Evidence map›Paper›PMID 34878846›Full record

ArticleScience advances2021

Scaling of mortality in 742 metropolitan areas of the Americas.

Usama Bilal, Caio P de Castro, Tania Alfaro, Tonatiuh Barrientos-Gutierrez, Mauricio L Barreto, Carlos M Leveau, Kevin Martinez-Folgar, J Jaime Miranda, Felipe Montes, Pricila Mullachery and 5 more

Abstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

15 citing papers in PubMed.

  1. Large cities lose their growth advantage as countries urbanize.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
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  5. Article
  6. Article
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  10. Urban Environments, Health, and Environmental Sustainability: Findings From the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Review
  11. Article
  12. Spatial Inequities in Life Expectancy in Small Areas of Buenos Aires, Argentina 2015-2017.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
    Article
  13. Article
  14. Article
  15. Review
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

15 authors.

Usama BilalUrban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.ORCID 0000-0002-9868-7773
Caio P de CastroCenter for Data and Knowledge Integration for Health (CIDACS), Fiocruz, Salvador, Bahia, Brazil.ORCID 0000-0001-5316-7515
Tania AlfaroEscuela de Salud Pública, Universidad de Chile, Santiago de Chile, Chile.
Tonatiuh Barrientos-GutierrezInstituto Nacional de Salud Pública, Cuernavaca, Mexico.ORCID 0000-0002-0826-9106
Mauricio L BarretoCenter for Data and Knowledge Integration for Health (CIDACS), Fiocruz, Salvador, Bahia, Brazil.ORCID 0000-0002-0215-4930
Carlos M LeveauInstituto de Producción, Economía y Trabajo, Universidad Nacional de Lanús, Buenos Aires, Argentina.ORCID 0000-0001-6240-9811
Kevin Martinez-FolgarUrban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.ORCID 0000-0001-9262-298X
J Jaime MirandaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0002-4738-5468
Felipe MontesDepartment of Industrial Engineering, Universidad de los Andes, Bogotá, Colombia.ORCID 0000-0002-9923-4004
Pricila MullacheryUrban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.ORCID 0000-0003-4758-3875
Maria Fatima PinaInstitute for Information and Communication on Health-ICICT/FIOCRUZ, Rio de Janeiro, Brazil.ORCID 0000-0002-1521-7865
Daniel A RodriguezDepartment of City and Regional Planning, University of California, Berkeley, Berkeley, CA, USA.ORCID 0000-0001-6550-5518
Gervasio F Dos SantosCenter for Data and Knowledge Integration for Health (CIDACS), Fiocruz, Salvador, Bahia, Brazil.ORCID 0000-0002-3545-3590
Roberto F S AndradeCenter for Data and Knowledge Integration for Health (CIDACS), Fiocruz, Salvador, Bahia, Brazil.
Ana V Diez RouxUrban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.ORCID 0000-0001-9658-7050

Funding

The Health Consequences of Urban ScalingDP5OD026429 · OD · DREXEL UNIVERSITY · PI BILAL, USAMA · 2018 to 2022
$2.7M
NIH HHS DP5 OD026429Wellcome Trust 205177
6 · The paper itself

Abstract

We explored how mortality scales with city population size using vital registration and population data from 742 cities in 10 Latin American countries and the United States. We found that more populated cities had lower mortality (sublinear scaling), driven by a sublinear pattern in U.S. cities, while Latin American cities had similar mortality across city sizes. Sexually transmitted infections and homicides showed higher rates in larger cities (superlinear scaling). Tuberculosis mortality behaved sublinearly in U.S. and Mexican cities and superlinearly in other Latin American cities. Other communicable, maternal, neonatal, and nutritional deaths, and deaths due to noncommunicable diseases were generally sublinear in the United States and linear or superlinear in Latin America. Our findings reveal distinct patterns across the Americas, suggesting no universal relation between city size and mortality, pointing to the importance of understanding the processes that explain heterogeneity in scaling behavior or mortality to further advance urban health policies.

Identifiers

PMID34878846
PMCPMC8654292

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.