Evidence map›Paper›PMID 40190693›Full record

ArticleNature cities2025

Social disparities in neighborhood flood exposure in 44,698 urban neighborhoods in Latin America.

Josiah L Kephart, Usama Bilal, Nelson Gouveia, Olga Lucia Sarmiento, Emily Shingara, Karla Rangel Moreno, Maryia Bakhtsiyarava, Juan Pablo Rodriguez, Salvador Ayala, Gabriel Carrasco-Escobar and 2 more

Abstract read
In one paragraph

Article in Nature cities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Josiah L KephartUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.ORCID 0000-0003-2556-4892
Usama BilalUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.ORCID 0000-0002-9868-7773
Nelson GouveiaUniversity of São Paulo Medical School, São Paulo, Brazil.ORCID 0000-0003-0625-0265
Olga Lucia SarmientoSchool of Medicine, Universidad de los Andes, Bogotá, Colombia.ORCID 0000-0002-9190-3568
Emily ShingaraDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.ORCID 0009-0007-2979-4878
Karla Rangel MorenoInstituto Nacional de Salud Pública, Cuernavaca, Mexico.ORCID 0000-0001-6422-2700
Maryia BakhtsiyaravaUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.ORCID 0000-0001-5327-4556
Juan Pablo RodriguezDepartment of Civil and Environmental Engineering, Universidad de los Andes, Bogotá, Colombia.
Salvador AyalaInstituto de Salud Poblacional, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Gabriel Carrasco-EscobarHealth Innovation Laboratory, Alexander von Humboldt Institute of Tropical Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0002-6945-0419
Ana V Diez RouxUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
SALURBAL Group

Funding

Catalyzing Systemic Change at Drexel University to Support Diverse Faculty in Health Disparities Research - Administrative SupplementU54CA267735 · NCI · DREXEL UNIVERSITY · PI DIEZ ROUX, ANA VICTORIA, GITLIN, LAURA N. · 2021 to 2024
$14.2M
The Health Consequences of Urban ScalingDP5OD026429 · OD · DREXEL UNIVERSITY · PI BILAL, USAMA · 2018 to 2022
$2.7M
NCI NIH HHS U54 CA267735NIH HHS DP5 OD026429Wellcome Trust 227810
6 · The paper itself

Abstract

Climate change is expected to greatly increase exposure to flooding, particularly among urban populations in low- and middle-income countries. Here we used daily flood data (2000-2018) to describe socioeconomic disparities in flooding on the basis of neighborhood educational attainment, comparing disparities across and within cities. We used multilevel models to examine disparities in area flooding by city- and neighborhood-level factors, including 44,698 neighborhoods in 276 cities from eight countries with a total of 223 million residents and 117 distinct flood events. One in 4 of residents of neighborhoods in the lowest quintile of educational attainment were exposed to flooding, compared with 1 in 20 residents of neighborhoods in the highest quintile of educational attainment. Neighborhoods experiencing more flooding included those with lower educational attainment, that were coastal, less dense, further from the city center and greener, and that had steeper slopes. We show large social disparities in neighborhood flooding within Latin American cities. Policymakers must prioritize flood adaptation and recovery efforts in neighborhoods with lower socioeconomic status.

Identifiers

PMID40190693
PMCPMC7617554

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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.