Observational studyMedicine2017
Racial/ethnic differences in obesity and comorbidities between safety-net- and non safety-net integrated health systems.
Observational study in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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.
Who cites it
15 citing papers in PubMed.
- Article
- Understanding the hospital safety net Hospital resource limitations impact prostate cancer treatment beyond socioeconomic disparities.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Safety-Net Primary Care and Endocrinology Clinicians' Knowledge and Perspectives on Screening for Nonalcoholic Fatty Liver Disease: A Mixed-Methods Evaluation.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2024Article
- Effects of Mental Illness Amongst Adults in the United States Living With Diabetes Mellitus on Hospital Admissions.Cureus · 2023Article
- Racial and Ethnic Differences in Medication Initiation Among Adults Newly Diagnosed with Type 2 Diabetes.Journal of general internal medicine · 2023Article
- Obesity among African American people in the United States: A review.Obesity (Silver Spring, Md.) · 2023Review
- Assessment of Disparities Associated With a Crisis Standards of Care Resource Allocation Algorithm for Patients in 2 US Hospitals During the COVID-19 Pandemic.JAMA network open · 2021Article
- Using Electronic Medical Record Data to Better Understand Obesity in Hispanic Neighborhoods in El Paso, Texas.International journal of environmental research and public health · 2020Article
- Racial-ethnic disparities in self-reported health status among US adults adjusted for sociodemographics and multimorbidities, National Health and Nutrition Examination Survey 2011-2014.Ethnicity & health · 2020Article
- Outcomes associated with use of thePreventive medicine reports · 2019Article
- High perceived social support and hospital readmissions in an older multi-ethnic, limited English proficiency, safety-net population.BMC health services research · 2019Observational
- Risk factors associated with outcomes of peritoneal dialysis in Taiwan: An analysis using a competing risk model.Medicine · 2019Observational
- Comparing comorbidity measures and fatigue post myocardial infarction.Applied nursing research : ANR · 2019Article
- Management of glioblastoma at safety-net hospitals.Journal of neuro-oncology · 2018Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Previous research shows that patients in integrated health systems experience fewer racial disparities compared with more traditional healthcare systems. Little is known about patterns of racial/ethnic disparities between safety-net and non safety-net integrated health systems.We evaluated racial/ethnic differences in body mass index (BMI) and the Charlson comorbidity index from 3 non safety-net- and 1 safety-net integrated health systems in a cross-sectional study. Multinomial logistic regression modeled comorbidity and BMI on race/ethnicity and health care system type adjusting for age, sex, insurance, and zip-code-level incomeThe study included 1.38 million patients. Higher proportions of safety-net versus non safety-net patients had comorbidity score of 3+ (11.1% vs. 5.0%) and BMI ≥35 (27.7% vs. 15.8%). In both types of systems, blacks and Hispanics were more likely than whites to have higher BMIs. Whites were more likely than blacks or Hispanics to have higher comorbidity scores in a safety net system, but less likely to have higher scores in the non safety-nets. The odds of comorbidity score 3+ and BMI 35+ in blacks relative to whites were significantly lower in safety-net than in non safety-net settings.Racial/ethnic differences were present within both safety-net and non safety-net integrated health systems, but patterns differed. Understanding patterns of racial/ethnic differences in health outcomes in safety-net and non safety-net integrated health systems is important to tailor interventions to eliminate racial/ethnic disparities in health and health care.
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Registered trials
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