Evidence map›Paper›PMID 29626164›Full record

ArticlePediatrics2018

Neighborhood Child Opportunity and Individual-Level Pediatric Acute Care Use and Diagnoses.

Ellen E Kersten, Nancy E Adler, Laura Gottlieb, Douglas P Jutte, Sarah Robinson, Katrina Roundfield, Kaja Z LeWinn

Abstract read
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Article
  6. Health Disparity Indices in the Assessment of Adolescent Idiopathic Scoliosis: Are All Indices Similar?Journal of the Pediatric Orthopaedic Society of North America · 2025
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  19. Acute care utilization for ambulatory care-sensitive conditions among publicly insured children.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Article
  20. Individual and Neighborhood Level Predictors of Children's Exposure to Residential Greenspace.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Article
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.

Ellen E KerstenDepartments of Psychiatry, ellen.kersten@ucsf.edu.
Nancy E AdlerDepartments of Psychiatry.
Laura GottliebCenter for Health and Community, University of California, San Francisco, San Francisco, California.
Douglas P JutteDivision of Community Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, California.
Sarah RobinsonSutter Health, Walnut Creek, California.
Katrina RoundfieldDepartments of Psychiatry.
Kaja Z LeWinnDepartments of Psychiatry.

Funding

CLINICAL SERVICES RESEARCH TRAINING PROGRAMT32MH018261 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kaja Zabrina LeWinn, Rachel L. Loewy · 1985 to 2026
$7.0M
Social engagement, emotion regulation and depressive symptoms during adolescenceK01MH097978 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEWINN, KAJA ZABRINA · 2012 to 2015
$749k
NIMH NIH HHS K01 MH097978NIMH NIH HHS T32 MH018261
6 · The paper itself

Abstract

: media-1vid110.1542/5751513300001PEDS-VA_2017-2309

methodsThis cross-sectional study included San Francisco residents <18 years of age with an emergency department and/or urgent care visit to any of 3 medical systems (

resultsNeighborhood child opportunity and income had distinct spatial distributions, and we identified different clusters of high- and low-risk neighborhoods. Children living in the lowest opportunity neighborhoods had significantly greater odds of ≥4 acute care visits per year (odds ratio 1.33; 95% confidence interval 1.03-1.73) compared with those in the highest opportunity neighborhoods. Neighborhood child opportunity was negatively associated with visits for respiratory conditions, asthma, assault, and ambulatory care-sensitive conditions but positively associated with injury-related visits.

conclusionsThe Child Opportunity Index could be an effective tool for identifying neighborhood factors beyond income related to child health.

Indexed as

Residence CharacteristicsSocioeconomic FactorsAdolescentAmbulatory Care FacilitiesChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalFemaleHealthcare DisparitiesHumansIncomeInfantInfant, NewbornMaleSan Francisco

Identifiers

PMID29626164
PMCPMC5991499

What OpenQuestion holds

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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.