{"id":"https://openalex.org/W7223050227","doi":"https://doi.org/10.1186/s12982-026-03167-4","title":"Exposure definition determines observed associations between municipal solid waste landfill proximity and chronic disease prevalence in the southeastern United States","display_name":"Exposure definition determines observed associations between municipal solid waste landfill proximity and chronic disease prevalence in the southeastern United States","publication_year":2026,"publication_date":"2026-10-20","ids":{"openalex":"https://openalex.org/W7223050227","doi":"https://doi.org/10.1186/s12982-026-03167-4"},"language":"en","primary_location":{"id":"doi:10.1186/s12982-026-03167-4","doi":"https://doi.org/10.1186/s12982-026-03167-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12982-026-03167-4","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12982-026-03167-4.pdf","source":{"id":"https://openalex.org/S5407042889","display_name":"Discover Public Health","issn_l":"3005-0774","issn":["3005-0774"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jufo-1","norway-1","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://link.springer.com/content/pdf/10.1186/s12982-026-03167-4.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159155167","display_name":"Benjamin X. Antwi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210128310","display_name":"Tennessee Department of Health","ror":"https://ror.org/03wmmfz90","country_code":"US","type":"government","lineage":["https://openalex.org/I4210128310"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin X. Antwi","raw_affiliation_strings":["Tennessee Department of Health, Nashville, TN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tennessee Department of Health, Nashville, TN, USA","institution_ids":["https://openalex.org/I4210128310"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094072320","display_name":"Augustine Afriyie","orcid":"https://orcid.org/0009-0008-1304-0403","observed_orcids":["https://orcid.org/0009-0008-1304-0403"]},"institutions":[{"id":"https://openalex.org/I169615421","display_name":"Middle Tennessee State University","ror":"https://ror.org/02n1hzn07","country_code":"US","type":"education","lineage":["https://openalex.org/I169615421"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Augustine Afriyie","raw_affiliation_strings":["Middle Tennessee State University, Murfreesboro, TN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Middle Tennessee State University, Murfreesboro, TN, USA","institution_ids":["https://openalex.org/I169615421"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056615309","display_name":"Angela S. Bowman","orcid":"https://orcid.org/0000-0001-5619-5378","observed_orcids":["https://orcid.org/0000-0001-5619-5378"]},"institutions":[{"id":"https://openalex.org/I169615421","display_name":"Middle Tennessee State University","ror":"https://ror.org/02n1hzn07","country_code":"US","type":"education","lineage":["https://openalex.org/I169615421"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Angela S. Bowman","raw_affiliation_strings":["Middle Tennessee State University, Murfreesboro, TN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Middle Tennessee State University, Murfreesboro, TN, USA","institution_ids":["https://openalex.org/I169615421"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110198814","display_name":"Andrew Owusu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I169615421","display_name":"Middle Tennessee State University","ror":"https://ror.org/02n1hzn07","country_code":"US","type":"education","lineage":["https://openalex.org/I169615421"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Owusu","raw_affiliation_strings":["Middle Tennessee State University, Murfreesboro, TN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Middle Tennessee State University, Murfreesboro, TN, USA","institution_ids":["https://openalex.org/I169615421"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013143375","display_name":"Kahler W. Stone","orcid":"https://orcid.org/0000-0002-1455-2039","observed_orcids":["https://orcid.org/0000-0002-1455-2039"]},"institutions":[{"id":"https://openalex.org/I169615421","display_name":"Middle Tennessee State University","ror":"https://ror.org/02n1hzn07","country_code":"US","type":"education","lineage":["https://openalex.org/I169615421"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kahler W. Stone","raw_affiliation_strings":["Middle Tennessee State University, Murfreesboro, TN, USA"],"raw_orcid":"https://orcid.org/0000-0002-1455-2039","affiliations":[{"raw_affiliation_string":"Middle Tennessee State University, Murfreesboro, TN, USA","institution_ids":["https://openalex.org/I169615421"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5013143375"],"corresponding_institution_ids":["https://openalex.org/I169615421"],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.84694495,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"23","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12259","display_name":"Environmental Justice and Health Disparities","score":0.6172000169754028,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12259","display_name":"Environmental Justice and Health Disparities","score":0.6172000169754028,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11108","display_name":"Municipal Solid Waste Management","score":0.1477999985218048,"subfield":{"id":"https://openalex.org/subfields/2311","display_name":"Waste Management and