The Child Opportunity Index as a Moderator of the Effectiveness of Multi-Modal Evidence-Based Asthma Care.
Asthma intervention worked far less well for 5-11-year-olds in lower-opportunity neighborhoods
The Child Opportunity Index as a Moderator of the Effectiveness of Multi-Modal Evidence-Based Asthma Care.
To evaluate if the Child Opportunity Index (Child Opportunity Index) moderates associations between receiving a multimodal evidence-based asthma intervention and asthma-related emergency department (emergency department) reutilization among children.
We identified a prospective cohort of children ≤16 years old with ≥1 asthma-related emergency department visit(s) in 2022 from our city-wide asthma registry.
benefit was much smaller in lower-opportunity neighborhoods than higher-opportunity ones
There were 4125 emergency department encounters among 2244 children.
Most lived in lower Child Opportunity Index areas (67.2%, n = 1507).
Two-hundred and eighty children (12.5%) received the multimodal evidence-based asthma intervention, which overall was associated with a reduced risk of emergency department reutilization (adjusted hazard ratio [aHR] 0.58, 95%CI: 0.48, 0.71).
The Child Opportunity Index did not moderate associations for other age groups.
Adjusting effective evidence-based asthma care interventions to enhance their impact for children experiencing Child Opportunity Index-related barriers, while partnering with communities to eradicate the root causes of lower Child Opportunity Index, may be needed to achieve more equitable outcomes.