ArticleBMC nephrology2019
Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study.
Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Facilitators for Routine Medical Checkups Use from the Perspective of Primary Care Providers: A qualitative study.Pakistan journal of medical sciences · 2025Article
- Racial Differences in Over-the-Counter Non-steroidal Anti-inflammatory Drug Use Among Individuals at Risk of Adverse Cardiovascular Events.Journal of racial and ethnic health disparities · 2024Article
- Racial/Ethnic, Sex, and Economic Disparities in the Utilization and Outcomes of Intracoronary Imaging.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Health Equity in the Veterans Health Administration From Veterans' Perspectives by Race and Sex.JAMA network open · 2024Article
- CKD and Rapid Kidney Function Decline During the COVID-19 Pandemic.Kidney medicine · 2023Article
- Perspectives on Racism in Health Care Among Black Veterans With Chronic Kidney Disease.JAMA network open · 2022Article
- Cardiovascular Disease Mortality in Mississippi, 2000-2018.Preventing chronic disease · 2022Article
- Article
- Racial Differences in AKI Incidence Following Percutaneous Coronary Intervention.Journal of the American Society of Nephrology : JASN · 2021Article
- Mobility Impairment in Patients New to Dialysis.American journal of nephrology · 2020Observational
- Racial and Sex Differences in the Response to First-Line Antihypertensive Therapy.Frontiers in cardiovascular medicine · 2020Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundUse of routine medical care (RMC) is advocated to address ethnic/racial disparities in chronic kidney disease (CKD) risks, but use is less frequent among African Americans. Factors associated with low RMC use among African Americans at risk of renal outcomes have not been well studied.
methodsWe examined sociodemographic, comorbidity, healthcare access, and psychosocial (discrimination, anger, stress, trust) factors associated with low RMC use in a cross-sectional study. Low RMC use was defined as lack of a physical exam within one year among participants with CKD (estimated glomerular filtration rate < 60 mL/min/1.73m
resultsAmong 3191 participants with CKD, diabetes, or hypertension, 2024 (63.4%) were ≥ 55 years of age, and 700 (21.9%) reported low RMC use. After multivariable adjustment, age < 55 years (OR 1.61 95% CI 1.31-1.98), male sex (OR 1.71; 1.41-2.07), <high school diploma (OR 1.31; 1.07-1.62), absence of hypertension (OR 1.74; 1.27-2.39) or diabetes (OR 1.34; 1.09-1.65), and tobacco use (OR 1.43; 1.18-1.72) were associated with low RMC use. Low trust in providers (OR 2.16; 1.42-3.27), high stress (OR 1.41; 1.09-1.82), high daily discrimination (OR 1.30; 1.01-1.67) and low burden of lifetime discrimination (OR 1.52; 1.18-1.94), were also associated with low RMC use.
conclusionsHigh-risk African Americans who were younger, male, less-educated, and with low trust in providers were more likely to report low RMC use. Efforts to improve RMC use by targeting these populations could mitigate African Americans' disparities in CKD risks.
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