Local area variation in morbidity among low-income, older adults in the United States: A cross-sectional study
Annals of Internal Medicine Sep 13, 2019
Polyakova M, et al. – Int his cross-sectional association study, researchers determine the correlation between the prevalence of chronic conditions and the economic wealth of a local area in a cohort of low-income, older adults. The study sample included 6,363,097 Medicare beneficiaries aged 66-100 years with a history of low-income support under Medicare Part D. Researchers calculated the adjusted prevalence of 48 chronic conditions for 736 commuting zones (CZs), and used factor analysis to determine the spatial covariation of condition prevalence and to construct a composite condition prevalence index for each CZ. The link between morbidity and area affluence was measured via comparison of the average of condition prevalence index across deciles of median CZ house values. According to findings, low-income, older adults residing in wealthier areas of the country tend to be healthier, and areas with poor health in the low-income, older adult population oftentimes have a greater prevalence of most chronic conditions.
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