Evidence map›Paper›PMID 28660125›Full record

ArticlePreventive medicine reports2017

The effect of health insurance coverage and the doctor-patient relationship on health care utilization in high poverty neighborhoods.

Destini A Smith, Alan Akira, Kenneth Hudson, Andrea Hudson, Marcellus Hudson, Marcus Mitchell, Errol Crook

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
10.6field-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

15 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Determinants of Female Cancer Screening Awareness in Alabama's Black Belt Region.Asian Pacific journal of cancer prevention : APJCP · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Neighborhood Disadvantage and Poor Health: The Consequences of Race, Gender, and Age among Young Adults.International journal of environmental research and public health · 2022
    Article
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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

7 authors at 2 institutions in 1 country.

Destini A SmithCollege of Medicine, University of South Alabama, Mobile, AL, USA.
Alan AkiraCollege of Medicine, University of South Alabama, Mobile, AL, USA.
Kenneth HudsonDepartment of Sociology, Anthropology, and Social Work, University of South Alabama, Mobile, AL, USA.
Andrea HudsonCenter for Healthy Communities, University of South Alabama, Mobile, AL, USA.
Marcellus HudsonCenter for Healthy Communities, University of South Alabama, Mobile, AL, USA.
Marcus MitchellSchool of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
Errol CrookCollege of Medicine, University of South Alabama, Mobile, AL, USA.
University of South Alabama · USGeorge Washington University · US

Funding

The Impact of Family Labor Market Status on Access to Health CareP20MD002314 · NIMHD · UNIVERSITY OF SOUTH ALABAMA · PI CROOK, ERROL D · 2007 to 2016
$12.9M
NIMHD NIH HHS P20 MD002314
6 · The paper itself

Abstract

African Americans have higher rates of mortality than whites who are the same age and sex. We hypothesize that in low socioeconomic status neighborhoods, having health insurance coverage and a regular health care provider increases the likelihood of receiving diagnostic tests for cardiovascular disease and diabetes. We use data from a random two-stage cluster sample of 230 adults living in high poverty census tracts to examine the effects of insurance coverage and having a regular doctor on the likelihood receiving diagnostic tests for high cholesterol, high blood sugar, and blood pressure. We find that health insurance coverage increases the odds of having a regular health care provider (p < 0.05) and of receiving the diagnostic tests (p < 0.05). Having a regular doctor mediates the effect of insurance coverage on the likelihood of receiving the tests, especially when the participant can report the physician's name.

Indexed as

Health disparitiesHealth insuranceHypertensionMinority healthPreventative careScreeningUsual provider

Identifiers

PMID28660125
PMCPMC5487247
OpenAlexW2626800770

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.