ArticleEthnicity & disease2016
Small-area Variation in Hypertension Prevalence among Black and White Medicaid Enrollees.
Article in Ethnicity & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Self-employment, educational attainment, and hypertension among Black women and men.Frontiers in epidemiology · 2022Article
- Disparities in Temporal and Geographic Patterns of Myocardial Infarction Hospitalization Risks in Florida.International journal of environmental research and public health · 2019Article
- A spatial analysis of geographic variation and factors associated with hospitalization for bacterial pneumonia in Korea.BMC pulmonary medicine · 2019Article
- The economic consequences of practice style variation in providing medical interventions: A systematic review of the literature.Journal of education and health promotion · 2019Review
- Health Inequities in Hypertension and Related Organ Damage.Ethnicity & disease · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine within-state geographic heterogeneity in hypertension prevalence and evaluate associations between hypertension prevalence and small-area contextual characteristics for Black and White South Carolina Medicaid enrollees in urban vs rural areas.
designEcological.
settingSouth Carolina, United States.
main outcome measuresHypertension prevalence.
methodsData representing adult South Carolina Medicaid recipients enrolled in fiscal year 2013 (N=409,907) and ZIP Code Tabulation Area (ZCTA)-level contextual measures (racial segregation, rurality, poverty, educational attainment, unemployment and primary care physician adequacy) were linked in a spatially referenced database. Optimized Getis-Ord hotspot mapping was used to visualize geographic clustering of hypertension prevalence. Spatial regression was performed to examine the association between hypertension prevalence and small-area contextual indicators.
resultsSignificant (alpha=.05) hotspot spatial clustering patterns were similar for Blacks and Whites. Black isolation was significantly associated with hypertension among Blacks and Whites in both urban (Black, b=1.34, P<.01; White, b=.66, P<.01) and rural settings (Black, b=.71, P=.02; White, b=.70, P<.01). Primary care physician adequacy was associated with hypertension among urban Blacks (b=-2.14, P<.01) and Whites (b=-1.74, P<.01).
conclusionsThe significant geographic overlap of hypertension prevalence hotspots for Black and White Medicaid enrollees provides an opportunity for targeted health intervention. Provider adequacy findings suggest the value of ACA network adequacy standards for Medicaid managed care plans in ensuring health care accessibility for persons with hypertension and related chronic conditions.
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