Evidence map›Paper›PMID 41602359›Full record

ArticleEnvironmental health insights2026

Geography Matters: Integrating Spatial Determinants to Tackle Public Health Disparities.

Esteban Ortiz-Prado, Maria C Acosta-Muñoz, Karla Cuenca-Calvopiña, Maria Paz Cadena, Juan S Izquierdo-Condoy, Jorge Vasconez-Gonzalez

Abstract read
In one paragraph

Article in Environmental health insights, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Esteban Ortiz-PradoOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.ORCID https://orcid.org/0000-0002-1895-7498
Maria C Acosta-MuñozOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Karla Cuenca-CalvopiñaOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Maria Paz CadenaOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.
Juan S Izquierdo-CondoyOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.ORCID https://orcid.org/0000-0002-1178-0546
Jorge Vasconez-GonzalezOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador.ORCID https://orcid.org/0000-0003-4573-6217

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health inequalities remain a central challenge in public health and are often shaped by social and economic conditions. However, in many cases, geographic determinants are overlooked despite having a significant impact on population health. Some geographic determinants include altitude, climate, terrain, and environmental conditions. The altitude of residence can impact health in various ways; areas located at high altitudes face challenges such as living in zones with low oxygen levels and the effects of hypoxia. Climate has a direct effect on health; heatwaves can affect agricultural production, causing food shortages and nutritional problems. Similarly, geographic isolation, limited access to water, air pollution, and biodiversity loss contribute to region-specific health risks. This paper highlights the importance of incorporating geographic determinants into public health frameworks to inform the development of context-sensitive and equitable interventions. Recognizing the influence of geography is essential to reducing health disparities and improving outcomes for populations living in environmentally vulnerable areas.

Indexed as

geographic determinantshealth determinantshealth disparitieshealth inequalitiespublic health

Identifiers

PMID41602359
PMCPMC12833140

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.