Rubenstein, Eric S PHD

We are making major strides in quantifying the public health impacts and disparities faced by the DS population through our Down Syndrome Toward Optimal Trajectories and Health Equity using Medicaid Analytic eXtract IDS-TO-THE-MAX) project; yet we are in position to incorporate additional data into DS-TO- THE-MAX that place results in socio-ecologic context and help us identify community and societal level predictors of poor health. We propose to supplement the individual level DS-TO-THE-MAX claims and encounters data with interpersonal and community level data to describe and examine the impact of specialty care, distance to care, neighborhood characteristics, and Medicaid waivers on health outcomes (dementia and mortality) for adults with Down syndrome.