Evidence map›Paper›PMID 27854531›Full record

ArticleAmerican journal of public health2017

Health and Social Conditions of the Poorest Versus Wealthiest Counties in the United States.

Olivia Egen, Kate Beatty, David J Blackley, Katie Brown, Randy Wykoff

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Trial
  2. Article
  3. Historical slavery predicts contemporary disparities in mortality between Black and White Americans.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Rural and socioeconomic differences in the effectiveness of the HEART Pathway accelerated diagnostic protocol.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Observational
  12. The Intergenerational Cycles of Rural Health.American journal of public health · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Olivia EgenAt the time of this study, all of the authors were with the College of Public Health, East Tennessee State University, Johnson City.
Kate BeattyAt the time of this study, all of the authors were with the College of Public Health, East Tennessee State University, Johnson City.
David J BlackleyAt the time of this study, all of the authors were with the College of Public Health, East Tennessee State University, Johnson City.
Katie BrownAt the time of this study, all of the authors were with the College of Public Health, East Tennessee State University, Johnson City.
Randy WykoffAt the time of this study, all of the authors were with the College of Public Health, East Tennessee State University, Johnson City.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo more clearly articulate, and more graphically demonstrate, the impact of poverty on various health outcomes and social conditions by comparing the poorest counties to the richest counties in the United States and to other countries in the world.

methodsWe used 5-year averages for median household income to form the 3141 US counties into 50 new "states"-each representing 2% of the counties in the United States (62 or 63 counties each). We compared the poorest and wealthiest "states."

resultsWe documented dramatic and statistically significant differences in life expectancy, smoking rates, obesity rates, and almost every other measure of health and well-being between the wealthiest and poorest "states" in the country. The populations of more than half the countries in the world have a longer life expectancy than do US persons living in the poorest "state."

conclusionsThis analysis graphically demonstrates the true impact of the extreme socioeconomic disparities that exist in the United States. These differences can be obscured when one looks only at state data, and suggest that practitioners and policymakers should increasingly focus interventions to address the needs of the poorest citizens in the United States.

Indexed as

Health Status DisparitiesSocial ConditionsFemaleHealth Status IndicatorsHumansIncomeLife ExpectancyMaleObesityPovertySmokingSocioeconomic FactorsUnited States

Identifiers

PMID27854531
PMCPMC5308159

What OpenQuestion holds

Textmetadata
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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.