Evidence map›Paper›PMID 32880096›Full record

ArticleJournal of racial and ethnic health disparities2021

Longitudinal Effects of Transportation Vulnerability on the Association Between Racial/Ethnic Segregation and Youth Cardiovascular Health.

Emily M D'Agostino, Hersila H Patel, Eric Hansen, M Sunil Mathew, Sarah E Messiah

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06595251 (Community Park-Based Programs for Health Promotion), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT06595251 recruitingnot on this map

Community Park-Based Programs for Health Promotion: Fit2Play Prospective Cohort Study

TypeobservationalSponsorDuke UniversityRan2020 to 2027Enrolled5,000ConditionsOverweight, Obesity, Hypertension, PrehypertensionArmsFit2Play curriculum
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  3. Review
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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

5 authors.

Emily M D'AgostinoDepartment of Family Medicine and Community Health, Duke University School of Medicine, 2200 W. Main St., Office 623, 6th Fl, Durham, NC, 27705, USA. emily.m.dagostino@duke.edu.ORCID https://orcid.org/0000-0003-0468-4836
Hersila H PatelMiami-Dade County Department of Parks, Recreation and Open Spaces, 275 NW 2nd St, Miami, FL, 33128, USA.
Eric HansenMiami-Dade County Department of Parks, Recreation and Open Spaces, 275 NW 2nd St, Miami, FL, 33128, USA.
M Sunil MathewDepartment of Pediatrics, University of Miami Miller School of Medicine, 1601 NW 12th Ave, Miami, FL, USA.
Sarah E MessiahDepartment of Pediatrics, University of Miami Miller School of Medicine, 1601 NW 12th Ave, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransportation vulnerability (defined as lack of personal/public transportation access) is particularly prevalent in areas with high racial/ethnic segregation where communities typically lack proximity to quality education, jobs, healthy food, playgrounds, and medical care. Prior research has shown an association between residential segregation and youth cardiovascular health, although little work has examined the effects of transportation vulnerability on this relationship.

methodsLongitudinal mixed methods were used to compare the effects of transportation vulnerability on the association between changes in exposure to residential segregation (defined as the uneven geographic distribution of minorities) and five cardiovascular health outcomes across sex in minority youth for up to four consecutive years of participation in an afterschool fitness program during 2010-2018 (n = 2742; Miami-Dade County, Florida, US).

resultsAfter accounting for child race/ethnicity, age, year, and poverty, girls with high transportation vulnerability and reduced exposure to segregation (vs. increased or no change in segregation) showed the most improvements across all outcomes, including body mass index percentile (26% (95% CI 23.84, 28.30)), sum of skinfold thicknesses (18% (95% CI 14.90, 20.46)), run time (17% (95% CI 14.88, 18.64)), systolic blood pressure percentile (15% (95% CI 11.96, 17.08)), and diastolic blood pressure percentile (12% (95% CI 9.09, 14.61)).

conclusionTransportation inequities related to concentrated racial/ethnic segregation may be an important factor in reducing disparities in youth cardiovascular health, particularly among girls. These study findings provide important longitudinal evidence in support of health interventions to reduce transportation vulnerability for racial/ethnic minority youth in underserved areas.

Indexed as

Social SegregationCardiovascular DiseasesChildFemaleFloridaHumansLongitudinal StudiesMaleTransportationCardiovascular healthFitnessHealth disparitiesRacial/ethnic segregationTransportation vulnerabilityYouth

Identifiers

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Registered trials

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.