Evidence map›Paper›PMID 30704370›Full record

ArticleInternational journal of qualitative studies on health and well-being2018

The cascade of social determinants in producing chronic disease in low-income African-American men.

David Buchanan, Aline Gubrium, Lamont Scott, Henry Douglas

Open access · goldAbstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Tackling social determinants of dementia will require qualitative research with the public and professionals.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. Article
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  7. Review
  8. Article
  9. Article
  10. Precarious Work, Health, and African-American Men: A Qualitative Study on Perceptions and Experiences.International journal of health services : planning, administration, evaluation · 2021
    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

4 authors at 1 institution in 1 country.

David Buchanana Department of Health Promotion & Policy, School of Public Health & Health Sciences , University of Massachusetts , Amherst , MA , USA.
Aline Gubriuma Department of Health Promotion & Policy, School of Public Health & Health Sciences , University of Massachusetts , Amherst , MA , USA.
Lamont Scottb Men of Color Health Awareness , Springfield , MA , USA.
Henry Douglasb Men of Color Health Awareness , Springfield , MA , USA.
University of Massachusetts Amherst · US

Funding

MOCHA Moving Forward: a CBPR investigation of chronic disease prevention in older, low-income African-American menU01MD010618 · NIMHD · UNIVERSITY OF MASSACHUSETTS AMHERST · PI BUCHANAN, DAVID R., GRAHAM, LOUIS F · 2016 to 2018
$1.3M
MOCHA Moving Forward: a CBPR investigation of chronic disease prevention in older, low-income African-American menR01MD010618 · NIMHD · UNIVERSITY OF MASSACHUSETTS AMHERST · PI BUCHANAN, DAVID R., GUBRIUM, ALINE CAMILLE · 2019 to 2020
$1.1M
NIMHD NIH HHS R01 MD010618NIMHD NIH HHS U01 MD010618
6 · The paper itself

Abstract

purposeThere is a dearth of effective, evidence-based programs to reduce chronic disease in low-income African-American men. We report on the results of formative research in the National Institutes of Health (NIH)-funded MOCHA Moving Forward project on factors identified by the participants to drive health disparities.

methodsBased on individual interviews with 42 middle-aged (40-65 years), low-income African-American men, three themes emerged.

resultsFirst, the results indicate a hierarchy in the perceived relative influence of different factors, with poverty and unemployment perceived to have the most powerful affects. Second, results show that factors in different domains do not operate as discrete independent influences, but rather, interact synergistically. Finally, the findings show how perceived social structural constraints have produced deep cynicism about the future, with notably divergent reactions, producing a sense that there is almost nothing an individual can do, or paradoxically, a greater the sense of personal responsibility.

conclusionThe implications of addressing the cascade of social determinants to reduce chronic disease in African-American men are discussed.

Indexed as

AttitudeBlack or African AmericanHealth Status DisparitiesIncomePovertySocial Determinants of HealthAdultAgedChronic DiseaseHumansMaleMiddle AgedQualitative ResearchUnemploymentUnited StatesAfrican-Americancultural competencyHealth disparitiesmen’s health

Identifiers

PMID30704370
PMCPMC6292352
OpenAlexW2904119211

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.