2023-09-28 14:46:10 +00:00
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abstract: 'Background Transportation vulnerability (defined as lack of
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personal/public transportation access) is particularly prevalent in
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areas with high racial/ethnic segregation where communities typically
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lack proximity to quality education, jobs, healthy food, playgrounds,
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and medical care. Prior research has shown an association between
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residential segregation and youth cardiovascular health, although little
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work has examined the effects of transportation vulnerability on this
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relationship. Methods Longitudinal mixed methods were used to compare
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the effects of transportation vulnerability on the association between
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changes in exposure to residential segregation (defined as the uneven
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geographic distribution of minorities) and five cardiovascular health
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outcomes across sex in minority youth for up to four consecutive years
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of participation in an afterschool fitness program during 2010-2018 (n =
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2742; Miami-Dade County, Florida, US). Results After accounting for
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child race/ethnicity, age, year, and poverty, girls with high
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transportation vulnerability and reduced exposure to segregation (vs.
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increased or no change in segregation) showed the most improvements
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across all outcomes, including body mass index percentile (26\% (95\% CI
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23.84, 28.30)), sum of skinfold thicknesses (18\% (95\% CI 14.90,
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20.46)), run time (17\% (95\% CI 14.88, 18.64)), systolic blood pressure
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percentile (15\% (95\% CI 11.96, 17.08)), and diastolic blood pressure
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percentile (12\% (95\% CI 9.09, 14.61)). Conclusion Transportation
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inequities related to concentrated racial/ethnic segregation may be an
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important factor in reducing disparities in youth cardiovascular health,
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particularly among girls. These study findings provide important
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longitudinal evidence in support of health interventions to reduce
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transportation vulnerability for racial/ethnic minority youth in
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underserved areas.'
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affiliation: 'D''Agostino, EM (Corresponding Author), Duke Univ, Dept Family Med \&
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Community Hlth, Sch Med, 2200 W Main St,Off 623,6th Fl, Durham, NC 27705 USA.
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D''Agostino, EM (Corresponding Author), Miami Dade Cty Dept Pk Recreat \& Open Spaces,
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275 NW 2nd St, Miami, FL 33128 USA.
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D''Agostino, Emily M., Duke Univ, Dept Family Med \& Community Hlth, Sch Med, 2200
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W Main St,Off 623,6th Fl, Durham, NC 27705 USA.
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D''Agostino, Emily M.; Patel, Hersila H.; Hansen, Eric, Miami Dade Cty Dept Pk Recreat
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\& Open Spaces, 275 NW 2nd St, Miami, FL 33128 USA.
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Mathew, M. Sunil; Messiah, Sarah E., Univ Miami, Miller Sch Med, Dept Pediat, 1601
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NW 12th Ave, Miami, FL 33136 USA.
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Mathew, M. Sunil; Messiah, Sarah E., Univ Texas Hlth Sci Ctr, Sch Publ Hlth, Dallas,
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TX USA.
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Messiah, Sarah E., Childrens Hlth Syst Texas, Ctr Pediat Populat Hlth, Dallas, TX
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USA.
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Messiah, Sarah E., UTHlth Sci Ctr Sch Publ Hlth, Dallas, TX USA.'
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author: D'Agostino, Emily M. and Patel, Hersila H. and Hansen, Eric and Mathew, M.
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Sunil and Messiah, Sarah E.
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author-email: emily.m.dagostino@duke.edu
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author_list:
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- family: D'Agostino
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given: Emily M.
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- family: Patel
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given: Hersila H.
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- family: Hansen
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given: Eric
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- family: Mathew
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given: M. Sunil
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- family: Messiah
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given: Sarah E.
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da: '2023-09-28'
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doi: 10.1007/s40615-020-00821-8
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earlyaccessdate: SEP 2020
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eissn: 2196-8837
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files: []
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issn: 2197-3792
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journal: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
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keywords: 'Cardiovascular health; Fitness; Health disparities; Racial; ethnic
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segregation; Transportation vulnerability; Youth'
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keywords-plus: 'PHYSICAL-ACTIVITY; RESIDENTIAL SEGREGATION; RACIAL DISPARITIES; BUILT
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ENVIRONMENT; LAND-USE; NEIGHBORHOOD; RISK; BEHAVIOR; OBESITY; FITNESS'
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language: English
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month: JUN
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number: '3'
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number-of-cited-references: '75'
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orcid-numbers: 'D''Agostino, DrPH, MS, MEd, MA, Emily/0000-0003-0468-4836
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Messiah, Sarah/0000-0001-6685-2175'
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pages: 618-629
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papis_id: 58e8ff313c9231d5ac77334bc0e7110e
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ref: Dagostino2021longitudinaleffects
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researcherid-numbers: 'Hansen, Eric/JEF-6566-2023
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D''Agostino, Emily/IUO-1837-2023
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'
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times-cited: '8'
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title: Longitudinal Effects of Transportation Vulnerability on the Association Between
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Racial/Ethnic Segregation and Youth Cardiovascular Health
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000565504400001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '8'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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