Evidence map›Paper›PMID 23339079›Full record

ArticleHealth economics2014

Fetal health shocks and early inequalities in health capital accumulation.

George L Wehby, Kwame A Nyarko, Jorge S Lopez-Camelo

Abstract read
In one paragraph

Article in Health economics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. High dosage folic acid supplementation, oral cleft recurrence and fetal growth.International journal of environmental research and public health · 2013
    Trial
  3. Review
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  6. Oral Clefts and Academic Performance in Adolescence: The Impact of Anesthesia-Related Neurotoxicity, Timing of Surgery, and Type of Oral Clefts.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2017
    Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

George L WehbyDepartment of Health Management and Policy, University of Iowa, Iowa City, IA, USA.
Kwame A Nyarko
Jorge S Lopez-Camelo
University of Iowa · USCentro de Educación Médica e Investigaciones Clínicas Norberto Quirno · AR

Funding

Effects of oral clefts on birth outcomes and cleft risks due to maternal smokingR03DE018394 · NIDCR · UNIVERSITY OF IOWA · PI WEHBY, GEORGE L · 2007 to 2008
$295k
NIDCR NIH HHS 1R03 DE018394NIDCR NIH HHS R03 DE018394
6 · The paper itself

Abstract

Several studies report socioeconomic inequalities in child health and consequences of early disease. However, not much is known about inequalities in health capital accumulation in the womb in response to fetal health shocks, which is essential for finding the earliest sensitive periods for interventions to reduce inequalities. We identify inequalities in birth weight accumulation as a result of fetal health shocks from the occurrence of one of the most common birth defects, oral clefts, within the first 9 weeks of pregnancy, using quantile regression and two datasets from South America and the USA. Infants born at lower birth weight quantiles are significantly more adversely affected by the health shock compared with those born at higher birth weight quantiles, with overall comparable results between the South American and US samples. These results suggest that fetal health shocks increase child health disparities by widening the spread of the birth weight distribution and that health inequalities begin in the womb, requiring interventions before pregnancy.

Indexed as

Fetal DevelopmentHealth Status DisparitiesCleft PalateFemaleHumansInfant, Low Birth WeightInfant, NewbornMalePregnancyPregnancy ComplicationsRegression AnalysisSocioeconomic FactorsSouth AmericaUnited Stateschild healthdisparitieshealth productioninequalitiespregnancyquantile regression

Identifiers

PMID23339079
PMCPMC3865137
OpenAlexW1901633343

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.