Inequitable Poverty Exposures: A Subspecialty Opportunity to Address Disparities

Kristine A. Karvonen; Puja J. Umaretiya; Victoria B. Koch; Yael Flamand; Rahela Aziz-Bose; Lenka Ilcisin; Ariana Valenzuela; Peter D. Cole; Lisa M. Gennarini; Justine M. Kahn; Kara M. Kelly; Thai Hoa Tran; Bruno Michon; Jennifer J.G. Welch; Joanne Wolfe; Lewis B. Silverman; Abby R. Rosenberg; Kira Bona

doi:10.1542/hpeds.2023-007482

Inequitable Poverty Exposures: A Subspecialty Opportunity to Address Disparities

Kristine A. Karvonen, Puja J. Umaretiya, Victoria B. Koch, Yael Flamand, Rahela Aziz-Bose, Lenka Ilcisin, Ariana Valenzuela, Peter D. Cole, Lisa M. Gennarini, Justine M. Kahn, Kara M. Kelly, Thai Hoa Tran, Bruno Michon, Jennifer J.G. Welch, Joanne Wolfe, Lewis B. Silverman, Abby R. Rosenberg, Kira Bona

Research output: Contribution to journal › Article › peer-review

Abstract

Subspecialty pediatrics have lagged behind primary care pediatrics in recognizing adverse social determinants of health (SDOH) as salient to outcomes, key drivers of inequity, and worthy of systematic investigation.¹ A population frequently hospitalized with chronic illness with well-defined inequities is children with cancer. More than 1 in 5 pediatric oncology families report low-income, and at least 1 household material hardship (HMH; food, housing, or utility insecurity) at diagnosis.² Identifying whether children from marginalized racial/ethnic groups are disproportionately exposed to poverty, a modifiable SDOH, can inform intervention opportunities for children with chronic illness to mitigate disparities.³ We leveraged parent-reported poverty data collected as a prospective aim of a clinical trial for children with newly diagnosed acute lymphoblastic leukemia (ALL) to characterize modifiable poverty exposures by race/ethnicity.

Original language	English (US)
Pages (from-to)	e104-e106
Journal	Hospital Pediatrics
Volume	14
Issue number	2
DOIs	https://doi.org/10.1542/hpeds.2023-007482
State	Published - Feb 2024

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Pediatrics

Access to Document

10.1542/hpeds.2023-007482

Cite this

Karvonen, K. A., Umaretiya, P. J., Koch, V. B., Flamand, Y., Aziz-Bose, R., Ilcisin, L., Valenzuela, A., Cole, P. D., Gennarini, L. M., Kahn, J. M., Kelly, K. M., Tran, T. H., Michon, B., Welch, J. J. G., Wolfe, J., Silverman, L. B., Rosenberg, A. R., & Bona, K. (2024). Inequitable Poverty Exposures: A Subspecialty Opportunity to Address Disparities. Hospital Pediatrics, 14(2), e104-e106. https://doi.org/10.1542/hpeds.2023-007482

Karvonen, KA, Umaretiya, PJ, Koch, VB, Flamand, Y, Aziz-Bose, R, Ilcisin, L, Valenzuela, A, Cole, PD, Gennarini, LM, Kahn, JM, Kelly, KM, Tran, TH, Michon, B, Welch, JJG, Wolfe, J, Silverman, LB, Rosenberg, AR & Bona, K 2024, 'Inequitable Poverty Exposures: A Subspecialty Opportunity to Address Disparities', Hospital Pediatrics, vol. 14, no. 2, pp. e104-e106. https://doi.org/10.1542/hpeds.2023-007482

@article{765ba1a8c5d94cbca2c006ad44ba430b,

title = "Inequitable Poverty Exposures: A Subspecialty Opportunity to Address Disparities",

abstract = "Subspecialty pediatrics have lagged behind primary care pediatrics in recognizing adverse social determinants of health (SDOH) as salient to outcomes, key drivers of inequity, and worthy of systematic investigation.1 A population frequently hospitalized with chronic illness with well-defined inequities is children with cancer. More than 1 in 5 pediatric oncology families report low-income, and at least 1 household material hardship (HMH; food, housing, or utility insecurity) at diagnosis.2 Identifying whether children from marginalized racial/ethnic groups are disproportionately exposed to poverty, a modifiable SDOH, can inform intervention opportunities for children with chronic illness to mitigate disparities.3 We leveraged parent-reported poverty data collected as a prospective aim of a clinical trial for children with newly diagnosed acute lymphoblastic leukemia (ALL) to characterize modifiable poverty exposures by race/ethnicity.",

