Evidence map›Paper›PMID 30165800›Full record

ArticleNew solutions : a journal of environmental and occupational health policy : NS2018

Environmentally Overburdened Gulf State Residents Lack Access to Environmental Specialty Care.

Kaitlyn W Meirs, Marilyn V Howarth

Abstract read
In one paragraph

Article in New solutions : a journal of environmental and occupational health policy : NS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Using Precision Environmental Health Principles in Risk Evaluation and Communication of the Deepwater Horizon Oil Spill.New solutions : a journal of environmental and occupational health policy : NS · 2019
    Article
  3. 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

2 authors.

Kaitlyn W Meirs1 Robert Wood Johnson Foundation, Princeton, NJ, USA.
Marilyn V Howarth2 Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Rebecca A Simmons · 2006 to 2026
$35.3M
Project 3: Toxicology of Petrogenic PAH in the Gulf Oil SpillU19ES020676 · NIEHS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI ELFERINK, CORNELIS JOHAN · 2011 to 2015
$7.9M
NIEHS NIH HHS P30 ES013508NIEHS NIH HHS U19 ES020676
6 · The paper itself

Abstract

Residents in Louisiana, Mississippi, and Alabama have experienced repeated natural and man-made environmental exposures. As frequency and intensity of exposures increase, the need for environmental specialty care rises in environmentally overburdened communities. We evaluated access to environmental health expertise in these states. We determined if providers accepted private health insurance and/or self-pay mapping their location using ArcGIS. Of sixty-four physicians meeting inclusion criteria, only eleven (17%) accepted private health insurance and thirty-four (53%) accepted self-pay. The ratio of physicians with environmental expertise who accept private health insurance and/or self-pay, to the population is < 1:1,000,000. Occupational clinics employ specialty physicians to provide care to industry employees but generally not patients with non-work-related exposure. We discuss the implications of limited access to environmental specialty care. To improve the availability of specialty expertise in this region, we recommend increased funding for training physicians in environmental exposure assessment in underserved communities, especially environmental justice communities.

Indexed as

Disaster MedicineEnvironmental ExposureEnvironmental HealthGulf of AmericaHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthMedicineOccupational HealthPetroleum PollutionUnited Statesaccess to careenvironmental expertiseenvironmental exposure assessmentenvironmental justiceenvironmental specialty carepostdisaster medical care

Identifiers

PMID30165800
PMCPMC6350081

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.