ABSTRACT Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition with early onset and disproportionate impact on females and African American youth. In our cross‐sectional study of 9695 pediatric HS patients in a single US health system, pediatric patients residing in neighborhoods with lower SES had greater odds of having a new HS diagnosis in unadjusted models and after sequential adjustment for age, sex, and race and ethnicity. Fully adjusted odds ratios (95% confidence intervals) were neighborhood SES quintile, Q1 (lowest): 4.05 (1.76–9.32), Q2: 2.86 (1.13–7.22), Q3: 2.94 (1.22–7.09), Q4: 1.46 (0.55–3.90) ( p for linear trend < 0.001), with similar findings in sensitivity analyses. These findings suggest neighborhood factors may contribute to HS diagnosis, highlighting the need to identify and address modifiable, neighborhood factors that influence HS diagnosis.
Sanchez-Anguiano et al. (Thu,) studied this question.