Disposal"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10190","display_name":"Air Quality and Health Impacts","score":0.08860000222921371,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/municipal-solid-waste-landfill","display_name":"municipal solid waste landfill","score":0.972000002861023},{"id":"https://openalex.org/keywords/landfill-proximity","display_name":"landfill proximity","score":0.9679999947547913},{"id":"https://openalex.org/keywords/exposure-definition","display_name":"exposure definition","score":0.7739999890327454},{"id":"https://openalex.org/keywords/chronic-disease-prevalence","display_name":"chronic disease prevalence","score":0.7699999809265137},{"id":"https://openalex.org/keywords/asthma","display_name":"asthma","score":0.9399999976158142},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.9959999918937683},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.7429999709129333},{"id":"https://openalex.org/keywords/poor-mental-health","display_name":"poor mental health","score":0.9129999876022339},{"id":"https://openalex.org/keywords/cancer","display_name":"cancer","score":0.9700000286102295},{"id":"https://openalex.org/keywords/environmental-justice","display_name":"environmental justice","score":0.7480000257492065},{"id":"https://openalex.org/keywords/environmental-justice-index","display_name":"Environmental Justice Index","score":0.9160000085830688},{"id":"https://openalex.org/keywords/spatial-error-model","display_name":"spatial error model","score":0.5559999942779541},{"id":"https://openalex.org/keywords/southeastern-united-states","display_name":"southeastern United States","score":0.8100000023841858}],"concepts":[{"id":"https://openalex.org/C119043178","wikidata":"https://www.wikidata.org/wiki/Q320723","display_name":"Covariate","level":2,"score":0.6901999711990356},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5863000154495239},{"id":"https://openalex.org/C2778560467","wikidata":"https://www.wikidata.org/wiki/Q1479527","display_name":"Environmental justice","level":2,"score":0.4505000114440918},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.44290000200271606},{"id":"https://openalex.org/C75779659","wikidata":"https://www.wikidata.org/wiki/Q18538","display_name":"Municipal solid waste","level":2,"score":0.4348999857902527},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.40400001406669617},{"id":"https://openalex.org/C198408306","wikidata":"https://www.wikidata.org/wiki/Q4008388","display_name":"Exposure assessment","level":2,"score":0.39910000562667847},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38100001215934753},{"id":"https://openalex.org/C2776191655","wikidata":"https://www.wikidata.org/wiki/Q295469","display_name":"Ecoregion","level":2,"score":0.36970001459121704},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.35530000925064087},{"id":"https://openalex.org/C186079640","wikidata":"https://www.wikidata.org/wiki/Q719602","display_name":"Prevalence","level":3,"score":0.3467000126838684},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C41426520","wikidata":"https://www.wikidata.org/wiki/Q1192065","display_name":"Point estimation","level":2,"score":0.29019999504089355},{"id":"https://openalex.org/C2992779976","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Pulmonary disease","level":2,"score":0.28870001435279846},{"id":"https://openalex.org/C18747219","wikidata":"https://www.wikidata.org/wiki/Q620994","display_name":"Standard error","level":2,"score":0.2831999957561493},{"id":"https://openalex.org/C25511272","wikidata":"https://www.wikidata.org/wiki/Q295136","display_name":"Ecological study","level":3,"score":0.28139999508857727},{"id":"https://openalex.org/C201052633","wikidata":"https://www.wikidata.org/wiki/Q5381223","display_name":"Environmental epidemiology","level":2,"score":0.28130000829696655},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.2791999876499176},{"id":"https://openalex.org/C158709400","wikidata":"https://www.wikidata.org/wiki/Q3578586","display_name":"Spatial ecology","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.2727999985218048},{"id":"https://openalex.org/C94747663","wikidata":"https://www.wikidata.org/wiki/Q7574086","display_name":"Spatial variability","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C3020448403","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Burden of disease","level":3,"score":0.26820001006126404},{"id":"https://openalex.org/C52130261","wikidata":"https://www.wikidata.org/wiki/Q39825","display_name":"Census","level":3,"score":0.2632000148296356},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.25850000977516174},{"id":"https://openalex.org/C96250715","wikidata":"https://www.wikidata.org/wiki/Q965330","display_name":"Estimation","level":2,"score":0.2565999925136566},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.25099998712539673},{"id":"https://openalex.org/C44648626","wikidata":"https://www.wikidata.org/wiki/Q1049848","display_name":"Percentage point","level":2,"score":0.250900000333786}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1186/s12982-026-03167-4","doi":"https://doi.org/10.1186/s12982-026-03167-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12982-026-03167-4","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12982-026-03167-4.pdf","source":{"id":"https://openalex.org/S5407042889","display_name":"Discover Public Health","issn_l":"3005-0774","issn":["3005-0774"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jufo-1","norway-1","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Public