Evidence map›Paper›PMID 41534025›Full record

ArticleAmerican journal of public health2026

Roadblocks to Rural Health: State Transportation Policies' Impact on Health Care Access in Virginia's Rural Communities: 2021-2022.

Katherine Y Tossas, Bianca D Owens, Michael O'Grady, Jinlei Zhao, Robert A Winn

Abstract read
In one paragraph

Article in American journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Katherine Y TossasKatherine Y. Tossas is an assistant professor in the School of Public Health, Department of Social and Behavioral Sciences, and the director of the Office of Catchment Area Data Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA. Bianca D. Owens is a postdoctoral research fellow at Massey Comprehensive Cancer Center. Michael O'Grady is a doctoral candidate with the L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University. Jinlei Zhao is a research specialist in the Office of Catchment Area Data Analytics. Robert A. Winn is the director of Massey Comprehensive Cancer Center.ORCID 0000-0001-6872-2294
Bianca D OwensKatherine Y. Tossas is an assistant professor in the School of Public Health, Department of Social and Behavioral Sciences, and the director of the Office of Catchment Area Data Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA. Bianca D. Owens is a postdoctoral research fellow at Massey Comprehensive Cancer Center. Michael O'Grady is a doctoral candidate with the L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University. Jinlei Zhao is a research specialist in the Office of Catchment Area Data Analytics. Robert A. Winn is the director of Massey Comprehensive Cancer Center.ORCID 0000-0002-7983-0298
Michael O'GradyKatherine Y. Tossas is an assistant professor in the School of Public Health, Department of Social and Behavioral Sciences, and the director of the Office of Catchment Area Data Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA. Bianca D. Owens is a postdoctoral research fellow at Massey Comprehensive Cancer Center. Michael O'Grady is a doctoral candidate with the L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University. Jinlei Zhao is a research specialist in the Office of Catchment Area Data Analytics. Robert A. Winn is the director of Massey Comprehensive Cancer Center.
Jinlei ZhaoKatherine Y. Tossas is an assistant professor in the School of Public Health, Department of Social and Behavioral Sciences, and the director of the Office of Catchment Area Data Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA. Bianca D. Owens is a postdoctoral research fellow at Massey Comprehensive Cancer Center. Michael O'Grady is a doctoral candidate with the L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University. Jinlei Zhao is a research specialist in the Office of Catchment Area Data Analytics. Robert A. Winn is the director of Massey Comprehensive Cancer Center.ORCID 0000-0003-0866-5026
Robert A WinnKatherine Y. Tossas is an assistant professor in the School of Public Health, Department of Social and Behavioral Sciences, and the director of the Office of Catchment Area Data Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, VA. Bianca D. Owens is a postdoctoral research fellow at Massey Comprehensive Cancer Center. Michael O'Grady is a doctoral candidate with the L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University. Jinlei Zhao is a research specialist in the Office of Catchment Area Data Analytics. Robert A. Winn is the director of Massey Comprehensive Cancer Center.ORCID 0000-0001-5948-9291

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individual and community-level transportation barriers are known drivers of health disparities, especially in rural areas. In a 2021-2022 community-based project to improve cancer screening at federally qualified health centers in Virginia, Department of Transportation policy governing road signage emerged as an unexpected but actionable barrier. Following successful advocacy for road signs directing patients to a rural federally qualified health center, screening rates increased. This highlights the need to recognize unexpected access barriers and engage nontraditional partners, such as transportation agencies, to reduce regulatory-level barriers. (

Indexed as

Health Services AccessibilityRural HealthRural PopulationTransportationEarly Detection of CancerHumansVirginia

Identifiers

PMID41534025
PMCPMC12801735

What OpenQuestion holds

Textmetadata
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.