Socio-environmental exposures and health outcomes among persons with sickle cell disease

There is much variability in the expression of sickle cell disease (SCD) and recent works suggest that environmental and social factors may also influence this variability. This paper aims to use geographic information systems technology to examine the association between socio-environmental exposur...

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Bibliographic Details
Published in:PloS one 2017-04, Vol.12 (4), p.e0175260
Main Authors: Asnani, Monika R, Knight Madden, Jennifer, Reid, Marvin, Greene, Lisa-Gaye, Lyew-Ayee, Parris
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Air pollution
Anemia, Sickle Cell - physiopathology
Annual rainfall
Asthma
Bioavailability
Child
Child, Preschool
Computer and Information Sciences
Crises
Earth Sciences
Ebola virus
Environmental Exposure
Exposure
Female
Females
Genotypes
Geographic information systems
Health aspects
Health care
Humans
Infant
Infant, Newborn
Jamaica
Leg
Leg ulcers
Male
Males
Management
Mean temperatures
Medical care
Medicine and Health Sciences
Outdoor air quality
Pain
Patient admissions
Patients
Pediatrics
People and places
Poverty
Public health
Quality of life
Rainfall
Remote sensing
Risk factors
Rural areas
Rural environments
Rural Population
Sex differences
Sickle cell anemia
Sickle cell disease
Social aspects
Social factors
Socioeconomic factors
Studies
Travelers
Ulcers
Urban Population
Variability
Young Adult
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Summary:There is much variability in the expression of sickle cell disease (SCD) and recent works suggest that environmental and social factors may also influence this variability. This paper aims to use geographic information systems technology to examine the association between socio-environmental exposures and health outcomes in all persons who have attended or currently attend the Sickle Cell Unit in Jamaica. Rural patients presented for clinical care at older ages and had less annual visits to clinic. Persons travelled relatively long distances to seek SCD care and those travelling longer had less health maintenance visits. Urban patients had a higher prevalence of significant pain crises (69.4% vs. 55.8%, p value
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0175260