ArticleInternational journal of environmental research and public health2019
Cumulative Impact of Environmental Pollution and Population Vulnerability on Pediatric Asthma Hospitalizations: A Multilevel Analysis of CalEnviroScreen.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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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.
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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.
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Who cites it
23 citing papers in PubMed.
- Article
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- Eliminating air pollution disparities requires more than emission reduction.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- A Co-Created, Community-Informed Model for Electric Vehicle Adoption in Disadvantaged Communities.Transportation research. Part D, Transport and environment · 2025Article
- Does socioeconomic and environmental burden affect vulnerability to extreme air pollution and heat? A case-crossover study of mortality in California.Journal of exposure science & environmental epidemiology · 2025Article
- Advancing environmental epidemiologic methods to confront the cancer burden.American journal of epidemiology · 2025Article
- The private well water climate impact index: Characterization of community-level climate-related hazards and vulnerability in the continental United States.The Science of the total environment · 2024Article
- Clinical and inflammatory features of traffic-related diesel exposure in children with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024Article
- Cancer Incidence Relation to Heavy Metals in Soils of Kyzylorda Region of Kazakhstan.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Environmental Injustice Is Associated With Poorer Asthma Outcomes in School-Age Children With Asthma in Metropolitan Atlanta, Georgia.The journal of allergy and clinical immunology. In practice · 2024Article
- Equity and modeling in sustainability science: Examples and opportunities throughout the process.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Epidemiology and Risk Factors for Breast Cancer: 21st Century Advances, Gaps to Address through Interdisciplinary Science.Cold Spring Harbor perspectives in medicine · 2023Review
- Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort.International journal of environmental research and public health · 2023Article
- Environmental justice burden and Black-White disparities in spontaneous preterm birth in Harris County, Texas.Frontiers in reproductive health · 2023Article
- Structural Racism and the Social Determinants of Health in Asthma.Advances in experimental medicine and biology · 2023Article
- Evidence-Based Interventions for Reducing Breast Cancer Disparities: What Works and Where the Gaps Are?Cancers · 2022Review
- Structural racism and its pathways to asthma and atopic dermatitis.The Journal of allergy and clinical immunology · 2021Review
- Effects of Air Pollutants on Airway Diseases.International journal of environmental research and public health · 2021Review
- The energy crises revealed by COVID: Intersections of Indigeneity, inequity, and health.Energy research & social science · 2020Review
- Impact of Air Pollution on Asthma Outcomes.International journal of environmental research and public health · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
The CalEnviroScreen created by the Office of Environmental Health Hazard Assessment, Sacramento, USA, is a place-based dataset developed to measure environmental and social indicators that are theorized to have cumulative health impacts on populations. The objective of this study was to examine the extent to which the composite scores of the CalEnviroScreen tool are associated with pediatric asthma hospitalization. This was a retrospective analysis of California hospital discharge data from 2010 to 2012. Children who were hospitalized for asthma-related conditions, were aged 0-14 years, and resided in California were included in analysis. Rates of hospitalization for asthma-related conditions among children residing in California were calculated. Poisson multilevel modeling was used to account for individual- and neighborhood-level risk factors. Every unit increase in the CalEnviroScreen Score was associated with an increase of 1.6% above the mean rate of pediatric asthma hospitalizations (rate ratio (RR) = 1.016, 95% confidence interval (CI) = 1.014-1.018). Every unit increase in racial/ethnic segregation and diesel particulate matter was associated with an increase of 1.1% and 0.2% above the mean rate of pediatric asthma, respectively (RR = 1.011, 95% CI = 1.010-1.013; RR = 1.002, 95% CI = 1.001-1.004). The CalEnviroScreen is a unique tool that combines socioecological factors and environmental indicators to identify vulnerable communities with major health disparities, including pediatric asthma hospital use. Future research should identify mediating factors that contribute to community-level health disparities.
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