Health","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:e5cff7673e9040449c8ffd4996324426","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/e5cff7673e9040449c8ffd4996324426","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Discover Public Health, Vol 23, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12982-026-03167-4","doi":"https://doi.org/10.1186/s12982-026-03167-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12982-026-03167-4","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12982-026-03167-4.pdf","source":{"id":"https://openalex.org/S5407042889","display_name":"Discover Public Health","issn_l":"3005-0774","issn":["3005-0774"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jufo-1","norway-1","russia-white-list-1","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Discover Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Sustainable cities and communities","score":0.5142999887466431,"id":"https://metadata.un.org/sdg/11"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223050227.pdf","grobid_xml":"https://content.openalex.org/works/W7223050227.grobid-xml"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W1973899693","https://openalex.org/W1983547006","https://openalex.org/W1994065840","https://openalex.org/W1998205190","https://openalex.org/W1999687764","https://openalex.org/W2002745684","https://openalex.org/W2012771671","https://openalex.org/W2013364183","https://openalex.org/W2020953605","https://openalex.org/W2053325601","https://openalex.org/W2073177344","https://openalex.org/W2095740466","https://openalex.org/W2102789812","https://openalex.org/W2109933771","https://openalex.org/W2115442562","https://openalex.org/W2155706455","https://openalex.org/W2161208898","https://openalex.org/W2616924658","https://openalex.org/W2890522215","https://openalex.org/W2908235245","https://openalex.org/W2950796277","https://openalex.org/W3034923571","https://openalex.org/W3048354286","https://openalex.org/W3093049192","https://openalex.org/W3106814685","https://openalex.org/W3154017857","https://openalex.org/W4206252404","https://openalex.org/W4283751138","https://openalex.org/W4412998335"],"related_works":["https://openalex.org/W7220424097","https://openalex.org/W2115442562","https://openalex.org/W7167721447","https://openalex.org/W4413427669","https://openalex.org/W2155706455","https://openalex.org/W1958373053","https://openalex.org/W2020953605","https://openalex.org/W4362668400","https://openalex.org/W7097290597","https://openalex.org/W2989618640"],"abstract_inverted_index":{"Systematic":[0],"reviews":[1],"have":[2,25],"concluded":[3],"that":[4,21],"evidence":[5],"for":[6,79,175],"chronic":[7,225],"health":[8],"effects":[9],"among":[10],"adults":[11],"living":[12],"near":[13],"municipal":[14],"solid":[15,240],"waste":[16,241],"landfills":[17,242],"is":[18],"inadequate,":[19],"and":[20,55,69,86,100,180,207,236],"reported":[22],"respiratory":[23],"associations":[24,174],"not":[26,123,186,222],"been":[27],"replicated.":[28],"Cross-sectional":[29],"ecological":[30],"analysis":[31],"of":[32,44,51,209],"15,605":[33],"census":[34],"tracts":[35,211],"across":[36,148],"ten":[37],"southeastern":[38],"states.":[39],"Exposure":[40,192],"was":[41,122,221],"the":[42,118,196,246],"proportion":[43],"tract":[45,115],"area":[46,116],"within":[47,117],"dissolved":[48],"buffer":[49],"radii":[50],"0.8,":[52],"1.6,":[53],"4.8,":[54],"8.0":[56,171],"km":[57,159],"around":[58],"622":[59],"landfills,":[60],"with":[61,90,125,195,224],"alternative":[62],"definitions":[63],"using":[64],"a":[65,101],"10%":[66,111],"areal":[67],"threshold":[68],"centroid":[70],"distance":[71,129],"bands.":[72],"Outcomes":[73],"were":[74,94],"CDC":[75,197],"PLACES":[76],"prevalence":[77,121,227],"estimates":[78,145],"asthma,":[80],"hypertension,":[81,176],"cancer,":[82],"poor":[83,177],"mental":[84,178],"health,":[85,179],"diabetes.":[87],"Linear":[88],"models":[89],"robust":[91],"standard":[92],"errors":[93],"fitted":[95],"under":[96,130,188],"three":[97],"covariate":[98,149,234],"specifications":[99],"spatial":[102,189],"error":[103,190],"specification.":[104],"Estimates":[105,231],"are":[106,243],"percentage":[107],"point":[108,112],"differences":[109],"per":[110],"increase":[113],"in":[114,213,228],"buffer.":[119],"Asthma":[120,144],"associated":[124,223],"proximity":[126,220],"at":[127,157,170,182],"any":[128,131],"specification":[132,235],"(partially":[133],"adjusted,":[134],"0.8":[135],"km:":[136],"0.009,":[137],"95%":[138],"CI":[139],"\u2212":[140,161,166],"0.073":[141],"to":[142,154,160,165],"0.092).":[143],"reversed":[146],"direction":[147],"specifications,":[150],"from":[151,245],"0.049":[152],"(0.002":[153],"0.097)":[155],"unadjusted":[156],"1.6":[158],"0.009":[162],"(\u2212":[163],"0.013":[164],"0.006)":[167],"fully":[168],"adjusted":[169],"km.":[172],"Inverse":[173],"diabetes":[181],"longer":[183],"distances":[184],"did":[185],"persist":[187],"models.":[191],"correlated":[193],"weakly":[194],"Environmental":[198,247],"Justice":[199,248],"Index":[200],"environmental":[201],"burden":[202,217],"ranking":[203],"(Spearman":[204],"rho":[205],"0.115),":[206],"34.5%":[208],"exposed":[210],"fell":[212],"its":[214],"two":[215],"lowest":[216],"quintiles.":[218],"Landfill":[219],"disease":[226],"this":[229],"region.":[230],"depended":[232],"on":[233],"exposure":[237],"definition.":[238],"Municipal":[239],"absent":[244],"Index.":[249]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2026-10-21T00:00:00"}
