Evidence map›Paper›PMID 22386637›Full record

ArticleSocial science & medicine (1982)2012

Beyond the barriers: racial discrimination and use of complementary and alternative medicine among Black Americans.

Tetyana Pylypiv Shippee, Markus H Schafer, Kenneth F Ferraro

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Pediatric Morbidity Among Black Haitians in Canada: A Longitudinal Cohort Study.Journal of racial and ethnic health disparities · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Addressing the Long COVID Crisis: Integrative Health and Long COVID.Global advances in health and medicine · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Older adults' use of care strategies in response to general and upper respiratory symptoms.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2015
    Article
  16. Article
  17. Article
  18. Article
  19. Discrimination in health care and CAM use in a representative sample of U.S. adults.Journal of alternative and complementary medicine (New York, N.Y.) · 2013
    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

3 authors.

Tetyana Pylypiv ShippeeUniversity of Minnesota, Division of Health Policy and Management, 712 Delaware St. SE, Mayo Building, D371, Minneapolis, MN 55407, USA. tshippee@umn.edu
Markus H Schafer
Kenneth F Ferraro

Funding

UNIVERSITY OF MINNESOTA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UMN CTSI)UL1RR033183 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$8.9M
Institutional Career Development CoreKL2TR002492 · NCATS · UNIVERSITY OF MINNESOTA · PI INGBAR, DAVID H · 2018 to 2022
$6.3M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2RR033182 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$1.4M
AGING &HEALTH ASSESSMENTS AMONG BLACK &WHITE ADULTSR01AG011705 · NIA · PURDUE UNIVERSITY WEST LAFAYETTE · PI FERRARO, KENNETH F. · 1994 to 2003
$488k
NCRR NIH HHS 1UL1RR033183NCRR NIH HHS KL2 RR033182NIA NIH HHS AG 11705NIA NIH HHS R01 AG011705
6 · The paper itself

Abstract

This article examines whether self-reported racial discrimination is associated with greater use of complementary and alternative medicine (CAM) and assesses whether the effects of reported racial discrimination are specific to the setting in which the unfair treatment occurred (i.e., medical or nonmedical settings). Data were drawn from the National Survey of Midlife Development in the United States (MIDUS) of Black adults aged 25 and older at baseline (N=201). Analyses account for multiple forms of discrimination: major lifetime discriminatory events and everyday discrimination (more commonplace negative occurrences). Using logistic and negative binomial regression, results reveal that racial discrimination was associated with a higher likelihood of using any type of CAM as well as using more modalities of CAM. Also, both discrimination in health care and discrimination in nonmedical contexts predicted greater use of CAM. The findings underscore the tenet that health care choices, while influenced by health status and availability of health care resources, are also shaped by perceived barriers. The experience of racial discrimination among Black people is associated with greater use of alternative means of health care, as a way to cope with the barriers they experience in institutional settings in the United States.

Indexed as

PrejudiceAdultAgedBlack or African AmericanComplementary TherapiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareUnited States

Identifiers

PMID22386637
PMCPMC3341177

What OpenQuestion holds

Textmetadata
LicenceTDM
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.