ArticleMedical care research and review : MCRR2008
How sensitive are multilevel regression findings to defined area of context?: a case study of mammography use in California.
Article in Medical care research and review : MCRR, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed.
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- The protective power of social connectedness: Individual vs. community influences on psychological distress in middle-aged Black adults.Social science & medicine (1982) · 2025Article
- Association between snack intake behaviors of children and neighboring women: A population-based cross-sectional analysis with spatial regionalization.SSM - population health · 2024Article
- Neighbourhood Income Inequality and General Psychopathology at 3-Years of Age.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022Article
- Neighborhood characteristics as determinants of healthcare utilization - a theoretical model.Health economics review · 2019Article
- A Spatial Regression Analysis on the Effect of Neighborhood-Level Trust on Cooperative Behaviors: Comparison With a Multilevel Regression Analysis.Frontiers in psychology · 2019Article
- Assessing and Explaining Geographic Variations in Mammography Screening Participation and Breast Cancer Incidence.Frontiers in oncology · 2019Article
- Community social capital and inequality in depressive symptoms among older Japanese adults: A multilevel study.Health & place · 2018Article
- Resident Perceptions of Neighborhood Conditions, Food Access, Transportation Usage, and Obesity in a Rapidly Changing Central City.International journal of environmental research and public health · 2018Article
- Breast Cancer Screening Among Women with Medicaid, 2006-2008: a Multilevel Analysis.Journal of racial and ethnic health disparities · 2017Article
- Modeling Geospatial Patterns of Late-Stage Diagnosis of Breast Cancer in the US.International journal of environmental research and public health · 2017Article
- Demographic Disparities in Late-Stage Diagnosis of Breast and Colorectal Cancers Across the USA.Journal of racial and ethnic health disparities · 2017Article
- Using residential segregation to predict colorectal cancer stage at diagnosis: two different approaches.Annals of epidemiology · 2017Article
- Development of a cross-cultural deprivation index in five European countries.Journal of epidemiology and community health · 2016Article
- Multilevel built environment features and individual odds of overweight and obesity in Utah.Applied geography (Sevenoaks, England) · 2015Article
- Does patient rurality predict quality colon cancer care?: A population-based study.Diseases of the colon and rectum · 2015Article
- Geographic and Demographic Disparities in Late-stage Breast and Colorectal Cancer Diagnoses Across the US.AIMS public health · 2015Article
- Self-rated health and residential segregation: how does race/ethnicity matter?Journal of urban health : bulletin of the New York Academy of Medicine · 2014Article
- Are HPV vaccination services accessible to high-risk communities? A spatial analysis of HPV-associated cancer and Chlamydia rates and safety-net clinics.Cancer causes & control : CCC · 2013Article
- Revisiting the role of the urban environment in substance use: the case of analgesic overdose fatalities.American journal of public health · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
The authors develop a hybrid model of health care use that blends features of the traditional Aday-Andersen behavioral model with the socioecological modeling perspective. They use the model to conceptualize the various levels of influence expected from socioecological variables in individuals' mammography use decisions, build contextual variables from fine-grained data into four different types of geographic areas, and then use two- and three-level modeling of personal and area-level contextual factors to explain observed behavior. The central focus is on whether differentiating the conceptualized levels of influence seems to materially affect regression findings. The test could conceivably be confounded by the modifiable areal unit problem, but little evidence for this is found. Findings for California women suggest that distinctions do matter in how the levels of influence are defined for local neighborhood contextual factors. Studies using only county-level contextual factors will miss some meaningful associations related to interpersonal/proximate-level factors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.