{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:46:16Z","timestamp":1790354776754,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Social drivers of health (SDOH) impact health outcomes for children with asthma. Advances in geocoding enable better SDOH measurement in research. We aimed to: 1) examine relationship between three SDOH composite indices\u2014Social Vulnerability Index (SVI), Childhood Opportunity Index 3.0 (COI), Area Deprivation Index (ADI)\u2014and asthma patient disposition from emergency room; and 2) determine which index most closely correlates with admission rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective cohort study, patients 2\u201318 years presenting for asthma, defined using computational phenotype requiring: asthma diagnostic code, \u22652 doses nebulized albuterol, and \u22651 systemic steroid dose within 24\u2009h of presentation. Data obtained 2021\u20132024 from Indiana Network for Patient Care, a state\u2010wide health information exchange. Exposures included three SDOH indices. Mixed effects multinomial logistic regression to evaluate associations with patient disposition and recurrent emergency room encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Total 5895 asthma encounters (4485 patients), with 27.85% resulting in admission (57.3% ward, 42.6 ICU). Female gender, chronic illness, \u201cother\u201d preferred language, &gt;1 year since last outpatient visit increased admission likelihood. Black race and preferred language Spanish were associated with lower likelihood (vs. white, English\u2010speaking reference). No SDOH indicator provided superior differentiation of patient disposition. However, census tract\u2010level random effects were meaningful across all three models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Gender, race, language, chronic comorbidity, and preventive healthcare access are associated with emergency and repeat hospital use in pediatric asthma. Geographic context plays a meaningful role in patients\u2019 clinical disposition, but the geographic component driving this association is not meaningfully captured by any of the three SDOH indices studied.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71775","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:45:47Z","timestamp":1785822347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of Social Drivers of Health With Hospitalizations for Pediatric Asthma"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6815-5840","authenticated-orcid":false,"given":"Amy E.","family":"Hanson","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Critical Care, Riley Hospital for Children Indiana University School of Medicine Indianapolis Indiana USA"},{"name":"Department of Pediatrics, Division of Children's Health Services Research Indiana University School of Medicine Indianapolis Indiana USA"},{"name":"Department of Pediatrics, Division of Critical Care Medicine, American Family Children's Hospital University of Wisconsin School of Medicine &amp; Public Health Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Ennett","sequence":"additional","affiliation":[{"name":"ICF International, Inc. Reston Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin M.","family":"Rogerson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Critical Care, Riley Hospital for Children Indiana University School of Medicine Indianapolis Indiana USA"},{"name":"Department of Pediatrics, Division of Children's Health Services Research Indiana University School of Medicine Indianapolis Indiana USA"},{"name":"Regenstrief Institute, Center for Biomedical Informatics Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"552","volume-title":"Fuhrman & Zimmerman's Pediatric Critical Care","author":"Shein S. 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A.Mendonca \u201cSocial Risk Factors for Pediatric Asthma Exacerbations: A Systematic Review \u201d preprint medRxiv September 20 2023.","DOI":"10.1101\/2023.09.19.23295732"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12016-019-08727-y"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.03.028"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2019.05.006"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pbj.0000000000000057"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2022.06.004"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2023.2288323"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-019-00564-1"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2018.03.024"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-017-0464-9"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2007.08.040"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.14493"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201708-693OC"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-202285"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1618568"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-1023"},{"key":"e_1_2_12_25_1","unstructured":"C.Noelke N.McArdle B.DeVoe et al. \u201cChild Opportunity Index 3.0 Technical Documentation \u201d (Institute for Child Youth and Family Policy Brandeis University 2024)."},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.10.065"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2021.2010750"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-064463"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/pai.14278"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2024-007976"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2023.03.016"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-055570"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2023.08.034"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.24.5.1214"},{"key":"e_1_2_12_35_1","unstructured":"\u201cCenters for Disease Control and Prevention \u201d Social Determinants of Health (SDOH) at CDC updated January 17 2024 accessed February 6 2024."},{"key":"e_1_2_12_36_1","unstructured":"Centers for Disease Control and Prevention\/Agency for Toxic Substances and Disease Registry\/Geospatial Research Analysis and Services Program. 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