Prevalence of treated diabetes: Geographical variations at the small-area level and their association with area-level characteristics. A multilevel analysis in Southeastern France

Bocquier, Aurélie; Cortaredona, Sébastien; Nauleau, S.; Jardin, M.; Verger, Pierre

doi:10.1016/j.diabet.2010.07.004

Cited by 28 publications

(28 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Third, had we used a different geographic scale, we might have uncovered more variation or different relationships. For instance, an analysis of variation in diabetes treatment the Provence-Alpes-Côte d'Azur region that was performed at the 'canton' level showed higher extreme ratios [50] than we found for ACSCs at the department level. Further, the study of ACSC in three metropolitan areas in France [25] found a different relationship between primary care physician and ACSC rates than we found; this might be due, in part, to the different level of geographic analysis in the two studies.…”

Section: Vaccine Preventable Acscs Alcohol Related Acscscontrasting

confidence: 72%

Rates of admission for ambulatory care sensitive conditions in France in 2009–2010: trends, geographic variation, costs, and an international comparison

2015

View full text Add to dashboard Cite

show abstract

Section: Vaccine Preventable Acscs Alcohol Related Acscscontrasting

confidence: 72%

Rates of admission for ambulatory care sensitive conditions in France in 2009–2010: trends, geographic variation, costs, and an international comparison

2015

View full text Add to dashboard Cite

show abstract

“…ZIP codes were aggregated based on similarities in ZIP code census data on race, ethnicity and percent with income below two times the poverty level (Araujo et al, 2010; Bocquier et al, 2011; Chau, 2010; Smith et al, 2010) resulting in areas in which persons are homogeneous with respect to income and race/ethnicity. These areas are called social areas (SAs) as they capture social features of a population.…”

Section: Methodsmentioning

confidence: 99%

Buprenorphine and methadone treatment for opioid dependence by income, ethnicity and race of neighborhoods in New York City

Hansen

Siegel

Wanderling

et al. 2016

Drug and Alcohol Dependence

165

View full text Add to dashboard Cite

Background Geographic and demographic variation in buprenorphine and methadone treatment use in U.S. cities has not been assessed. Identifying variance in opioid maintenance is essential to improving treatment access and equity. Purpose To examine the differential uptake of buprenorphine treatment in comparison to methadone treatment between 2004 and 2013 in neighborhoods in New York City characterized by income, race and ethnicity. Methods Social area (SA) analysis of residential zip codes of methadone and buprenorphine patients in NYC, which aggregated zip codes into five social areas with similar percentages of residents below poverty, identifying as Black non-Hispanic and as Hispanic, to examine whether treatment rates differed significantly among social areas over time. For each rate, mixed model analyses of variance were run with fixed effects for social area, year and the interaction of social area by year. Results Buprenorphine treatment increased in all social areas over time with a significantly higher rate of increase in the social area with the highest income and the lowest percentage of Black, Hispanic, and low-income residents. Methadone treatment decreased slightly in all social areas until 2011 and then increased bringing rates back to 2004 levels. Treatment patterns varied by social area. Conclusions Buprenorphine treatment rates are increasing in all social areas, with slower uptake in moderate income mixed ethnicity areas. Methadone rates have remained stable over time. Targeted investments to promote public sector buprenorphine prescription may be necessary to reduce disparities in buprenorphine treatment and to realize its potential as a public health measure.

show abstract

“…Social areas are residential areas in which persons have similar living standards, ethnic backgrounds, and life-style 24,25,26,27 . For this study, ZIP codes were aggregated into social areas based on similarities in ZIP code racial/ethnic and income characteristics.…”

Section: Methodsmentioning

confidence: 99%

Variation in Use of Buprenorphine and Methadone Treatment by Racial, Ethnic, and Income Characteristics of Residential Social Areas in New York City

Hansen

Siegel

Case

et al. 2013

J Behav Health Serv Res

173

118

View full text Add to dashboard Cite

National data indicate that patients treated with buprenorphine for opiate use disorders are more likely to be White, highly educated, and to have greater incomes than those receiving methadone, but patterns of buprenorphine dissemination across demographic areas have not been documented in major metropolitan areas where poverty, minority populations and injection heroin use are concentrated. Rates of buprenorphine and methadone treatment are compared among areas of New York City defined by their income and ethnic/racial composition. Residential social areas (hereinafter called social areas) were defined as aggregations of ZIP codes with similar race/ethnicity and income characteristics, and were formed based on clustering techniques. Treatment rates were obtained for each New York City ZIP code: buprenorphine treatment rates were based on the annual number of buprenorphine prescriptions written, and the methadone treatment rate on the number of methadone clinic visits for persons in each ZIP code. Treatment rates were correlated univariately with ethnicity and income characteristics of ZIP codes. Social area treatment rates were compared using individual ANOVA models for each rate. Buprenorphine and methadone treatment rates were significantly correlated with the ethnicity and income characteristics of ZIP codes, and treatment rates differed significantly across the social areas. Buprenorphine treatment rates were highest in the social area with the highest income and lowest percentage of Black and Hispanic residents. Conversely, the methadone treatment rate was highest in the social area with the highest percentage of low income and Hispanic residents. The uneven dissemination of 0pioid maintenance treatment in New York City may be reflective of the limited public health impact of buprenorphine in ethnic minority and low income areas. Specific policy and educational interventions to providers are needed to promote the use of buprenorphine for opiate use disorders in diverse populations.

show abstract

Prevalence of treated diabetes: Geographical variations at the small-area level and their association with area-level characteristics. A multilevel analysis in Southeastern France

Cited by 28 publications

References 32 publications

Rates of admission for ambulatory care sensitive conditions in France in 2009–2010: trends, geographic variation, costs, and an international comparison

Rates of admission for ambulatory care sensitive conditions in France in 2009–2010: trends, geographic variation, costs, and an international comparison

Buprenorphine and methadone treatment for opioid dependence by income, ethnicity and race of neighborhoods in New York City

Variation in Use of Buprenorphine and Methadone Treatment by Racial, Ethnic, and Income Characteristics of Residential Social Areas in New York City

Contact Info

Product

Resources

About