ArticleThe Journal of pediatrics2017
The Child Opportunity Index and Disparities in Pediatric Asthma Hospitalizations Across One Ohio Metropolitan Area, 2011-2013.
Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.
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.
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.
Who cites it
57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.
- The Child Opportunity Index and Children's Health: A Meta-Analysis.Pediatrics · 2025Pooled it
- The Effect of Outdoor Environmental Exposure on Readmission Rates for Children and Adolescents with Asthma-A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Social Risk Interventions and Health Care Utilization for Pediatric Asthma: A Systematic Review and Meta-analysis.JAMA pediatrics · 2022Pooled it
- Neighborhood-Level Socioeconomic Disadvantage and Adverse Outcomes for Infants with Biliary Atresia in the United States.The Journal of pediatrics · 2026Article
- Neighborhood-Level Variation in the Effectiveness of Intensive Health Behavior and Lifestyle Treatment for Pediatric Obesity.Obesity (Silver Spring, Md.) · 2026Article
- Associations of rurality, child opportunity, and distance with use of pediatric asthma specialists.The Journal of allergy and clinical immunology · 2026Article
- Risk Factors Associated With Escalation of Therapy in Hospitalized Children With Asthma.Hospital pediatrics · 2026Article
- Barriers to early detection: the impact of healthcare access and screening on conservative treatment opportunities in adolescent idiopathic scoliosis.Spine deformity · 2026Article
- The association between four neighborhood disadvantage indices and child chronic health classifications.Pediatric research · 2026Article
- Association of Financial Distress With Nonmedical Out-of-Pocket Expenses in Those With Critical Illness.Hospital pediatrics · 2025Article
- Trends in Lower Respiratory Tract Diagnoses and Nonrecommended Bronchiolitis Therapies.Pediatrics · 2025Article
- Health Disparity Indices in the Assessment of Adolescent Idiopathic Scoliosis: Are All Indices Similar?Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Recurrent Preschool Wheeze: The Impact of Adverse Social Drivers of Health and Opportunities for Interventions.The journal of allergy and clinical immunology. In practice · 2025Review
- Association between Air Pollution, Neighborhood Opportunity, and Pediatric Intensive Care Unit Admissions in Acute Respiratory Illness.The Journal of pediatrics · 2025Article
- Child Opportunity Index and Outcomes of Children Admitted to US PICUs for Critical Asthma.Pediatric pulmonology · 2025Article
- Multicenter Study of Associations Between Area-Level Child Opportunity, Initial Disease Severity, and Outcomes Among Children with Lupus.Arthritis care & research · 2025Article
- Article
- Temporal Trends in the Childhood Opportunity Index at Children's Hospitals.JAMA pediatrics · 2025Article
- Examining the association of neighborhood conditions on attention-deficit/hyperactivity disorder symptoms in autistic youth using the child opportunity index 2.0.JCPP advances · 2025Article
- Understanding the Association Between Neighborhood Resources and Trauma-Informed Care Among Providers Who Serve Autistic Youth.Autism research : official journal of the International Society for Autism Research · 2025Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo determine whether the Child Opportunity Index (COI), a nationally available measure of relative educational, health/environmental, and social/economic opportunity across census tracts within metropolitan areas, is associated with population- and patient-level asthma morbidity. STUDY
designThis population-based retrospective cohort study was conducted between 2011 and 2013 in a southwest Ohio county. Participants included all children aged 1-16 years with hospitalizations or emergency department visits for asthma or wheezing at a major pediatric hospital. Patients were identified using discharge diagnosis codes and geocoded to their home census tract. The primary population-level outcome was census tract asthma hospitalization rate. The primary patient-level outcome was rehospitalization within 12 months of the index hospitalization. Census tract opportunity was characterized using the COI and its educational, health/environmental, and social/economic domains.
resultsAcross 222 in-county census tracts, there were 2539 geocoded hospitalizations. The median asthma-related hospitalization rate was 5.0 per 1000 children per year (IQR, 1.9-8.9). Median hospitalization rates in very low, low, moderate, high, and very high opportunity tracts were 9.1, 7.6, 4.6, 2.1, and 1.8 per 1000, respectively (P < .0001). The social/economic domain had the most variables significantly associated with the outcome at the population level. The adjusted patient-level analyses showed that the COI was not significantly associated with a patient's risk of rehospitalization within 12 months.
conclusionsThe COI was associated with population-level asthma morbidity. The details provided by the COI may inform interventions aimed at increasing opportunity and reducing morbidity across regions.
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Registered trials
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.