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Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients.

Publication ,  Journal Article
Johns, TS; Estrella, MM; Crews, DC; Appel, LJ; Anderson, CAM; Ephraim, PL; Cook, C; Boulware, LE
Published in: J Am Soc Nephrol
November 2014

Young blacks receiving dialysis have an increased risk of death compared with whites in the United States. Factors influencing this disparity among the young adult dialysis population have not been well explored. Our study examined the relation of neighborhood socioeconomic status (SES) and racial differences in mortality in United States young adults receiving dialysis. We merged US Renal Data System patient-level data from 11,027 black and white patients ages 18-30 years old initiating dialysis between 2006 and 2009 with US Census data to obtain neighborhood poverty information for each patient. We defined low SES neighborhoods as those neighborhoods in U.S. Census zip codes with ≥20% of residents living below the federal poverty level and quantified race differences in mortality risk by level of neighborhood SES. Among patients residing in low SES neighborhoods, blacks had greater mortality than whites after adjusting for baseline demographics, clinical characteristics, rurality, and access to care factors. This difference in mortality between blacks and whites was significantly attenuated in higher SES neighborhoods. In the United States, survival between young adult blacks and whites receiving dialysis differs by neighborhood SES. Additional studies are needed to identify modifiable factors contributing to the greater mortality among young adult black dialysis patients residing in low SES neighborhoods.

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Published In

J Am Soc Nephrol

DOI

EISSN

1533-3450

Publication Date

November 2014

Volume

25

Issue

11

Start / End Page

2649 / 2657

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • Urology & Nephrology
  • United States
  • Socioeconomic Factors
  • Risk Factors
  • Retrospective Studies
  • Residence Characteristics
  • Renal Dialysis
  • Registries
 

Citation

APA
Chicago
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Johns, T. S., Estrella, M. M., Crews, D. C., Appel, L. J., Anderson, C. A. M., Ephraim, P. L., … Boulware, L. E. (2014). Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients. J Am Soc Nephrol, 25(11), 2649–2657. https://doi.org/10.1681/ASN.2013111207
Johns, Tanya S., Michelle M. Estrella, Deidra C. Crews, Lawrence J. Appel, Cheryl A. M. Anderson, Patti L. Ephraim, Courtney Cook, and L Ebony Boulware. “Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients.J Am Soc Nephrol 25, no. 11 (November 2014): 2649–57. https://doi.org/10.1681/ASN.2013111207.
Johns TS, Estrella MM, Crews DC, Appel LJ, Anderson CAM, Ephraim PL, et al. Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients. J Am Soc Nephrol. 2014 Nov;25(11):2649–57.
Johns, Tanya S., et al. “Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients.J Am Soc Nephrol, vol. 25, no. 11, Nov. 2014, pp. 2649–57. Pubmed, doi:10.1681/ASN.2013111207.
Johns TS, Estrella MM, Crews DC, Appel LJ, Anderson CAM, Ephraim PL, Cook C, Boulware LE. Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients. J Am Soc Nephrol. 2014 Nov;25(11):2649–2657.

Published In

J Am Soc Nephrol

DOI

EISSN

1533-3450

Publication Date

November 2014

Volume

25

Issue

11

Start / End Page

2649 / 2657

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • Urology & Nephrology
  • United States
  • Socioeconomic Factors
  • Risk Factors
  • Retrospective Studies
  • Residence Characteristics
  • Renal Dialysis
  • Registries