ArticlePediatrics2023
Neighborhood Opportunity and Mortality Among Children and Adults in Their Households.
Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Child Opportunity Index and Children's Health: A Meta-Analysis.Pediatrics · 2025Pooled it
- Differential expression of lymphocyte markers by neighborhood opportunity among US adults: Insights from the Midlife in the United States study.Psychoneuroendocrinology · 2026Article
- Neighborhood Opportunity and Fatal Police Pursuits in the US.JAMA network open · 2026Article
- Exploring the Impact of Child Opportunity on PICU Utilization and the Role of Public Insurance.Critical care explorations · 2026Observational
- CAKUT calculator: a clinical risk prediction tool for in-hospital mortality in neonates with congenital anomalies of the kidney and urinary tract admitted to level IV NICUs.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Neighborhood opportunity and cellular senescence in a national sample of U.S. adults.Social science & medicine (1982) · 2026Article
- Investments in Childhood Community Resources and Subsequent Adult Health Outcomes.JAMA network open · 2026Article
- Neighborhood Opportunity and Genetic Literacy in a Representative Sample of US Adults.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- A review of the impact of structural racism on lived experiences of adolescents of African descent: Implications for development, brain structure, and health.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Trends in neighbourhood socioeconomic disadvantage and mortality disparities over three decades in Denmark.Journal of epidemiology and community health · 2025Article
- Article
- Neighborhood disadvantage and elevated CD14 gene expression among middle-aged adults: Findings from the Midlife in the United States study.Psychoneuroendocrinology · 2025Article
- Explanatory capacity of measures of community context for paediatric injury hospitalisations in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Association Between Neighborhood Opportunity, Cognitive Function, and Brain Structure in Youths.Biological psychiatry global open science · 2025Article
- Article
- Neighborhood Child Opportunity and Preterm Birth Rates by Race and Ethnicity.JAMA network open · 2024Article
- Comparing two measures of neighborhood quality and internalizing and externalizing behaviors in the adolescent brain cognitive development study.Social psychiatry and psychiatric epidemiology · 2024Article
- Neighborhood Opportunity and Obesity in Early Adolescence: Differential Associations by Sex.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Policy solutions to eliminate racial and ethnic child health disparities in the USA.The Lancet. Child & adolescent health · 2024Review
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectivesResearch has linked neighborhood opportunity to health outcomes in children and adults; however, few studies have examined neighborhood opportunity and mortality risk among children and their caregivers. The objective of this study was to assess associations of neighborhood opportunity and mortality risk in children and their caregivers over 11 years.
methodsParticipants included 1 025 000 children drawn from the Mortality Disparities in American Communities study, a cohort developed by linking the 2008 American Community Survey to the National Death Index and followed for 11 years. Neighborhood opportunity was measured using the Child Opportunity Index, a measure designed to capture compounding inequities in access to opportunities for health.
resultsUsing hazard models, we observed inverse associations between Child Opportunity Index quintile and deaths among child and caregivers. Children in very low opportunity neighborhoods at baseline had 1.30 times the risk of dying over follow-up relative to those in very high opportunity neighborhoods (95% confidence interval [CI], 1.15-1.45), and this excess risk attenuated after adjustment for household characteristics (hazard ratio, 1.15; 95% CI, 0.98-1.34). Similarly, children in very low opportunity neighborhoods had 1.57 times the risk of experiencing the death of a caregiver relative to those in very high opportunity neighborhoods (95% CI, 1.50-1.64), which remained after adjustment (hazard ratio, 1.30; 95% CI, 1.23-1.38).
conclusionsOur analyses advance understanding of the adverse consequences of inequitable neighborhood contexts for child well-being and underscore the potential importance of place-based policies for reducing disparities in child and caregiver mortality.
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