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State-Level Health Disparity Is Associated with Sarcoidosis Mortality

Background: Sarcoidosis is associated with significant morbidity and rising health care utilization, which contribute to the health care burden and disease outcome. In the United States (US), evaluation of sarcoidosis mortality by individual states has not been investigated. Methods: We examined sar...

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Autores principales: Lee, Yu-Che, Chang, Ko-Yun, Mirsaeidi, Mehdi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199085/
https://www.ncbi.nlm.nih.gov/pubmed/34072248
http://dx.doi.org/10.3390/jcm10112366
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author Lee, Yu-Che
Chang, Ko-Yun
Mirsaeidi, Mehdi
author_facet Lee, Yu-Che
Chang, Ko-Yun
Mirsaeidi, Mehdi
author_sort Lee, Yu-Che
collection PubMed
description Background: Sarcoidosis is associated with significant morbidity and rising health care utilization, which contribute to the health care burden and disease outcome. In the United States (US), evaluation of sarcoidosis mortality by individual states has not been investigated. Methods: We examined sarcoidosis mortality data for 1999–2018 from the Centers for Disease Control and Prevention (CDC). America’s Health Rankings (AHR) assesses the nation’s health on a state-by-state basis to determine state health rankings. The numbers of certified Sarcoidosis Clinics within the US were obtained from World Association for Sarcoidosis and Other Granulomatous Disorders (WASOG) and Foundation for Sarcoidosis Research (FSR). The associations between sarcoidosis mortality and state health disparities were calculated by linear regression analyses. Results: From 1999 to 2018, the mean age-adjusted mortality rate (AAMR) in all populations, African Americans and European Americans were 2.9, 14.8, and 1.4 per 1,000,000 population, respectively. South Carolina had the highest AAMR for all populations (6.6/1,000,000) and African Americans (20.8/1,000,000). Both Utah and Vermont had the highest AAMR for European Americans (2.6/1,000,000). New York State and South Atlantic had the largest numbers of FSR-WASOG Sarcoidosis Clinics (6 and 13, respectively). States with better health rankings were significantly associated with lower AAMR in all population (R(2) = 0.170, p = 0.003) but with higher AAMR in European Americans (R(2) = 0.223, p < 0.001). Conclusions: There are significant variations in sarcoidosis mortality within the US. Sarcoidosis mortality was strongly associated with state health disparities. The current study suggests sarcoidosis mortality could be an indicator to reflect the state-level health care disparities in the US.
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spelling pubmed-81990852021-06-14 State-Level Health Disparity Is Associated with Sarcoidosis Mortality Lee, Yu-Che Chang, Ko-Yun Mirsaeidi, Mehdi J Clin Med Article Background: Sarcoidosis is associated with significant morbidity and rising health care utilization, which contribute to the health care burden and disease outcome. In the United States (US), evaluation of sarcoidosis mortality by individual states has not been investigated. Methods: We examined sarcoidosis mortality data for 1999–2018 from the Centers for Disease Control and Prevention (CDC). America’s Health Rankings (AHR) assesses the nation’s health on a state-by-state basis to determine state health rankings. The numbers of certified Sarcoidosis Clinics within the US were obtained from World Association for Sarcoidosis and Other Granulomatous Disorders (WASOG) and Foundation for Sarcoidosis Research (FSR). The associations between sarcoidosis mortality and state health disparities were calculated by linear regression analyses. Results: From 1999 to 2018, the mean age-adjusted mortality rate (AAMR) in all populations, African Americans and European Americans were 2.9, 14.8, and 1.4 per 1,000,000 population, respectively. South Carolina had the highest AAMR for all populations (6.6/1,000,000) and African Americans (20.8/1,000,000). Both Utah and Vermont had the highest AAMR for European Americans (2.6/1,000,000). New York State and South Atlantic had the largest numbers of FSR-WASOG Sarcoidosis Clinics (6 and 13, respectively). States with better health rankings were significantly associated with lower AAMR in all population (R(2) = 0.170, p = 0.003) but with higher AAMR in European Americans (R(2) = 0.223, p < 0.001). Conclusions: There are significant variations in sarcoidosis mortality within the US. Sarcoidosis mortality was strongly associated with state health disparities. The current study suggests sarcoidosis mortality could be an indicator to reflect the state-level health care disparities in the US. MDPI 2021-05-27 /pmc/articles/PMC8199085/ /pubmed/34072248 http://dx.doi.org/10.3390/jcm10112366 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Yu-Che
Chang, Ko-Yun
Mirsaeidi, Mehdi
State-Level Health Disparity Is Associated with Sarcoidosis Mortality
title State-Level Health Disparity Is Associated with Sarcoidosis Mortality
title_full State-Level Health Disparity Is Associated with Sarcoidosis Mortality
title_fullStr State-Level Health Disparity Is Associated with Sarcoidosis Mortality
title_full_unstemmed State-Level Health Disparity Is Associated with Sarcoidosis Mortality
title_short State-Level Health Disparity Is Associated with Sarcoidosis Mortality
title_sort state-level health disparity is associated with sarcoidosis mortality
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199085/
https://www.ncbi.nlm.nih.gov/pubmed/34072248
http://dx.doi.org/10.3390/jcm10112366
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