Evidence map›Paper›PMID 34481153›Full record

ArticleHealth & place2021

Neighborhood-level COVID-19 hospitalizations and mortality relationships with built environment, active and sedentary travel.

Behram Wali, Lawrence D Frank

Abstract read
In one paragraph

Article in Health & place, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Neighbourhood Walkability and Physical Activity during the COVID-19 Pandemic.International journal of environmental research and public health · 2024
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  6. Church Closings Were Associated with Higher COVID-19 Infection Rates: Implications for Community Health Equity.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
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  17. The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities.International journal of environmental research and public health · 2021
    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

2 authors.

Behram WaliUrban Design 4 Health, Inc, 24 Jackie Circle East, Rochester, NY, 14612, USA. Electronic address: bwali@ud4h.com.
Lawrence D FrankUrban Design 4 Health, Inc, 24 Jackie Circle East, Rochester, NY, 14612, USA; Urban Studies and Planning, University of California at San Diego, Social Sciences Public Engagement Building (PEB), 9625 Scholars Drive North MC 0517, PEB, La Jolla, CA, 92093, USA. Electronic address: ldfrank@ucsd.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most of the existing literature concerning the links between built environment and COVID-19 outcomes is based on aggregate spatial data averaged across entire cities or counties. We present neighborhood level results linking census tract-level built environment and active/sedentary travel measures with COVID-19 hospitalization and mortality rates in King County Washington. Substantial variations in COVID-19 outcomes and built environment features existed across neighborhoods. Using rigorous simulation-assisted discrete outcome random parameter models, the results shed new lights on the direct and indirect connections between built environment, travel behavior, positivity, hospitalization, and mortality rates. More mixed land use and greater pedestrian-oriented street connectivity is correlated with lower COVID-19 hospitalization/fatality rates. Greater participation in sedentary travel correlates with higher COVID-19 hospitalization and mortality whereas the reverse is true for greater participation in active travel. COVID-19 hospitalizations strongly mediate the relationships between built environment, active travel, and COVID-19 survival. Ignoring unobserved heterogeneity even when higher resolution smaller area spatial data are harnessed leads to inaccurate conclusions.

Indexed as

Built EnvironmentCOVID-19HospitalizationHumansSARS-CoV-2WalkingActive travelBuilt environmentCOVID-19 hospitalizationsCOVID-19 mortalityPath analysisPoisson modelRandom parametersTransportation

Identifiers

PMID34481153
PMCPMC8379098

What OpenQuestion holds

Textmetadata
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.