ArticleThe Journal of pediatrics2013
Inequalities in neighborhood child asthma admission rates and underlying community characteristics in one US county.
Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
What it found
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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
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.
- Is Population Density Associated with Non-Communicable Disease in Western Developed Countries? A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Medical-Legal Partnership as Value-Based Primary Care: Interprofessional Teamwork for Health-Related Social Needs.Journal of general internal medicine · 2026Review
- Socioeconomic Deprivation in Adolescents Hospitalized with Anorexia Nervosa and Atypical Anorexia Nervosa.Children (Basel, Switzerland) · 2026Article
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- Measuring Health Inequalities Using the Robin Hood Index: A Systematic Review with Meta-Analysis.Epidemiologia (Basel, Switzerland) · 2025Review
- Integrating geospatial data with birth cohorts to explore social determinants of health and asthma.The Journal of allergy and clinical immunology · 2025Review
- Impact of climate change on paediatric respiratory health: pollutants and aeroallergens.European respiratory review : an official journal of the European Respiratory Society · 2024Review
- Building a regional pediatric asthma learning health system in support of optimal, equitable outcomes.Learning health systems · 2024Article
- Neighborhood Income Is Associated with Health Care Use in Pediatric Short Bowel Syndrome.The Journal of pediatrics · 2024Article
- Reduced prevalence of childhood asthma after housing renovations in an underresourced community.The journal of allergy and clinical immunology. Global · 2023Article
- Pursuing a Cross-Sector Approach to Advance Child Health Equity.Pediatric clinics of North America · 2023Review
- STEP IN: Supporting Together Exercise and Play and Improving Nutrition; a Feasibility Study of Parent-Led Group Sessions and Fitness Trackers to Improve Family Healthy Lifestyle Behaviors in a Low-Income, Predominantly Black Population.International journal of environmental research and public health · 2023Article
- BORN TO WHEEZE OR LEARNED WHEN WE WERE YOUNG: MATERNAL AND ENVIRONMENTAL FACTORS INFLUENCE ATOPIC RISK.Transactions of the American Clinical and Climatological Association · 2023Article
- Neighborhood socioeconomic status and length of stay after congenital heart disease surgery.Frontiers in pediatrics · 2023Article
- Understanding racial disparities in childhood asthma using individual- and neighborhood-level risk factors.The Journal of allergy and clinical immunology · 2022Article
- Chronic pediatric diseases and risk for reading difficulties: a narrative review with recommendations.Pediatric research · 2022Review
- Analyzing Relationships Between Economic and Neighborhood-Related Social Determinants of Health and Intensive Care Unit Length of Stay for Critically Ill Children With Medical Complexity Presenting With Severe Sepsis.Frontiers in public health · 2022Observational
- Shared Purpose: Leveraging a Community-Academic Partnership to Increase Local Environmental Health Awareness via Community Science.Journal of participatory research methods · 2022Article
- Genetic ancestry differences in pediatric asthma readmission are mediated by socioenvironmental factors.The Journal of allergy and clinical immunology · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo characterize variation and inequalities in neighborhood child asthma admission rates and to identify associated community factors within one US county. STUDY
designThis population-based prospective, observational cohort study consisted of 862 sequential child asthma admissions among 167 653 eligible children ages 1-16 years in Hamilton County, Ohio. Admissions occurred at a tertiary-care pediatric hospital and accounted for nearly 95% of in-county asthma admissions. Neighborhood admission rates were assessed by geocoding addresses to city- and county-defined neighborhoods. The 2010 US Census provided denominator data. Neighborhood admission distribution inequality was assessed by the use of Gini and Robin Hood indices. Associations between neighborhood rates and socioeconomic and environmental factors were assessed using ANOVA and linear regression.
resultsThe county admission rate was 5.1 per 1000 children. Neighborhood rates varied significantly by quintile: 17.6, 7.7, 4.9, 2.2, and 0.2 admissions per 1000 children (P < .0001). Fifteen neighborhoods containing 8% of the population had zero admissions. The Gini index of 0.52 and Robin Hood index of 0.38 indicated significant inequality. Neighborhood-level educational attainment, car access, and population density best explained variation in neighborhood admission rates (R(2) = 0.55).
conclusionIn a single year, asthma admission rates varied 88-fold across neighborhood quintiles in one county; a reduction of the county-wide admission rate to that of the bottom quintile would decrease annual admissions from 862 to 34. A rate of zero was present in 15 neighborhoods, which is evidence of what may be attainable.
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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.