Integrating Environmental Data with Medical Data in a Records-Linkage System to Explore Groundwater Nitrogen Levels and Child Health Outcomes
Bibliographic Data
| ID | 15467676 |
|---|---|
| Authors | Christine M Prissel (University of Minnesota, corresponding author), Brandon R Grossardt (0000-0001-7112-9061, Mayo Clinic in Florida), Gregory S Klinger (University of Minnesota), Jennifer L St Sauver (0000-0002-9789-8544, Mayo Clinic in Arizona), Walter A Rocca (0000-0002-1832-7664, Mayo Clinic) |
| Year | 2023 |
| Volume | 20 |
| Issue | 6 |
| Pages | 5116-5116 |
| Publication date | 2023-03-14 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20065116 |
| PMID | 36982025 |
| OpenAlex | W4324150117 |
| Language | EN |
| References cited | 54 |
Background : The Rochester Epidemiology Project (REP) medical records-linkage system offers a unique opportunity to integrate medical and residency data with existing environmental data, to estimate individual-level exposures. Our primary aim was to provide an archetype of this integration. Our secondary aim was to explore the association between groundwater inorganic nitrogen concentration and adverse child and adolescent health outcomes. Methods : We conducted a nested case-control study in children, aged seven to eighteen, from six counties of southeastern Minnesota. Groundwater inorganic nitrogen concentration data were interpolated, to estimate exposure across our study region. Residency data were then overlaid, to estimate individual-level exposure for our entire study population ( n = 29,270). Clinical classification software sets of diagnostic codes were used to determine the presence of 21 clinical conditions. Regression models were adjusted for age, sex, race, and rurality. Results : The analyses support further investigation of associations between nitrogen concentration and chronic obstructive pulmonary disease and bronchiectasis (OR: 2.38, CI: 1.64-3.46) among boys and girls, thyroid disorders (OR: 1.44, CI: 1.05-1.99) and suicide and intentional self-inflicted injury (OR: 1.37, CI: >1.00-1.87) among girls, and attention deficit conduct and disruptive behavior disorders (OR: 1.34, CI: 1.24-1.46) among boys. Conclusions : Investigators with environmental health research questions should leverage the well-enumerated population and residency data in the REP
Biology · Environmental data · Environmental health · Groundwater · Health care · Health data · Linkage (software · Medical record · Political science · Record linkage · Engineering · Environmental Science · Groundwater and Isotope Geochemistry · Medicine · Ecology · Internal Medicine
Information bias in health research
Gender Differences in Utilization of Preventive Care Services in the United States
Utilization of Preventive Medical Services in the United States
Differences in Rural and Urban Health Information Access and Use
Neighborhood socioeconomic disadvantage is associated with multimorbidity in a geographically-defined community
Research on neighborhood effects on health in the United States
Access to Care, Health Status, and Health Disparities in the United States and Canada
| Highly cited | No |
|---|