Evidence map›Paper›PMID 32493328›Full record

SynthesisBMC public health2020

Environmental determinants of population health in urban settings. A systematic review.

Marta Salgado, Joana Madureira, Ana Sofia Mendes, Anália Torres, João Paulo Teixeira, Mónica Duarte Oliveira

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
–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

46 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Monitoring and evaluation instruments of individual health in community settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026
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  16. Population health management of human phenotype ontology.Frontiers in artificial intelligence · 2025
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  17. Population health management fit lifecycles in analytics.Frontiers in artificial intelligence · 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.

Marta SalgadoInstitute of Environmental Health (ISAMB), Faculty of Medicine of the University of Lisbon (FMUL), Universidade de Lisboa, Av. Prof. Egas Moniz, 1649-028, Lisbon, Portugal. marta.salgado@campus.ul.pt.ORCID http://orcid.org/0000-0003-0164-7271
Joana MadureiraEnvironmental Health Department, National Institute of Health, R. de Alexandre Herculano 321, 4000-055, Porto, Portugal.
Ana Sofia MendesEnvironmental Health Department, National Institute of Health, R. de Alexandre Herculano 321, 4000-055, Porto, Portugal.
Anália TorresVALORSUL, Estação Mercadorias Bobadela, Plataforma Ribeirinha CP, 2696-801, Lisbon, São João da Talha, Portugal.
João Paulo TeixeiraEnvironmental Health Department, National Institute of Health, R. de Alexandre Herculano 321, 4000-055, Porto, Portugal.
Mónica Duarte OliveiraCEG-IST, Centro de Estudos de Gestão do Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1, 1049-001, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopulation health is influenced by interactions between environmental determinants, which are captured by dimensions and indicators. This study aims to systematically review key environmental determinants and respective dimensions and indicators, relevant to evaluate population health in urban settings, and to understand their potential implications into policies.

methodsA search of literature published between 2008 and 2018 was conducted in PubMed, Web of Science, Scopus and SciELO Portugal databases, on studies with evidence on association between an environmental determinant and a health outcome in urban contexts. Health determinants, dimensions and indicators researched in the selected studies were synthetized, and associations analyzed. An independent assessment of quality of the studies was performed. Key conclusions and policy recommendations were extracted to build a framework to analyze environment related population health and policies in urban settings.

resultsNinety four studies of varied methodological approaches and quality met the inclusion criteria. The review identified positive associations between all environmental determinants -socioeconomic, built environment, natural environment, healthcare, behaviors, and health outcomes - overall mortality and morbidity, in urban settings. Improvements in income, education, air quality, occupation status, mobility and smoking habits indicators have positive impact in overall mortality and chronic diseases morbidity indicators. Initiatives to improve population health in which policymakers can be more evidence-informed include socioeconomic, natural environment and built environment determinants.

conclusionsThere is scope and need to further explore which environmental determinants and dimensions most contribute to population health to create a series of robust evidence-based measures to better inform urban planning policies.

Indexed as

AdolescentAdultAgedAir PollutionEmploymentEnvironment DesignFemaleHumansIncomeMaleMiddle AgedPopulation HealthPortugalSocial Determinants of HealthSocioeconomic FactorsUrban HealthEnvironmental determinantsPopulation healthSystematic reviewUrban settings

Identifiers

PMID32493328
PMCPMC7271472

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.