Evidence map›Paper›PMID 27653384›Full record

ArticleJournal of urban health : bulletin of the New York Academy of Medicine2016

Accelerated Health Declines among African Americans in the USA.

Roland J Thorpe, Ruth G Fesahazion, Lauren Parker, Tanganiyka Wilder, Ronica N Rooks, Janice V Bowie, Caryn N Bell, Sarah L Szanton, Thomas A LaVeist

Abstract read
In one paragraph

Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 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.

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

68 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Discrimination and depressive symptoms: the role of psychological resilience across racial and ethnic groups.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  7. Article
  8. Intersectional Disparities in Severe Maternal Morbidity Across the Perinatal Continuum: A Population-Based Analysis.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2026
    Article
  9. Review
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  17. Biomarkers of racism-based stress injury: A feasibility and correlation study.Journal of clinical and translational science · 2025
    Article
  18. Article
  19. Article
  20. Race Disparities in Hypertension Prevalence Among Older Men.International journal of aging & human development · 2024
    Article

8 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

9 authors.

Roland J ThorpeHopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Ste 708, Baltimore, MD, 21205, USA. rthorpe@jhu.edu.
Ruth G FesahazionHopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Ste 708, Baltimore, MD, 21205, USA.
Lauren ParkerDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Tanganiyka WilderDepartment of Biological Sciences, Florida A&M University, Tallahassee, FL, USA.
Ronica N RooksDepartment of Health and Behavioral Sciences, University of Colorado Denver, Denver, USA.
Janice V BowieHopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Ste 708, Baltimore, MD, 21205, USA.
Caryn N BellDepartment of African American Studies, University of Maryland College Park, College Park, MD, USA.
Sarah L SzantonHopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Ste 708, Baltimore, MD, 21205, USA.
Thomas A LaVeistHopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Ste 708, Baltimore, MD, 21205, USA.

Funding

Residential Segregation and Health Care Disparities P60MD000214 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI GASKIN, DARRELL J. · 2002 to 2016
$16.8M
Obesity Health Disparities Research PRIDE Program (OHD PRIDE)R25HL126145 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI BEECH, BETTINA M., BRUCE, MARINO A · 2014 to 2025
$3.9M
NHLBI NIH HHS R25 HL126145NIMHD NIH HHS P60 MD000214
6 · The paper itself

Abstract

The weathering hypothesis, an explanation for race disparities in the USA, asserts that the health of African Americans begin to deteriorate prematurely compared to whites as a consequence of long-term exposure to social and environmental risk factors. Using data from 2000-2009 National Health Interview Surveys (NHIS), we sought to describe differences in age-related health outcomes in 619,130 African Americans and whites. Outcome measures included hypertension, diabetes, stroke, and cardiovascular disease. Using a mixed models approach to age-period-cohort analysis, we calculated age- and race-specific prevalence rates that accounted for the complex sampling design of NHIS. African Americans exhibited higher prevalence rates of hypertension, diabetes, and stroke than whites across all age groups. Consistent with the weathering hypothesis, African Americans exhibited equivalent prevalence rates for these three conditions 10 years earlier than whites. This suggests that African Americans are acquiring age-related conditions prematurely compared to whites.

Indexed as

Black or African AmericanHealth Status DisparitiesAdultAgedAllostasisChronic DiseaseFemaleHealth SurveysHumansMaleMiddle AgedStress, PsychologicalUnited StatesWhite PeopleAfrican AmericansAllostatic loadChronic conditionsHealth disparitiesMixed modelsStressWeathering hypothesis

Identifiers

PMID27653384
PMCPMC5052148

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.