Evidence map›Paper›PMID 31663121›Full record

ReviewHealth services research2019

Understanding how discrimination can affect health.

David R Williams, Jourdyn A Lawrence, Brigette A Davis, Cecilia Vu

Registry-linked trialAbstract readReview
In one paragraph

Review in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06002685 (Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes), which is not on this map. Cited by 447 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
447citing papers in PubMed, 4 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.

NCT06002685 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2023 to 2028Enrolled260ConditionsRespiratory Disease, Inflammation, Insufficient Sleep, Digestive DiseaseArmsAttachment and Biobehavioral Catch-Up, Home-Based Book-of-the-Week
3 · Its place in the literature

Who cites it

447 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Obesity, Employment, and Economic Productivity in Europe: A Systematic Literature Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Pooled it
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  4. Racial Differences in Breast Cancer Survival Between Black and White Women According to Tumor Subtype: A Systematic Review and Meta-Analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Pooled it
  5. Trial
  6. How adults with cerebral palsy successfully confront and cope with ableism: a peer-led research project.International journal of qualitative studies on health and well-being · 2026
    Article
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  16. Discrimination and Mental Health: Influence of Structural Racism.Journal of marital and family therapy · 2026
    Article
  17. Review
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387 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.

David R WilliamsDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.ORCID 0000-0002-8654-6228
Jourdyn A LawrenceDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.ORCID 0000-0003-4162-9860
Brigette A DavisDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Cecilia VuDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Funding

W.K. Kellogg Foundation P0131281
6 · The paper itself

Abstract

backgroundTo provide an overview of the empirical research linking self-reports of racial discrimination to health status and health service utilization.

methodsA review of literature reviews and meta-analyses published from January 2013 to 2019 was conducted using PubMed, PsycINFO, Sociological Abstracts, and Web of Science. Articles were considered for inclusion using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) framework.

resultsTwenty-nine studies met the criteria for review. Both domestic and international studies find that experiences of discrimination reported by adults are adversely related to mental health and indicators of physical health, including preclinical indicators of disease, health behaviors, utilization of care, and adherence to medical regimens. Emerging evidence also suggests that discrimination can affect the health of children and adolescents and that at least some of its adverse effects may be ameliorated by the presence of psychosocial resources.

conclusionsIncreasing evidence indicates that racial discrimination is an emerging risk factor for disease and a contributor to racial disparities in health. Attention is needed to strengthen research gaps and to advance our understanding of the optimal interventions that can reduce the negative effects of discrimination.

Indexed as

Healthcare DisparitiesMental HealthPatient Acceptance of Health CareRacismHealth BehaviorHealth StatusHumansdiscriminationhealthhealth disparitiesmental healthracism

Identifiers

PMID31663121
PMCPMC6864381

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.