Evidence map›Paper›PMID 35120683›Full record

ArticleSpatial and spatio-temporal epidemiology2022

Spatially varying racial inequities in cardiovascular health and the contribution of individual- and neighborhood-level characteristics across the United States: The REasons for geographic and racial differences in stroke (REGARDS) study.

Loni Philip Tabb, Ana V Diez Roux, Sharrelle Barber, Suzanne Judd, Gina Lovasi, Andrew Lawson, Leslie A McClure

Abstract read
In one paragraph

Article in Spatial and spatio-temporal epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
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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

7 authors.

Loni Philip TabbDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA 19104, United States of America. Electronic address: lpp22@drexel.edu.
Ana V Diez RouxDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA 19104, United States of America. Electronic address: avd37@drexel.edu.
Sharrelle BarberDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA 19104, United States of America. Electronic address: smb483@drexel.edu.
Suzanne JuddSchool of Public Health, Department of Biostatistics, University of Alabama at Birmingham, United States of America. Electronic address: sejudd@uab.edu.
Gina LovasiDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA 19104, United States of America. Electronic address: gsl45@drexel.edu.
Andrew LawsonCollege of Medicine, Medical University of South Carolina, United States of America.
Leslie A McClureDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA 19104, United States of America. Electronic address: lam439@drexel.edu.

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Communities Designed to Support Cardiovascular Health for Older AdultsR01AG049970 · NIA · DREXEL UNIVERSITY · PI LOVASI, GINA S · 2015 to 2018
$2.8M
ConProject-003R56AG049970 · NIA · DREXEL UNIVERSITY · PI LOVASI, GINA S · 2022 to 2023
$1.3M
Assessing the spatial heterogeneity in cardiovascular risk factors within and between blacks and whitesK01HL133515 · NHLBI · DREXEL UNIVERSITY · PI TABB, LONI PHILIP · 2017 to 2021
$799k
NHLBI NIH HHS K01 HL133515NIA NIH HHS R01 AG049970NIA NIH HHS R56 AG049970NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

Black-White inequities in cardiovascular health (CVH) pose a significant public health challenge, with these disparities also varying geographically across the US. There remains limited evidence of the impact of social determinants of health on these inequities. Using a national population-based cohort from the REasons for Geographic and Racial Differences in Stroke study, we assessed the spatial heterogeneity in Black-White differences in CVH and determined the extent to which individual- and neighborhood-level characteristics explain these inequities. We utilized a Bayesian hierarchical statistical framework to fit spatially varying coefficient models. Results showed overall and spatially varying inequities, where Black participants had significantly poorer CVH. The maps of the state level random effects also highlighted how inequities vary. The evidence produced in this study further highlights the importance of multilevel approaches - at the individual- and neighborhood-levels - that need to be in place to address these geographic and racial differences in CVH.

Indexed as

StrokeWhite PeopleBayes TheoremBlack or African AmericanHealth Status DisparitiesHumansRace FactorsResidence CharacteristicsUnited StatesCardiovascular healthIndividual- and neighborhood-level characteristicsRacial inequitiesResidential segregationSpatial heterogeneity

Identifiers

PMID35120683
PMCPMC8867394

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Registered trials

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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.