Evidence map›Paper›PMID 20352070›Full record

ArticleHealth services & outcomes research methodology2009

Adjusting for Health Status in Non-Linear Models of Health Care Disparities.

Benjamin L Cook, Thomas G McGuire, Ellen Meara, Alan M Zaslavsky

Abstract read
In one paragraph

Article in Health services & outcomes research methodology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing 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

52 citing papers in PubMed.

  1. Article
  2. Article
  3. Causal Inference in Health Disparities Research.Annual review of public health · 2026
    Review
  4. Article
  5. Article
  6. Do Physical Activities Prevent the Occurrence of Bothersome Pain?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Evaluating Effects of Multilevel Interventions on Disparity in Health and Healthcare Decisions.Prevention science : the official journal of the Society for Prevention Research · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Cognitive impairment associated with greater care intensity during home health care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Article
  19. Article
  20. 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

4 authors.

Benjamin L CookCenter for Multicultural Mental Health Research, Cambridge Health Alliance - Harvard Medical School, 120 Beacon Street, 4 floor, Somerville, MA 02143, 617-503-8449.
Thomas G McGuire
Ellen Meara
Alan M Zaslavsky

Funding

UPR-CHA Research Center of Excellence: Making a Difference for Latino HealthP60MD002261 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CANINO, GLORISA J · 2007 to 2011
$8.7M
Project 1: Improving Clinical Assessment of Diagnosis for Latinos (261-295)P50MH073469 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI ALEGRIA, MARGARITA · 2005 to 2009
$4.6M
TREATMENT OF DEPRESSIONP01MH059876 · NIMH · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ALEGRIA, MARGARITA · 1999 to 2003
$3.7M
NIMHD NIH HHS P60 MD002261NIMH NIH HHS P01 MH059876NIMH NIH HHS P50 MH073469
6 · The paper itself

Abstract

This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented (propensity score, rank and replace, and a combined method) that adjust for health status while allowing SES variables to mediate the relationship between race and access to care. Applying these methods to a nationally representative sample of blacks and non-Hispanic whites surveyed in the 2003 and 2004 Medical Expenditure Panel Surveys (MEPS), we assessed the concordance of each of these methods with the Institute of Medicine (IOM) definition of racial disparities, and empirically compared the methods' predicted disparity estimates, the variance of the estimates, and the sensitivity of the estimates to limitations of available data. The rank and replace and combined methods (but not the propensity score method) are concordant with the IOM definition of racial disparities in that each creates a comparison group with the appropriate marginal distributions of health status and SES variables. Predicted disparities and prediction variances were similar for the rank and replace and combined methods, but the rank and replace method was sensitive to limitations on SES information. For all methods, limiting health status information significantly reduced estimates of disparities compared to a more comprehensive dataset. We conclude that the two IOM-concordant methods were similar enough that either could be considered in disparity predictions. In datasets with limited SES information, the combined method is the better choice.

Identifiers

PMID20352070
PMCPMC2845167

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Registered trials

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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.