Evidence map›Paper›PMID 31828730›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2020

Neighbourhood-level marginalization and avoidable mortality in Ontario, Canada: a population-based study.

Austin Zygmunt, Peter Tanuseputro, Paul James, Isac Lima, Meltem Tuna, Claire E Kendall

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Primary Care Attachment and Long-Term Mortality in Burn Survivors: A Population-Based Cohort Study.Journal of burn care & research : official publication of the American Burn Association · 2026
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  11. Does marginalization status and distance from the hospital impact the timing of pediatric pyeloplasty in a universal access-to-care system?Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
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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

6 authors.

Austin ZygmuntSchool of Epidemiology and Public Health, University of Ottawa, Room 101, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada. azygm025@uottawa.ca.ORCID 0000-0002-4219-6887
Peter TanuseputroOttawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, Canada.
Paul JamesICES uOttawa, The Ottawa Hospital, Civic Campus 1053 Carling Avenue, Ottawa, Canada.
Isac LimaOttawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, Canada.
Meltem TunaOttawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, Canada.
Claire E KendallOttawa Hospital Research Institute, 1053 Carling Avenue, Ottawa, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the impact of neighbourhood marginalization on avoidable mortality (AM) from preventable and treatable causes of death.

methodsAll premature deaths between 1993 and 2014 (N = 691,453) in Ontario, Canada, were assigned to quintiles of neighbourhood marginalization using the four dimensions of the Ontario Marginalization Index: dependency, ethnic concentration, material deprivation, and residential instability. We conducted two multivariate logistic regressions to examine the association between neighbourhood marginalization, first with AM compared with non-AM as the outcome, and second with AM from preventable causes compared with treatable causes as the outcome. All models were adjusted for decedent age, sex, urban/rural location, and level of comorbidity.

resultsA total of 463,015 deaths were classified as AM and 228,438 deaths were classified as non-AM. Persons living in the most materially deprived (OR, 1.24; 95% CI, 1.22 to 1.27) and residentially unstable neighbourhoods (OR, 1.13; 95% CI, 1.11 to 1.15) had greater odds of AM, particularly from preventable causes. Those living in the most dependent (OR, 0.91; 95% CI, 0.89 to 0.93) and ethnically concentrated neighbourhoods (OR, 0.93; 95% CI, 0.91 to 0.93) had lower odds of AM, although when AM occurred, it was more likely to arise from treatable causes.

conclusionDifferent marginalization dimensions have unique associations with AM. By identifying how different aspects of neighbourhood marginalization influence AM, these results may have important implications for future public health efforts to reduce inequities in avoidable deaths.

Indexed as

MortalityResidence CharacteristicsSocial MarginalizationAdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolFemaleHumansInfantLogistic ModelsMaleMiddle AgedAvoidable mortalityDependencyEthnic concentrationMarginalizationMaterial deprivationResidential instability

Identifiers

PMID31828730
PMCPMC7109211

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Registered trials

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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.