré, University of Washington, School of Public Health and Community Medicine Epidemiology, Box 357236, University of Washington, Seattle, WA 98195.Résumé |
Objectives |
To evaluate population-based rates of Respiratory Syncytial Virus (RSV)-associated infant hospitalizations related to race/ethnicity, payer source, and geography in California.
Study design |
Retrospective analysis of RSV-coded infant hospitalizations were performed using the California patient discharge data for 1999 to 2003. All discharge records for infants younger than 1 year of age with an ICD-9-CM code for any RSV-related illness (466.11, 480.1, or 079.6) among any of the diagnosis fields were selected for analysis (n = 45,330). Rates were expressed as the number of RSV-associated hospitalizations per 1000 live births in the same calendar year.
Results |
Infants enrolled in MediCal (California’s version of the United States’ national Medicaid program) had a relative risk of 2.03 (95% CI, 1.99 to 2.06) compared with non-MediCal payers (24.3 vs 12.0/1000 live births, respectively). The 1999 to 2003 rates per 1000 live births of RSV-associated hospitalizations for MediCal payers by race/ethnicity were: non-Hispanic white (34.9), African-American (27.9), Hispanic (21.8), Asian/Pacific Islander (12.5), and American Indian/Alaska Native (12.2).
Conclusions |
RSV was the leading cause of infant hospitalizations in California between 1999 and 2003. RSV hospitalization rates were highest among non-Hispanic white MediCal insured infants.
Le texte complet de cet article est disponible en PDF.Abbreviations : AI/AN, ICD-9-CM, HIS, RSV
Plan
Vol 149 - N° 3
P. 373-377 - septembre 2006 Retour au numéro
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