Evidence map›Paper›PMID 26960918›Full record

ArticleThe Journal of pediatrics2016

Areas with High Rates of Police-Reported Violent Crime Have Higher Rates of Childhood Asthma Morbidity.

Andrew F Beck, Bin Huang, Patrick H Ryan, Megan T Sandel, Chen Chen, Robert S Kahn

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Managing childhood asthma with an eye toward environmental, social, and behavioral features.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Review
  5. Area-Level Socioeconomic Disadvantage and Post-PICU Outcomes in Children With an Acquired Brain Injury: Single-Center Retrospective Cohort, 2016-2023.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  6. Review
  7. The effects of violence and related stress on asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Review
  8. Article
  9. The role of school safety perceptions in childhood asthma diagnosis disparities.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  10. Article
  11. Article
  12. Predicting pediatric severe asthma exacerbations: an administrative claims-based predictive model.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024
    Article
  13. Maternal childhood trauma and prenatal stressors are associated with child behavioral health.Journal of developmental origins of health and disease · 2022
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Situating household management of children's asthma in the context of social, economic, and environmental injustice.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Andrew F BeckDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Electronic address: Andrew.Beck1@cchmc.org.
Bin HuangDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Patrick H RyanDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Megan T SandelDepartment of Pediatrics, Boston Medical Center, Boston, MA.
Chen ChenDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Robert S KahnDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Cincinnati Children's Hospital Medical Center · USBoston Medical Center · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Inpatient Asthma Care for Children: Adding a Place-Based, Community-Focused ApproK23AI112916 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI BECK, ANDREW FINKEL · 2014 to 2018
$721k
NCATS NIH HHS UL1 TR000077NIAID NIH HHS K23 AI112916
6 · The paper itself

Abstract

objectivesTo assess whether population-level violent (and all) crime rates were associated with population-level child asthma utilization rates and predictive of patient-level risk of asthma reutilization after a hospitalization. STUDY

designA retrospective cohort study of 4638 pediatric asthma-related emergency department visits and hospitalizations between 2011 and 2013 was completed. For population-level analyses, census tract asthma utilization rates were calculated by dividing the number of utilization events within a tract by the child population. For patient-level analyses, hospitalized patients (n = 981) were followed until time of first asthma-related reutilization. The primary predictor was the census tract rate of violent crime as recorded by the police; the all crime (violent plus nonviolent) rate was also assessed.

resultsCensus tract-level violent and all crime rates were significantly correlated with asthma utilization rates (both P < .0001). The violent crime rate explained 35% of the population-level asthma utilization variance and remained associated with increased utilization after adjustment for census tract poverty, unemployment, substandard housing, and traffic exposure (P = .002). The all crime rate explained 28% of the variance and was similarly associated with increased utilization after adjustment (P = .02). Hospitalized children trended toward being more likely to reutilize if they lived in higher violent (P = .1) and all crime areas (P = .01). After adjustment, neither relationship was significant.

conclusionsCrime data could help facilitate early identification of potentially toxic stressors relevant to the control of asthma for populations and patients.

Indexed as

AsthmaChildChild, PreschoolCohort StudiesCrimeEmergency Service, HospitalExposure to ViolenceFemaleHospitalizationHumansMaleOhioPoliceRetrospective StudiesChild HealthGeographyNeighborhoodViolence

Identifiers

PMID26960918
PMCPMC4884512
OpenAlexW2291619459

What OpenQuestion holds

Textmetadata
LicenceTDM
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.