Evidence map›Paper›PMID 40108583›Full record

ArticleBMC public health2025

Court-mandated redistricting and disparities in infant mortality and deaths of despair.

Alina Schnake-Mahl, Giancarlo Anfuso, Usama Bilal, Neal D Goldstein, Jonathan Purtle, Stephanie M Hernandez, Jan M Eberth

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Measuring the Health of Philadelphia's City Council Districts.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  2. 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

7 authors.

Alina Schnake-MahlDepartment of Health Management and Policy, Dornsife School of Public Health, Urban Health Collaborative, Drexel University, Philadelphia, PA, USA. alinasmahl@drexel.edu.
Giancarlo AnfusoDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Urban Health Collaborative, Drexel University, Philadelphia, PA, USA.
Usama BilalDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Urban Health Collaborative, Drexel University, Philadelphia, PA, USA.
Neal D GoldsteinDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Jonathan PurtleDepartment of Public Health Policy and Management, New York University School of Global Public Health, New York, NY, USA.
Stephanie M HernandezDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Jan M EberthDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.

Funding

Catalyzing Systemic Change at Drexel University to Support Diverse Faculty in Health Disparities Research - Administrative SupplementU54CA267735 · NCI · DREXEL UNIVERSITY · PI MCCLURE, LESLIE AIN · 2021 to 2024
$14.2M
Policy Implementation Research on Earmarked Taxes for Mental Health ServicesR21MH125261 · NIMH · NEW YORK UNIVERSITY · PI PURTLE, JONATHAN · 2021 to 2022
$404k
National Institute of Allergy and Infectious Diseases K01AI168579NIH Office of the Director U54CA267735NIMH NIH HHS R21MH125261Office of the director, National Institt DP5OD26429Urban Health Collaborative Masters fellowship
6 · The paper itself

Abstract

backgroundHealth and health disparities vary substantially by geography, including geopolitical boundaries such as United States congressional districts. Every ten years congressional districts for the House of Representatives are redistricted, but occasionally the Courts step in and force states to redistrict gerrymandered congressional maps. Analyses of court mandated redistricting decisions often focus on the distribution of voters by political party and race, but less is known about how health and health disparities are distributed across congressional districts before and after redistricting. In this analysis, we examine how the magnitude of disparities varied between and within congressional districts in Pennsylvania, before and after the state Supreme Court of Pennsylvania's decision ordering a redistricting in 2018 that produced less politically gerrymandered districts.

methodsUsing georeferenced vital statistics data from 2013-2015 (before the redistricting), we explore levels of and disparities in infant mortality rates (IMR) and deaths of despair (DoD) using boundaries from before (Congresses 113-115) and after (Congress 116) this redistricting.

resultsUsing consistent mortality data (2013-2015) and boundaries from before and after the 2018 redistricting, we find that after redistricting disparities in infant mortality and deaths of despair between congressional districts were slightly wider for all educational groups except for those with less than a high school degree, and slightly narrower for all racial-ethnic groups other than for Hispanic and non-Hispanic White populations, compared with before redistricting.

conclusionsUnderstanding how disparities vary between and within districts after redistricting can inform our understanding of the relationships between geopolitical boundaries, election processes, and health disparities.

Indexed as

Health Status DisparitiesInfant MortalityPoliticsSupreme Court DecisionsFemaleHumansInfantPennsylvaniaUnited StatesAreal unitsCongressional districtsHealth disparitiesMortalityRedistricting

Identifiers

PMID40108583
PMCPMC11921522

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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.