Evidence map›Paper›PMID 39603727›Full record

ReviewPediatric clinics of North America2025

A Call for Pediatric Clinicians to Address Environmental Health Concerns in Rural Settings.

Rachel Criswell, Kelsey Gleason, Ahlam K Abuawad, Margaret R Karagas, Kathleen Grene, Ana M Mora, Brenda Eskenazi, Katie Senechal, Anne M Mullin, Lisa B Rokoff and 1 more

Abstract readReview
In one paragraph

Review in Pediatric clinics of North America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

11 authors.

Rachel CriswellSkowhegan Family Medicine, Redington-Fairview General Hospital, 46 Fairview Avenue, Suite 334, PO Box 468, Skowhegan, ME 04976, USA; Department of Epidemiology, Geisel School of Medicine and Children's Environmental Health and Disease Prevention Research Center at Dartmouth, 1 Medical Center Drive, Williamson Building, 7th Floor, Lebanon, NH 03756, USA; Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA. Electronic address: rcriswell@rfgh.net.
Kelsey GleasonDepartment of Biomedical and Health Sciences, University of Vermont, 106 Carrigan Drive, Rowell Building, Burlington, VT 05405, USA.
Ahlam K AbuawadDepartment of Epidemiology, Geisel School of Medicine and Children's Environmental Health and Disease Prevention Research Center at Dartmouth, 1 Medical Center Drive, Williamson Building, 7th Floor, Lebanon, NH 03756, USA.
Margaret R KaragasDepartment of Epidemiology, Geisel School of Medicine and Children's Environmental Health and Disease Prevention Research Center at Dartmouth, 1 Medical Center Drive, Williamson Building, 7th Floor, Lebanon, NH 03756, USA.
Kathleen GrenePediatrics, Yale-New Haven Hospital, New Haven, CT, USA.
Ana M MoraCenter for Environmental Research and Community Health (CERCH), School of Public Health, University of California, 1995 University Avenue, Suite 265, Berkeley, CA 94704, USA.
Brenda EskenaziCenter for Environmental Research and Community Health (CERCH), School of Public Health, University of California, 1995 University Avenue, Suite 265, Berkeley, CA 94704, USA.
Katie SenechalDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA; Center for Interdisciplinary and Population Health Research, MaineHealth Institute for Research, 1 Riverfront Plaza, Floor 4, Westbrook, ME 04902, USA.
Anne M MullinTufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA.
Lisa B RokoffTufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA; Center for Interdisciplinary and Population Health Research, MaineHealth Institute for Research, 1 Riverfront Plaza, Floor 4, Westbrook, ME 04902, USA.
Abby F FleischTufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA; Center for Interdisciplinary and Population Health Research, MaineHealth Institute for Research, 1 Riverfront Plaza, Floor 4, Westbrook, ME 04902, USA; Pediatric Endocrinology and Diabetes, Maine Medical Center, 887 Congress Street, Suite 300, Portland, ME 04102, USA.

Funding

Prospective associations of childhood PFAS with metabolomic profiles, pubertal timing, and bone healthR01ES030101 · NIEHS · MAINEHEALTH · PI Abby Fleisch · 2019 to 2026
$3.6M
Training Program for Quantitative Population Sciences in CancerT32CA134286 · NCI · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA, TOSTESON, TOR D · 2020 to 2024
$1.5M
Exposure pathways and mental health impact of PFAS-contaminated biosolidsR21ES035596 · NIEHS · MAINEHEALTH · PI CRISWELL, RACHEL, FLEISCH, ABBY · 2023 to 2023
$430k
NCI NIH HHS T32 CA134286NIEHS NIH HHS R01 ES030101NIEHS NIH HHS R21 ES035596NIOSH CDC HHS T42 OH008416
6 · The paper itself

Abstract

Children in rural communities encounter unique environmental exposures, many of which can result in negative long-term health consequences. Children are particularly at risk from these exposures due to their close interaction with the environment and developing physiology. The authors describe 3 rural environmental hazards: wood stove smoke, well water contaminants, and agricultural pollutants. Contaminants found in these exposures have adverse respiratory, neurodevelopmental, cardiometabolic, and carcinogenic effects, among others. The authors recommend that rural pediatric clinicians screen for these environmental exposures, and they provide tools and resources related to testing, mitigation, and medical monitoring.

Indexed as

Environmental ExposureEnvironmental HealthRural PopulationChildHumansPediatricsBiosolidsEnvironmental healthPesticidesRural healthWell waterWood stove

Identifiers

PMID39603727
PMCPMC11687418

What OpenQuestion holds

Textmetadata
LicenceTDM
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.