Insurance and Neighborhood Opportunity Predict Adverse Events in Children with Acute Lymphoblastic Leukemia (217-1)

9:45 am – 10:15 am Friday, September 16

Our prior research uncovered potential socioeconomic (SE) risk factors for two adverse events that impact children hospitalized with acute lymphoblastic leukemia (ALL): hyperglycemia and severe sepsis. That research, however, was limited to only two measures of SE status, insurance source and median neighborhood income. Composite indices of neighborhood social and economic stability are useful in gleaning understanding of pathways between a child’s immediate environment and health outcomes. Yet, there is little reporting of the best way to measure these aspects of a child’s environment in pediatric oncology nursing research.

This study was a side-by-side comparison of three measures of SE status: insurance source, area deprivation and neighborhood child opportunity. The study goal was to determine each one’s utility as risk a predictor of hyperglycemia and serious infections, two outcomes our team has shown are potentially influenced by SE factors.