ArticleJournal of urban health : bulletin of the New York Academy of Medicine2019
Demographic Inequities in Health Outcomes and Air Pollution Exposure in the Atlanta Area and its Relationship to Urban Infrastructure.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis 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
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impacts of Urban Green on Cardiovascular and Cerebrovascular Diseases-A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Can Electric Vehicles Reduce Summertime Air Pollution Exposure Inequalities in Metro Atlanta? A High-Resolution Analysis.GeoHealth · 2026Article
- Benefit of urban greenness on patients after an ischaemic stroke: mortality or recurrence? A registry-based cohort study.PloS one · 2026Article
- Association of greenness with incidence of cardiovascular disease in China: Evidence from the China Kadoorie Biobank prospective cohort study with 0.5 million adults.Eco-Environment & Health · 2025Article
- The impact of environmental conditions on non-communicable diseases in sub-Saharan Africa: A scoping review of epidemiologic evidence.Journal of global health · 2024Article
- Exposure to PMEnvironmental geochemistry and health · 2024Article
- Impact of traffic congestion on asthma-related hospital visits in major Texas cities.PloS one · 2024Article
- Uncertainty Reduction and Environmental Justice in Air Pollution Epidemiology: The Importance of Minority Representation.GeoHealth · 2023Article
- Greenness exposure: beneficial but multidimensional.Breathe (Sheffield, England) · 2023Review
- Adaptation Resources and Responses to Wildfire Smoke and Other Forms of Air Pollution in Low-Income Urban Settings: A Mixed-Methods Study.International journal of environmental research and public health · 2023Article
- Human Health and Well-being in a Warming World.The Milbank quarterly · 2023Article
- Utilization Intention of Community Pharmacy Service under the Dual Threats of Air Pollution and COVID-19 Epidemic: Moderating Effects of Knowledge and Attitude toward COVID-19.International journal of environmental research and public health · 2022Article
- Integrating Urban Land Tenure Security in Health Determinants: The Design of Indicators for Measuring Land Tenure Security and Health Relationships in Developing Country Contexts.International journal of environmental research and public health · 2022Review
- Resilience and Equity in a Time of Crises: Investing in Public Urban Greenspace Is Now More Essential Than Ever in the US and Beyond.International journal of environmental research and public health · 2021Article
- Virtual Reality Representations of Nature to Improve Well-Being amongst Older Adults: a Rapid Review.Journal of technology in behavioral science · 2021Review
- Association Between Residential Greenness, Cardiometabolic Disorders, and Cardiovascular Disease Among Adults in China.JAMA network open · 2020Article
- Geographic Distribution of Racial Differences in Prostate Cancer Mortality.JAMA network open · 2020Article
- Connecting Air Quality with Emotional Well-Being and Neighborhood Infrastructure in a US City.Environmental health insights · 2020Article
- Putting Co-Exposures on Equal Footing: An Ecological Analysis of Same-Scale Measures of Air Pollution and Social Factors on Cardiovascular Disease in New York City.International journal of environmental research and public health · 2019Article
- Using nursing science to advance policy and practice in the context of social and structural determinants of health.Nursing outlookArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Environmental burdens such as air pollution are inequitably distributed with groups of lower socioeconomic statuses, which tend to comprise of large proportions of racial minorities, typically bearing greater exposure. Such groups have also been shown to present more severe health outcomes which can be related to adverse pollution exposure. Air pollution exposure, especially in urban areas, is usually impacted by the built environment, such as major roadways, which can be a significant source of air pollution. This study aims to examine inequities in prevalence of cardiovascular and respiratory diseases in the Atlanta metropolitan region as they relate to exposure to air pollution and characteristics of the built environment. Census tract level data were obtained from multiple sources to model health outcomes (asthma, chronic obstructive pulmonary disease, coronary heart disease, and stroke), pollution exposure (particulate matter and nitrogen oxides), demographics (ethnicity and proportion of elderly residents), and infrastructure characteristics (tree canopy cover, access to green space, and road intersection density). Conditional autoregressive models were fit to the data to account for spatial autocorrelation among census tracts. The statistical model showed areas with majority African-American populations had significantly higher exposure to both air pollutants and higher prevalence of each disease. When considering univariate associations between pollution and health outcomes, the only significant association existed between nitrogen oxides and COPD being negatively correlated. Greater percent tree canopy cover and green space access were associated with higher prevalence of COPD, CHD, and stroke. Overall, in considering health outcomes in connection with pollution exposure infrastructure and ethnic demographics, demographics remained the most significant explanatory variable.
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Registered trials
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