Evidence map›Paper›PMID 34189179›Full record

ArticleOpen forum infectious diseases2021

Sociodemographic Inequalities in Urinary Tract Infection in 2 Large California Health Systems.

Joan A Casey, Kara E Rudolph, Sarah C Robinson, Katia Bruxvoort, Eva Raphael, Vennis Hong, Alice Pressman, Rachel Morello-Frosch, Rong X Wei, Sara Y Tartof

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% of its field
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Carbapenem-resistantbioRxiv : the preprint server for biology · 2026
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  8. ZoonoticmBio · 2025
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  11. Trends in UropathogenicOpen forum infectious diseases · 2025
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  12. Article
  13. Article
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  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

10 authors at 5 institutions in 1 country.

Joan A CaseyDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.ORCID https://orcid.org/0000-0002-9809-4695
Kara E RudolphDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.
Sarah C RobinsonCenter for Health Systems Research, Sutter Health, Walnut Creek, California, USA.
Katia BruxvoortDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Eva RaphaelDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, California, USA.
Vennis HongDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Alice PressmanCenter for Health Systems Research, Sutter Health, Walnut Creek, California, USA.
Rachel Morello-FroschDepartment of Environmental Science, Policy and Management and School of Public Health, University of California, Berkeley, Berkeley, California, USA.ORCID https://orcid.org/0000-0003-1153-7287
Rong X WeiDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Sara Y TartofDepartment of Research & Evaluation, Kaiser Permanente Southern California and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, USA.
Kaiser Permanente · USColumbia University · USSutter Health · USUniversity of California, Berkeley · USUniversity of California, San Francisco · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Antimicrobial resistant E. coli before and after California Senate bill 27 (ARES): a natural experimentR01AI130066 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI TARTOF, SARA · 2017 to 2021
$3.8M
NIAID NIH HHS R01 AI130066NIEHS NIH HHS P30 ES009089
6 · The paper itself

Abstract

backgroundUrinary tract infection (UTI) accounts for a substantial portion of outpatient visits and antibiotic prescriptions in the United States. Few studies have considered sociodemographic factors including low socioeconomic status (SES)-which may increase residential crowding, inappropriate antibiotic prescribing, or comorbidities-as UTI or multidrug-resistant (MDR) UTI risk factors.

methodsWe used 2015-2017 electronic health record data from 2 California health care systems to assess whether 3 sociodemographic factors-use of Medicaid, use of an interpreter, and census tract-level deprivation-were associated with overall UTI or MDR UTI. UTIs resistant to ≥3 antibiotic classes were considered MDR.

resultsAnalyses included 601 352 UTI cases, 1 303 455 controls, and 424 977 urinary

conclusionsWe found low SES and use of an interpreter to be novel risk factors for MDR UTI in the United States.

Indexed as

epidemiologymultidrug resistance (MDR)socioeconomic disparitiesurinary tract infection (UTI)

Identifiers

PMID34189179
PMCPMC8231389
OpenAlexW3165456893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.