Evidence map›Paper›PMID 23864583›Full record

Trial reportAmerican journal of hypertension2013

Association of race consciousness with the patient-physician relationship, medication adherence, and blood pressure in urban primary care patients.

LaPrincess C Brewer, Kathryn A Carson, David R Williams, Allyssa Allen, Camara P Jones, Lisa A Cooper

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
12.2field-weighted citation impact, top 2% of its field
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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Just in TIME: Trauma-Informed Medical Education.Journal of racial and ethnic health disparities · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Social Determinants of Racial Disparities in CKD.Journal of the American Society of Nephrology : JASN · 2016
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

6 authors at 5 institutions in 1 country.

LaPrincess C BrewerDepartment of Medicine, Mayo Clinic, Rochester, Minnesota; Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota;
Kathryn A CarsonDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland;
David R WilliamsHarvard School of Public Health, Boston, Massachusetts;
Allyssa AllenDepartment of Community & Applied Social Psychology, University of Maryland, Baltimore County, Baltimore, Maryland;
Camara P JonesMorehouse School of Medicine, Atlanta, Georgia; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Lisa A CooperDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; lisa.cooper@jhmi.edu.
Johns Hopkins Medicine · USHarvard University · USMayo Clinic · USMorehouse School of Medicine · USUniversity of Maryland, Baltimore County · US

Funding

TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
Patient-Physician Partnership to Improve HBP AdherenceR01HL069403 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2001 to 2004
$2.5M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
NHLBI NIH HHS K24 HL083113NHLBI NIH HHS P50 HL0105187NHLBI NIH HHS P50 HL105187NHLBI NIH HHS R01 HL069403NHLBI NIH HHS R01HL069403
6 · The paper itself

Abstract

backgroundRace consciousness (the frequency with which one thinks about his or her own race) is a measure that may be useful in assessing whether racial discrimination negatively impacts blood pressure (BP). However, the relation between race consciousness and BP has yet to be empirically tested, especially within the context of the patient-physician relationship and medication adherence.

methodsRace-stratified generalized estimating equations were used to assess the relationship of race consciousness on BP, measures of the patient-physician relationship, and self-reported medication adherence, controlling for patients being nested within physicians and for patient age and sex.

resultsThe mean age of the patients was 61.3 years, 62% were black, and 65% were women. Black patients were more likely to ever think about race than were white patients (49% vs. 21%; P < 0.001). Race-conscious blacks had significantly higher diastolic BP (79.4 vs. 74.5 mm Hg; P = 0.004) and somewhat higher systolic BP (138.8 vs. 134.7 mm Hg; P = 0.13) than blacks who were not race conscious. Race-conscious whites were more likely to perceive respect from their physician (57.1% vs. 25.8%; P = 0.01) but had lower medication adherence (62.4% vs. 82.9%; P = 0.05) than whites who were not race-conscious.

conclusionsAmong blacks, race consciousness was associated with higher diastolic BP. In contrast, among whites, there was no association between race consciousness and BP, but race consciousness was associated with poor ratings of adherence, despite more favorable ratings of the patient-physician relationship. Future work should explore disparities in race consciousness and its impact on health and health-care disparities.

Indexed as

Blood PressureDrug MonitoringPhysician-Patient RelationsAgedBaltimoreFemaleHumansMaleMedication AdherenceMiddle AgedPrimary Health CareRacial GroupsStress, PsychologicalUrban Populationadherenceblood pressureblood pressure discriminationdisparitieshypertensionperceived quality of careraceracism.

Identifiers

PMID23864583
PMCPMC3790452
OpenAlexW2042795505

What OpenQuestion holds

Textmetadata
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.