author = "Karvonen, {Kristine A.} and Umaretiya, {Puja J.} and Koch, {Victoria B.} and Yael Flamand and Rahela Aziz-Bose and Lenka Ilcisin and Ariana Valenzuela and Cole, {Peter D.} and Gennarini, {Lisa M.} and Kahn, {Justine M.} and Kelly, {Kara M.} and Tran, {Thai Hoa} and Bruno Michon and Welch, {Jennifer J.G.} and Joanne Wolfe and Silverman, {Lewis B.} and Rosenberg, {Abby R.} and Kira Bona",

note = "Publisher Copyright: Copyright {\textcopyright} 2024 by the American Academy of Pediatrics.",

year = "2024",

month = feb,

doi = "10.1542/hpeds.2023-007482",

language = "English (US)",

volume = "14",

pages = "e104--e106",

journal = "Hospital Pediatrics",

issn = "2154-1663",

publisher = "American Academy of Pediatrics",

number = "2",

}

TY - JOUR

T1 - Inequitable Poverty Exposures

T2 - A Subspecialty Opportunity to Address Disparities

AU - Karvonen, Kristine A.

AU - Umaretiya, Puja J.

AU - Koch, Victoria B.

AU - Flamand, Yael

AU - Aziz-Bose, Rahela

AU - Ilcisin, Lenka

AU - Valenzuela, Ariana

AU - Cole, Peter D.

AU - Gennarini, Lisa M.

AU - Kahn, Justine M.

AU - Kelly, Kara M.

AU - Tran, Thai Hoa

AU - Michon, Bruno

AU - Welch, Jennifer J.G.

AU - Wolfe, Joanne

AU - Silverman, Lewis B.

AU - Rosenberg, Abby R.

AU - Bona, Kira

PY - 2024/2

Y1 - 2024/2

N2 - Subspecialty pediatrics have lagged behind primary care pediatrics in recognizing adverse social determinants of health (SDOH) as salient to outcomes, key drivers of inequity, and worthy of systematic investigation.1 A population frequently hospitalized with chronic illness with well-defined inequities is children with cancer. More than 1 in 5 pediatric oncology families report low-income, and at least 1 household material hardship (HMH; food, housing, or utility insecurity) at diagnosis.2 Identifying whether children from marginalized racial/ethnic groups are disproportionately exposed to poverty, a modifiable SDOH, can inform intervention opportunities for children with chronic illness to mitigate disparities.3 We leveraged parent-reported poverty data collected as a prospective aim of a clinical trial for children with newly diagnosed acute lymphoblastic leukemia (ALL) to characterize modifiable poverty exposures by race/ethnicity.

AB - Subspecialty pediatrics have lagged behind primary care pediatrics in recognizing adverse social determinants of health (SDOH) as salient to outcomes, key drivers of inequity, and worthy of systematic investigation.1 A population frequently hospitalized with chronic illness with well-defined inequities is children with cancer. More than 1 in 5 pediatric oncology families report low-income, and at least 1 household material hardship (HMH; food, housing, or utility insecurity) at diagnosis.2 Identifying whether children from marginalized racial/ethnic groups are disproportionately exposed to poverty, a modifiable SDOH, can inform intervention opportunities for children with chronic illness to mitigate disparities.3 We leveraged parent-reported poverty data collected as a prospective aim of a clinical trial for children with newly diagnosed acute lymphoblastic leukemia (ALL) to characterize modifiable poverty exposures by race/ethnicity.

UR - http://www.scopus.com/inward/record.url?scp=85186937428&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85186937428&partnerID=8YFLogxK

U2 - 10.1542/hpeds.2023-007482

DO - 10.1542/hpeds.2023-007482

M3 - Article

C2 - 38239110

AN - SCOPUS:85186937428

SN - 2154-1663

VL - 14

SP - e104-e106

JO - Hospital Pediatrics

JF - Hospital Pediatrics

IS - 2

ER -

Inequitable Poverty Exposures: A Subspecialty Opportunity to Address Disparities

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this