Observational studyPreventing chronic disease2016
Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region.
Observational study in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 40 citations in OpenAlex.
- Results of an asthma education program delivered via telemedicine in rural schools.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2018Trial
- Rural Physical Activity in the Mississippi Delta: the moderating influence of stray dogs.Journal of healthy eating and active living · 2025Article
- Codesigning Online Continuing Medical Education on Social Health Integration and Social Risk-Informed Care for Primary Care Providers.The Permanente journal · 2024Article
- The lived experience and meaning of resilience in the setting of chronic illness and low- resource communities of African Americans that reside in Tallahatchie County, Mississippi.International journal of qualitative studies on health and well-being · 2023Article
- Kaiser Permanente's Social Needs Network for Evaluation and Translation Empirical Research Agenda.AJPM focus · 2023Article
- Racial and demographic disparities in emergency department utilization for mental health concerns before and during the COVID-19 pandemic.Psychiatry research · 2022Article
- Perspectives of cancer prevention and control resources from stakeholders in rural southern Illinois.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Article
- Racial Residential Segregation and Colorectal Cancer Mortality in the Mississippi Delta Region.Preventing chronic disease · 2021Article
- The Intersection of Rural Residence and Minority Race/Ethnicity in Cancer Disparities in the United States.International journal of environmental research and public health · 2021Review
- The Mississippi Delta Health Collaborative Medication Therapy Management Model: Public Health and Pharmacy Working Together to Improve Population Health in the Mississippi Delta.Preventing chronic disease · 2020Article
- Human Papillomavirus Vaccination Estimates Among Adolescents in the Mississippi Delta Region: National Immunization Survey‑Teen, 2015-2017.Preventing chronic disease · 2020Article
- Measurement of Nutrition Environments in Grocery Stores, Convenience Stores, and Restaurants in the Lower Mississippi Delta.Preventing chronic disease · 2020Article
- Change in geographic access to community health centers after Health Center Program expansion.Health services research · 2019Article
- Rural Women's Perceptions About Cancer Disparities and Contributing Factors: a Call to Communication.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Article
- How Have Hospitals in the Mississippi Delta Fared Under the 2019 Revised Hospital Readmissions Reduction Program?Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe objective of this observational study was to examine the key contributors to health outcomes and to better understand the health disparities between Delta and non-Delta counties in 8 states in the Mississippi River Delta Region. We hypothesized that a unique set of contributors to health outcomes in the Delta counties could explain the disparities between Delta and non-Delta counties.
methodsData were from the 2014 County Health Rankings for counties in 8 states (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee). We used the Delta Regional Authority definition to identify the 252 Delta counties and 468 non-Delta counties or county equivalents. Information on health factors (eg, health behaviors, clinical care) and outcomes (eg, mortality) were derived from 38 measures from the 2014 County Health Rankings. The contributions of health factors to health outcomes in Delta and non-Delta counties were examined using path analysis.
resultsWe found similarities between Delta counties and non-Delta counties in the health factors (eg, tobacco use, diet and exercise) that significantly predicted the health outcomes of self-rated health and low birthweight. The most variation was seen in predictors of mortality; however, Delta counties shared 2 of the 3 significant predictors (ie, community safety and income) of mortality with non-Delta counties. On average across all measures, values in the Delta were 16% worse than in the non-Delta and 22% worse than in the rest of the United States.
conclusionThe health status of Delta counties is poorer than that of non-Delta counties because the health factors that contribute to health outcomes in the entire region are worse in the Delta counties, not because of a unique set of health predictors.
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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.