ArticleEnvironmental health : a global access science source2016
Use of geographic indicators of healthcare, environment and socioeconomic factors to characterize environmental health disparities.
Article in Environmental health : a global access science source, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Socioeconomic inequalities in exposure to neighbourhood environments for physical activity: a systematic review.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- AI-Derived Blood Biomarkers for Ovarian Cancer Diagnosis: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Green spaces and mortality: a systematic review and meta-analysis of cohort studies.The Lancet. Planetary health · 2019Pooled it
- Social Inequalities in Exposure to Ambient Air Pollution: A Systematic Review in the WHO European Region.International journal of environmental research and public health · 2019Pooled it
- Social Inequalities in Environmental Resources of Green and Blue Spaces: A Review of Evidence in the WHO European Region.International journal of environmental research and public health · 2019Pooled it
- The Urban Exposome during Pregnancy and Its Socioeconomic Determinants.Environmental health perspectives · 2018Pooled it
- Black and White disparity in U.S. female breast cancer mortality: a nationwide analysis, 1999-2023.Breast cancer research and treatment · 2026Article
- The Effects of Childhood Abuse on Emerging Adulthood Inflammation: Investigating Protective Characteristics.Child maltreatment · 2025Article
- Perceptions of healthcare access among Lithuanians aged 65 and over during the COVID-19 pandemic.Frontiers in public health · 2025Article
- Article
- Air (ine)quality in the European Union.Current environmental health reports · 2022Review
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- Development of the Australian Cancer Atlas: spatial modelling, visualisation, and reporting of estimates.International journal of health geographics · 2019Article
- Elderly Health Inequality in China and its Determinants: A Geographical Perspective.International journal of environmental research and public health · 2019Article
- Geographic variation in health insurance benefits in Qianjiang District, China: a cross-sectional study.International journal for equity in health · 2018Article
- Does the regional deprivation impact the spatial accessibility to dental care services?PloS one · 2018Article
- Assessment of spatial variation in breast cancer-specific mortality using Louisiana SEER data.Social science & medicine (1982) · 2017Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn environmental health inequality is a major public health concern in Europe. However just few studies take into account a large set of characteristics to analyze this problematic. The aim of this study was to identify and describe how socioeconomic, health accessibility and exposure factors accumulate and interact in small areas in a French urban context, to assess environmental health inequalities related to infant and neonatal mortality.
methodsEnvironmental indicators on deprivation index, proximity to high-traffic roads, green space, and healthcare accessibility were created using the Geographical Information System. Cases were collected from death certificates in the city hall of each municipality in the Nice metropolitan area. Using the parental addresses, cases were geocoded to their census block of residence. A classification using a Multiple Component Analysis following by a Hierarchical Clustering allow us to characterize the census blocks in terms of level of socioeconomic, environmental and accessibility to healthcare, which are very diverse definition by nature. Relation between infant and neonatal mortality rate and the three environmental patterns which categorize the census blocks after the classification was performed using a standard Poisson regression model for count data after checking the assumption of dispersion.
resultsBased on geographic indicators, three environmental patterns were identified. We found environmental inequalities and social health inequalities in Nice metropolitan area. Moreover these inequalities are counterbalance by the close proximity of deprived census blocks to healthcare facilities related to mother and newborn. So therefore we demonstrate no environmental health inequalities related to infant and neonatal mortality.
conclusionExamination of patterns of social, environmental and in relation with healthcare access is useful to identify census blocks with needs and their effects on health. Similar analyzes could be implemented and considered in other cities or related to other birth outcomes.
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