Neighborhood Socioeconomic Status, Health Insurance, and CKD Prevalence: Findings From a Large Health Care SystemPlain-Language Summary

Rational & Objective: Neighborhood socioeconomic status (SES) and health insurance status may be important upstream social determinants of chronic kidney disease (CKD), but their relationship remains unclear. The aim of this study was to determine whether neighborhood SES and individual-level health insurance status were independently associated with CKD prevalence. Study Design: Observational study using electronic health records (EHRs). Setting & Participants: EHRs of patients (n = 185,269) seen at a health care system in the 7-county Minneapolis/St Paul area (2017-2018). Exposures: Census tract neighborhood SES measures (median value of owner-occupied housing units [wealth], percentage of residents aged >25 years with bachelor’s degree or higher [education]) and individual-level health insurance status (aged