干旱区生态环境知识资源中心(Arid): Socioeconomic and Geographic Disparities in Idiopathic Intracranial Hypertension

Arid

DOI	10.1212/WNL.0000000000012037
	Socioeconomic and Geographic Disparities in Idiopathic Intracranial Hypertension
	Brahma, Venkatesh L.; Snow, Jonathan; Tam, Vicky; Ross, Ahmara G.; Tamhankar, Madhura A.; Shindler, Kenneth S.; Avery, Robert A.; Liu, Grant T.; Hamedani, Ali G.
通讯作者	Brahma, VL (corresponding author), Univ Penn, Dept Neurol, Div Neuroophthalmol, Philadelphia, PA 19104 USA. ; Brahma, VL (corresponding author), Univ Penn, Dept Ophthalmol, Div Neuroophthalmol, Philadelphia, PA 19104 USA.
来源期刊	NEUROLOGY
ISSN	0028-3878
EISSN	1526-632X
出版年	2021
卷号	96 期号:23 页码:E2854-E2860
英文摘要	Objective To identify relationships between idiopathic intracranial hypertension (IIH) and socioeconomic determinants of health, such as low-income status and proximity to healthy food. Methods This retrospective case-control study of adult female neuro-ophthalmology patients from one institution identified 223 women with and 4,783 women without IIH. Street addresses were geocoded and merged with US census data to obtain census tract-level information on income and food access. Choropleth maps visualized IIH clusters within certain neighborhoods. Logistic regression compared the proportion of patients with IIH from racial and ethnic minority backgrounds, low-income census tracts, and food deserts and swamps to controls without IIH. Results In our cohort, when adjusted for age, women with IIH were more likely to be Black (odds ratio [OR] 3.96, 95% confidence interval [CI] 2.98-5.25), Hispanic (OR 2.23, 95% CI 1.14-4.36), and live in low-income tracts (OR 2.24, 95% CI 1.71-2.95) or food swamps (OR 1.54, 95% CI 1.15-2.07). Patients with IIH were less likely to live in food deserts than controls (OR 0.61, 95% CI 0.45-0.83). The association between Black race and IIH remained significant even after adjusting for other variables. Conclusion IIH is more common among Black and Hispanic women than expected even when accounting for the demographics of a metropolitan city. Some of this relationship is driven by the association of obesity and IIH incidence with low income and proximity to unhealthy foods.
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000702399700023
WOS关键词	OBESITY ; ADULTS
WOS类目	Clinical Neurology
WOS研究方向	Neurosciences & Neurology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/364239
作者单位	[Brahma, Venkatesh L.; Ross, Ahmara G.; Tamhankar, Madhura A.; Shindler, Kenneth S.; Avery, Robert A.; Liu, Grant T.; Hamedani, Ali G.] Univ Penn, Dept Neurol, Div Neuroophthalmol, Philadelphia, PA 19104 USA; [Brahma, Venkatesh L.; Ross, Ahmara G.; Tamhankar, Madhura A.; Shindler, Kenneth S.; Avery, Robert A.; Liu, Grant T.] Univ Penn, Dept Ophthalmol, Div Neuroophthalmol, Philadelphia, PA 19104 USA; [Hamedani, Ali G.] Univ Penn, Translat Ctr Excellence Neuroepidemiol & Neurol O, Philadelphia, PA 19104 USA; [Snow, Jonathan] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA; [Tam, Vicky; Hamedani, Ali G.] Univ Penn, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
推荐引用方式 GB/T 7714	Brahma, Venkatesh L.,Snow, Jonathan,Tam, Vicky,et al. Socioeconomic and Geographic Disparities in Idiopathic Intracranial Hypertension[J],2021,96(23):E2854-E2860.
APA	Brahma, Venkatesh L..,Snow, Jonathan.,Tam, Vicky.,Ross, Ahmara G..,Tamhankar, Madhura A..,...&Hamedani, Ali G..(2021).Socioeconomic and Geographic Disparities in Idiopathic Intracranial Hypertension.NEUROLOGY,96(23),E2854-E2860.
MLA	Brahma, Venkatesh L.,et al."Socioeconomic and Geographic Disparities in Idiopathic Intracranial Hypertension".NEUROLOGY 96.23(2021):E2854-E2860.