Evidence map›Paper›PMID 30468015›Full record

ArticleHealth services research2019

Neighborhood disadvantage and chronic disease management.

Shayla N M Durfey, Amy J H Kind, William R Buckingham, Eva H DuGoff, Amal N Trivedi

Open access · hybridAbstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
13.5field-weighted citation impact, top 1% 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

108 citing papers in PubMed, 172 citations in OpenAlex.

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  5. Water intake mediates cross-sectional associations between urinary kidney injury biomarkers and race in emerging adults.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
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  14. Associations of chronic obstructive pulmonary disease with life satisfaction and self-rated health: quantifying the subjective burden in a population-based study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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48 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 1 country.

Shayla N M DurfeyThe Warren Alpert Medical School, Brown University, Providence, Rhode Island.ORCID 0000-0002-0763-7050
Amy J H KindSchool of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
William R BuckinghamSchool of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Eva H DuGoffSchool of Public Health, University of Maryland, College Park, Maryland.
Amal N TrivediBrown School of Public Health, Providence, Rhode Island.ORCID 0000-0002-9695-4727
University of Wisconsin–Madison · USBrown University · USRhode Island Department of Health · USUniversity of Maryland, College Park · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI, Kali St. Marie Thomas · 2007 to 2026
$38.9M
Wisconsin Alzheimer's Disease Research CenterP50AG033514 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CHAPPELL, RICHARD J · 2009 to 2018
$16.2M
Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and ImplementationR01MD010243 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2015 to 2019
$2.8M
Cost-Sharing, Use, and Outcomes of Post-Acute Care in Medicare Advantage PlansR01AG044374 · NIA · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 2013 to 2015
$993k
National Institute on Aging of the National Institutes of Health P01AG027296-07S1National Institute on Aging of the National Institutes of Health R01AG044374-01National Institute on Minority Health and Health Disparities of the National Institutes of Health R01MD010243NIA NIH HHS P01 AG027296NIA NIH HHS P50 AG033514NIA NIH HHS R01 AG044374NIMHD NIH HHS R01 MD010243Nora Kahn Piore Award
6 · The paper itself

Abstract

objectiveTo assess the relationship between a composite measure of neighborhood disadvantage, the Area Deprivation Index (ADI), and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage (MA) population. DATA SOURCES: Secondary analysis of 2013 Medicare Healthcare Effectiveness Data and Information Set, Medicare enrollment data, and a neighborhood disadvantage indicator. STUDY

designWe tested the association of neighborhood disadvantage with intermediate health outcomes. Generalized estimating equations were used to adjust for geographic and individual factors including region, sex, race/ethnicity, dual eligibility, disability, and rurality. DATA COLLECTION: Data were linked by ZIP+4, representing compact geographic areas that can be linked to Census block groups. PRINCIPAL

findingsCompared with enrollees residing in the least disadvantaged neighborhoods, enrollees in the most disadvantaged neighborhoods were 5 percentage points (P < 0.05) less likely to have controlled blood pressure, 6.9 percentage points (P < 0.05) less likely to have controlled diabetes, and 9.9 percentage points (P < 0.05) less likely to have controlled cholesterol. Adjustment attenuated this relationship, but the association remained.

conclusionsThe ADI is a strong, independent predictor of diabetes and cholesterol control, a moderate predictor of blood pressure control, and could be used to track neighborhood-level disparities and to target disparities-focused interventions in the MA population.

Indexed as

Disease ManagementResidence CharacteristicsAgedBlood PressureCholesterolChronic DiseaseDiabetes MellitusFemaleHealthcare DisparitiesHumansMaleMedicare Part CRisk FactorsSocial Determinants of HealthSocioeconomic FactorsUnited StatesCholesterolgeographic/spatial factors/small area variationsMedicaresocial determinants of health

Identifiers

PMID30468015
PMCPMC6341202
OpenAlexW2900473497

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.