{"doi":"10.1016/j.sste.2021.100439","title":"Geographic disparities in new onset of internalizing disorders in Pennsylvania adolescents using electronic health records","abstract":"We evaluated associations of community types and features with new-onset internalizing disorders among Pennsylvania adolescents to identify the location and scale of risk. Using a nested case-control study, we drew subjects from electronic health records 2008-2016, requiring cases (n = 7974) to have two medication orders or diagnoses indicating an internalizing disorder; controls (n = 31,895) were frequency-matched. Subjects were assigned to three community classifications: townships, boroughs, city census tracts; urbanized areas, urban clusters, rural areas; and a combination. Using logistic regression with generalized estimating equations, we found that compared to rural-townships, the highest odds were in urban cluster-city census tracts (odds ratio, 95% confidence interval: 1.78, 1.41-2.26); lowest in urbanized area-city census tracts (0.85, 0.74-0.97). Higher community socioeconomic deprivation was associated with increased odds in urban clusters (1.21, 1.00-1.48) and higher greenness with decreased odds in urban clusters (0.73, 0.62-0.86).","journal":"Spatial and Spatio-temporal Epidemiology","year":2021,"id":208366,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9204,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":400192,"name":"Sean M. O’Dell","orcid":"0000-0002-2254-0003","position":1,"is_corresponding":false},{"id":313952,"name":"Karen Bandeen‐Roche","orcid":"0000-0003-3895-8313","position":2,"is_corresponding":false},{"id":275577,"name":"Heather E. Volk","orcid":"0000-0002-5415-2494","position":3,"is_corresponding":false},{"id":285221,"name":"Fernando S. Goes","orcid":"0000-0001-6262-8264","position":4,"is_corresponding":false},{"id":794945,"name":"Brian S. Schwartz","orcid":"0000-0002-0739-9865","position":5,"is_corresponding":false},{"id":794944,"name":"Irena Gorski","orcid":"0000-0002-9300-040X","position":0,"is_corresponding":true}],"reference_count":50,"raw_metadata":null,"created_at":"2026-07-18T23:51:57.582057Z","pmid":"35691643","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}