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Unconventional Gas and Oil Drilling Is Associated with Increased Hospital Utilization Rates

Thomas Jemielita; George L. Gerton; Matthew J. Neidell; Steven N. Chillrud; Beizhan Yan; Martin Stute; Marilyn Howarth; Pouné Saberi; Nicholas Fausti; Trevor M. Penning; Jason Roy; Kathleen J. Propert; Reynold A. Panettieri Jr.

Title:
Unconventional Gas and Oil Drilling Is Associated with Increased Hospital Utilization Rates
Author(s):
Jemielita, Thomas
Gerton, George L.
Neidell, Matthew J.
Chillrud, Steven N.
Yan, Beizhan
Stute, Martin
Howarth, Marilyn
Saberi, Pouné
Fausti, Nicholas
Penning, Trevor M.
Roy, Jason
Propert, Kathleen J.
Panettieri Jr., Reynold A.
Date:
Type:
Articles
Department(s):
Health Policy and Management
Lamont-Doherty Earth Observatory
Volume:
10
Persistent URL:
Book/Journal Title:
PLOS ONE
Geographic Area:
Pennsylvania
Notes:
Included: 28 Aug 2015: Jemielita T, Gerton GL, Neidell M, Chillrud S, Yan B, et al. (2015) Correction: Unconventional Gas and Oil Drilling Is Associated with Increased Hospital Utilization Rates. PLOS ONE 10(8): e0137371. https://doi.org/10.1371/journal.pone.0137371
Abstract:
Over the past ten years, unconventional gas and oil drilling (UGOD) has markedly expanded in the United States. Despite substantial increases in well drilling, the health consequences of UGOD toxicant exposure remain unclear. This study examines an association between wells and healthcare use by zip code from 2007 to 2011 in Pennsylvania. Inpatient discharge databases from the Pennsylvania Healthcare Cost Containment Council were correlated with active wells by zip code in three counties in Pennsylvania. For overall inpatient prevalence rates and 25 specific medical categories, the association of inpatient prevalence rates with number of wells per zip code and, separately, with wells per km2 (separated into quantiles and defined as well density) were estimated using fixed-effects Poisson models. To account for multiple comparisons, a Bonferroni correction with associations of p<0.00096 was considered statistically significant. Cardiology inpatient prevalence rates were significantly associated with number of wells per zip code (p<0.00096) and wells per km2 (p<0.00096) while neurology inpatient prevalence rates were significantly associated with wells per km2 (p<0.00096). Furthermore, evidence also supported an association between well density and inpatient prevalence rates for the medical categories of dermatology, neurology, oncology, and urology. These data suggest that UGOD wells, which dramatically increased in the past decade, were associated with increased inpatient prevalence rates within specific medical categories in Pennsylvania. Further studies are necessary to address healthcare costs of UGOD and determine whether specific toxicants or combinations are associated with organ-specific responses.
Subject(s):
Oil well drilling
Gas well drilling
Fossil fuels--Environmental aspects
Hospital utilization
Publisher DOI:
https://doi.org/10.1371/journal.pone.0131093
Item views
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Metadata:
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Suggested Citation:
Thomas Jemielita, George L. Gerton, Matthew J. Neidell, Steven N. Chillrud, Beizhan Yan, Martin Stute, Marilyn Howarth, Pouné Saberi, Nicholas Fausti, Trevor M. Penning, Jason Roy, Kathleen J. Propert, Reynold A. Panettieri Jr., , Unconventional Gas and Oil Drilling Is Associated with Increased Hospital Utilization Rates, Columbia University Academic Commons, .

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