Evidence map›Paper›PMID 34444093›Full record

ArticleInternational journal of environmental research and public health2021

Geography as a Determinant of Health: Health Services Utilization of Pediatric Respiratory Illness in a Canadian Province.

Shehzad Kassam, Jesus Serrano-Lomelin, Anne Hicks, Susan Crawford, Jeffrey A Bakal, Maria B Ospina

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

6 authors at 2 institutions in 1 country.

Shehzad KassamDepartment of Family Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Jesus Serrano-LomelinDepartment of Obstetrics & Gynecology, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2S2, Canada.ORCID 0000-0003-1627-3647
Anne HicksDepartment of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Susan CrawfordAlberta Perinatal Health Program, Alberta Health Services, Edmonton, AB T2N 2T9, Canada.
Jeffrey A BakalProvincial Research Data Services, Alberta Health Services, Edmonton, AB T6G 2C8, Canada.ORCID 0000-0002-3658-2554
Maria B OspinaDepartment of Obstetrics & Gynecology, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2S2, Canada.ORCID 0000-0001-9305-7521
University of Alberta · CAAlberta Health Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory diseases contribute to high healthcare utilization rates among children. Although social inequalities play a major role in these conditions, little is known about the impact of geography as a determinant of health, particularly with regard to the difference between rural and urban centers. A regional geographic analysis was conducted using health repository data on singleton births between 2005 and 2010 in Alberta, Canada. Data were aggregated according to regional health sub-zones in the province and standardized prevalence ratios (SPRs) were determined for eight respiratory diseases (asthma, influenza, bronchitis, bronchiolitis, croup, pneumonia, and other upper and other lower respiratory tract infections). The results indicate that there are higher rates of healthcare utilization in northern compared to southern regions and in rural and remote regions compared to urban ones, after accounting for both material and social deprivation. Geography plays a role in discrepancies of healthcare utilization for pediatric respiratory diseases, and this can be used to inform the provision of health services and resource allocation across various regions.

Indexed as

Facilities and Services UtilizationPatient Acceptance of Health CareAlbertaChildGeographyHumansRetrospective Studiesgeographyhealth inequalitiespediatricsrespiratory diseases

Identifiers

PMID34444093
PMCPMC8392806
OpenAlexW3190587088

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.