Observational studyBMJ open2020
Identifying characteristics of high-poverty counties in the United States with high well-being: an observational cross-sectional study.
Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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Who cites it
4 citing papers in PubMed.
- Decoupling analysis of economic development and human well-being: A case study of the Qinghai-Xizang Plateau, China.PloS one · 2024Article
- Association of Population Well-Being With Cardiovascular Outcomes.JAMA network open · 2023Article
- The Appalachian Gap in Preventable Hospitalizations: Are We Seeing Any Progress?Journal of Appalachian health · 2023Article
- Inflection Point: Ideas for Accelerating Breakthroughs and Improving Cardiovascular Health.Circulation. Cardiovascular quality and outcomes · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo identify county characteristics associated with high versus low well-being among high-poverty counties.
designObservational cross-sectional study at the county level to investigate the associations of 29 county characteristics with the odds of a high-poverty county reporting population well-being in the top quintile versus the bottom quintile of well-being in the USA. County characteristics representing key determinants of health were drawn from the Robert Wood Johnson Foundation County Health Rankings and Roadmaps population health model.
settingCounties in the USA that are in the highest quartile of poverty rate.
main outcome measureGallup-Sharecare Well-being Index, a comprehensive population-level measure of physical, mental and social health. Counties were classified as having a well-being index score in the top or bottom 20% of all counties in the USA.
resultsAmong 770 high-poverty counties, 72 were categorised as having high well-being and 311 as having low well-being. The high-well-being counties had a mean well-being score of 71.8 with a SD of 2.3, while the low-well-being counties had a mean well-being score of 60.2 with a SD of 2.8. Among the six domains of well-being, basic access, which includes access to housing and healthcare, and life evaluation, which includes life satisfaction and optimism, differed the most between high-being and low-well-being counties. Among 29 county characteristics tested, six were independently and significantly associated with high well-being (p<0.05). These were lower rates of preventable hospital stays, higher supply of primary care physicians, lower prevalence of smoking, lower physical inactivity, higher percentage of some college education and higher percentage of heavy drinkers.
conclusionsAmong 770 high-poverty counties, approximately 9% outperformed expectations, reporting a collective well-being score in the top 20% of all counties in the USA. High-poverty counties reporting high well-being differed from high-poverty counties reporting low well-being in several characteristics.
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