Evidence map›Paper›PMID 26961130›Full record

ArticleBMC pediatrics2016

The Linked CENTURY Study: linking three decades of clinical and public health data to examine disparities in childhood obesity.

Summer Sherburne Hawkins, Matthew W Gillman, Sheryl L Rifas-Shiman, Ken P Kleinman, Megan Mariotti, Elsie M Taveras

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

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  12. Health Disparities in Adolescent Bariatric Surgery: Nationwide Outcomes and Utilization.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
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  14. Observational
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

6 authors at 3 institutions in 1 country.

Summer Sherburne HawkinsBoston College, School of Social Work, McGuinn Hall, 140 Commonwealth Avenue, Chestnut Hill, MA, USA. summer.hawkins@bc.edu.
Matthew W GillmanObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA. matthew_gillman@harvardpilgrim.org.
Sheryl L Rifas-ShimanObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA. sheryl_rifas@harvardpilgrim.org.
Ken P KleinmanObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA. Ken_Kleinman@hms.harvard.org.
Megan MariottiPenn Center for Health Care Innovation, Philadelphia, PA, USA. megan.mariotti@uphs.upenn.edu.
Elsie M TaverasDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, USA. elsie.taveras@mgh.harvard.edu.
Harvard University · USBoston College · USPenn Center for AIDS Research · US

Funding

Early determinants of childhood obesity: Etiology disparities policy analysisR00HD068506 · NICHD · BOSTON COLLEGE · PI HAWKINS, SUMMER SHERBURNE · 2012 to 2014
$701k
NICHD NIH HHS R00 HD068506
6 · The paper itself

Abstract

backgroundDespite the need to identify the causes of disparities in childhood obesity, the existing epidemiologic studies of early life risk factors have several limitations. We report on the construction of the Linked CENTURY database, incorporating CENTURY (Collecting Electronic Nutrition Trajectory Data Using Records of Youth) Study data with birth certificates; and discuss the potential implications of combining clinical and public health data sources in examining the etiology of disparities in childhood obesity.

methodsWe linked the existing CENTURY Study, a database of 269,959 singleton children from birth to age 18 years with measured heights and weights, with each child's Massachusetts birth certificate, which captures information on their mothers' pregnancy history and detailed socio-demographic information of both mothers and fathers.

resultsOverall, 74.2 % were matched, resulting in 200,343 children in the Linked CENTURY Study with 1,580,597 well child visits. Among this cohort, 94.0 % (188,334) of children have some father information available on the birth certificate and 60.9 % (121,917) of children have at least one other sibling in the dataset. Using maternal race/ethnicity from the birth certificate as an indicator of children's race/ethnicity, 75.7 % of children were white, 11.6 % black, 4.6 % Hispanic, and 5.7 % Asian. Based on socio-demographic information from the birth certificate, 20.0 % of mothers were non-US born, 5.9 % smoked during pregnancy, 76.3 % initiated breastfeeding, and 11.0 % of mothers had their delivery paid for by public health insurance. Using clinical data from the CENTURY Study, 22.7 % of children had a weight-for-length ≥ 95(th) percentile between 1 and 24 months and 12.0 % of children had a body mass index ≥ 95(th) percentile at ages 5 and 17 years.

conclusionsBy linking routinely-collected data sources, it is possible to address research questions that could not be answered with either source alone. Linkage between a clinical database and each child's birth certificate has created a unique dataset with nearly complete racial/ethnic and socio-demographic information from both parents, which has the potential to examine the etiology of racial/ethnic and socioeconomic disparities in childhood obesity.

Indexed as

Health Status DisparitiesMedical Record LinkageAdolescentBirth CertificatesChildChild, PreschoolDatabases, FactualElectronic Health RecordsFemaleHumansInfantInfant, NewbornInformation Storage and RetrievalMaleMassachusettsPediatric Obesity

Identifiers

PMID26961130
PMCPMC4784443
OpenAlexW2294316148

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.