Evidence map›Paper›PMID 19711804›Full record

ArticleJournal of health and social behavior2009

Fundamental cause theory, technological innovation, and health disparities: the case of cholesterol in the era of statins.

Virginia W Chang, Diane S Lauderdale

Registry-linked trialAbstract read
In one paragraph

Article in Journal of health and social behavior, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03935282 (Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors), which is not on this map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
–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.

NCT03935282 nacompletednot on this mapstarted 2020, after this paper: background citation

Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors (AH-HA)

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2025Enrolled645ConditionsBreast Neoplasm, Prostatic Neoplasm, Colorectal Neoplasms, Endometrial NeoplasmsArmsAH-HA Tool in the EPIC EHR
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Educational Disparities in Hypertension Prevalence and Blood Pressure Percentiles in the Health and Retirement Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Research translation: A pathway for health inequity.Clinical and translational science · 2023
    Review
  16. Observational
  17. Article
  18. Article
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  20. Article

19 more citing papers are in PubMed but not listed here.

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

2 authors.

Virginia W ChangDepartment of Medecine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021, USA. vwchang@mail.med.upenn.edu
Diane S Lauderdale

Funding

CAREER DEVELOPMENT IN WOMEN'S HEALTH RESEARCH AND GENDE*K12HD043459 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI FREEMAN, ELLEN W · 2002 to 2006
$2.4M
NICHD NIH HHS K12 HD043459NICHD NIH HHS K12-HD043459
6 · The paper itself

Abstract

Although fundamental cause theory has been highly influential in shaping the research literature on health disparities, there have been few empirical demonstrations of the theory, particularly in dynamic perspective. In this study, we examine how income disparities in cholesterol levels have changed with the emergence of statins, an expensive and potent new drug technology. Using nationally representative data from 1976 to 2004, we find that income gradients for cholesterol were initially positive, but then reversed and became negative in the era of statin use. While the advantaged were previously more likely to have high levels of cholesterol, they are now less likely. We consider our case study against a broader theoretical framework outlining the relationship between technology innovation and health disparities. We find that the influence of technologies on socioeconomic disparities is subject to two important modifiers: (1) the nature of the technological change and (2) the extent of its diffusion and adoption.

Indexed as

Biomedical TechnologyHealthcare DisparitiesHydroxymethylglutaryl-CoA Reductase InhibitorsAdultCholesterolCross-Sectional StudiesFemaleHumansHypercholesterolemiaMaleMiddle AgedModels, TheoreticalUnited StatesCholesterolHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID19711804
PMCPMC2885132

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Registered trials

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.