Evidence map›Paper›PMID 30987864›Full record

SynthesisAnnals of epidemiology2019

The weathering hypothesis as an explanation for racial disparities in health: a systematic review.

Allana T Forde, Danielle M Crookes, Shakira F Suglia, Ryan T Demmer

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 213 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
213citing papers in PubMed, 5 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

213 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Review
  7. Article
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  12. Racialized Economic Segregation and Disparities in the Risk of Stillbirth.Journal of racial and ethnic health disparities · 2026
    Article
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  15. Practitioner Review: Infant mental health meets cell and molecular biology - a look to the future.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Review
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153 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

4 authors.

Allana T FordeDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Electronic address: af2148@columbia.edu.
Danielle M CrookesDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY.
Shakira F SugliaDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY; Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA.
Ryan T DemmerDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis.

Funding

Discrimination, Diabetes and Cardiovascular Complications in Black Ethnic GroupsF31HL117613 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FORDE, ALLANA THERESE · 2013 to 2015
$79k
NHLBI NIH HHS F31 HL117613
6 · The paper itself

Abstract

purposeThe weathering hypothesis states that chronic exposure to social and economic disadvantage leads to accelerated decline in physical health outcomes and could partially explain racial disparities in a wide array of health conditions. This systematic review summarizes the literature empirically testing the weathering hypothesis and assesses the quality of the evidence regarding weathering as a determinant of racial disparities in health.

methodsDatabases (Web of Science, Ovid MEDLINE, PubMed, and Embase) were searched for studies published in English up to July 1, 2017. Studies that tested the weathering hypothesis for any physical health outcome and included at least one socially or economically disadvantaged group (e.g., Blacks) for whom the weathering hypothesis applies were assessed for eligibility. Threats to validity were assessed using the Quality in Prognostic Studies tool.

resultsThe 41 included studies were rated as having overall good methodological quality. Most studies found evidence in support of the weathering hypothesis, although the magnitude of support varied by the health outcome and population studied.

conclusionsFuture evaluations of the weathering hypothesis should include an examination of additional health outcomes and interrogate mechanisms that could link weathering to poor health.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesSocial Determinants of HealthEthnicityHumansPopulation GroupsHealth disparitiesHealth inequalitiesRaceWeathering

Identifiers

PMID30987864
PMCPMC10676285

What OpenQuestion holds

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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.