Evidence map›Paper›PMID 24726018›Full record

ArticleBMC public health2014

How adolescents perceive their communities: a qualitative study that explores the relationship between health and the physical environment.

Kristin Mmari, Hannah Lantos, Heena Brahmbhatt, Sinead Delany-Moretlwe, Chaohua Lou, Rajib Acharya, Adesola Sangowawa

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Measuring Street Built Environments for Children's Use: A Systematic Review of Measurement Tools.Journal of urban health : bulletin of the New York Academy of Medicine · 2025
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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

7 authors at 5 institutions in 5 countries.

Kristin MmariDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N, Wolfe Street, Baltimore, MD 21205, USA. kmmari1@jhu.edu.
Hannah Lantos
Heena Brahmbhatt
Sinead Delany-Moretlwe
Chaohua Lou
Rajib Acharya
Adesola Sangowawa
Johns Hopkins University · USPopulation Council · INShanghai Institute of Planned Parenthood Research · CNUniversity College Hospital, Ibadan · NGUniversity of the Witwatersrand · ZA

Funding

Johns Hopkins Training Program In STIsT32AI050056 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ELLEN, JONATHAN M. · 2001 to 2015
$3.4M
NIAID NIH HHS T32 AI050056
6 · The paper itself

Abstract

backgroundThe Well-Being of Adolescents in Vulnerable Environments (WAVE) study was conducted among adolescents aged 15-19 years in Baltimore, Ibadan, Johannesburg, New Delhi, and Shanghai to examine perceived factors related to their health. A preliminary analysis of the data, unexpectedly, revealed that the influence of the physical environment on adolescent health was a dominant theme across every site examined. To explore this further, this paper analyzed the specific components of the physical environment that were perceived to influence health, and how they contributed to various health outcomes across sites.

methodsResearchers in each site conducted in-depth interviews among adolescents; community mapping and focus groups among adolescents; a Photovoice methodology, in which adolescents were trained in photography and took photos of the meaning of 'health' in their communities; and key informant interviews among adults who work with young people. A total 529 participants from across the sites were included in the analysis.

resultsFindings showed that while there was surprising uniformity in how adolescents characterized their physical environment, perceived health outcomes related to the physical environment varied by site and gender. In Baltimore and Johannesburg, vacant homes and the lack of recreation facilities were perceived to impact on sexual and reproductive health problems for girls, while among boys they contributed to drugs and violence. In Shanghai, New Delhi, and Ibadan, garbage and trash observed in their communities were perceived to have a higher impact on infectious and chronic diseases.

conclusionsAs the world continues to urbanize, our study points to a strong need to examine how the physical aspects of a living environment contribute to the health of adolescents. Specific aspects, such as housing, safety, garbage, and recreational spaces must all be examined as possible pathways for making improvements to health of adolescents, particularly among those living in poor urban environments.

Indexed as

EnvironmentHealth StatusPerceptionQualitative ResearchResidence CharacteristicsAdolescentAdultBaltimoreChinaFemaleFocus GroupsGarbageHealth Services Needs and DemandHousingHumansIndia

Identifiers

PMID24726018
PMCPMC4000407
OpenAlexW2122073450

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.