Influence of area-level social vulnerability on all-cause pneumonia incidence among adult Medicare and Medicaid enrollees
Controlling for individual characteristics attenuated the relationship between vulnerability and disease incidence overall and in most subgroups. Within MHSVI themes, ACP incidence is higher for the most versus least vulnerable counties based on Medical Vulnerability and Household Composition and Disability themes versus the overall MHSVI. Results for secondary outcomes (PP and IPD) follows similar patterns as for ACP but are weaker in magnitude and significance.
Authors
- Caroline Delannoy
- Priya Shanmugam (ORCID: https://orcid.org/0000-0003-1888-1857)
- Kristen A. Feemster (ORCID: https://orcid.org/0000-0003-0822-5688)
- Salini Mohanty (ORCID: https://orcid.org/0000-0001-7610-6467)
- Peter Cody Fiduccia (ORCID: https://orcid.org/0000-0001-9902-9476)
- Michael G. Barna
- Alyssa Evans (ORCID: https://orcid.org/0009-0003-2824-4197)
- Jelena Zurovac (ORCID: https://orcid.org/0000-0003-2437-8860)
- Nicole Cossrow (ORCID: https://orcid.org/0009-0006-4982-4547)
- Aparna Keshaviah (ORCID: https://orcid.org/0000-0002-4324-6807)
- Kelsie Cassell (ORCID: https://orcid.org/0000-0003-0369-4186)
- Esther Smith-Howell
- Saumya Chatrath (ORCID: https://orcid.org/0000-0002-7113-0561)
- Valina C. McGuinn
Institutions
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- Mathematica Policy Research (US)
Publication Details
- Journal
- Communications Medicine
- Published
- 2025-11-14
- DOI
- https://doi.org/10.1038/s43856-025-01163-4
- Citations
- 1
- Primary Topic
- Food Security and Health in Diverse Populations
- Type
- article
- Field-Weighted Citation Impact
- 2.82