Evidence map›Paper›PMID 32189220›Full record

ArticleJournal of racial and ethnic health disparities2020

Rural and Urban American Indian and Alaska Native Veteran Health Disparities: a Population-Based Study.

Carol E Kaufman, Nancy L Asdigian, Ursula Running Bear, Janette Beals, Spero M Manson, Nancy Dailey, Byron Bair, Jay H Shore

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Suicide-related behaviors among American Indian and Alaska Native Veterans: A population-based analysis.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022
    Article
  8. Article
  9. Article
  10. 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

8 authors.

Carol E KaufmanCenters for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. carol.kaufman@cuanschutz.edu.
Nancy L AsdigianCenters for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Ursula Running BearCenters for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Janette BealsCenters for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Spero M MansonCenters for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nancy DaileyU.S. Department of Veterans Affairs Office of Rural Health, Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, USA.
Byron BairU.S. Department of Veterans Affairs Office of Rural Health, Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, UT, USA.
Jay H ShoreCenters for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Funding

Trauma Screening, brief intervention and referral among AI/AN adultsP60MD000507 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI BEALS, JANETTE LOUISE · 2003 to 2016
$16.1M
NIMHD NIH HHS P60 MD000507
6 · The paper itself

Abstract

The health service ecology varies considerably across urban-rural divides for American Indian and Alaska Native (AIAN) veterans, which may place rural AIAN veterans at high risk for poor health outcomes. Using the Behavioral Risk Factor Surveillance System 2011 and 2012 data for its detailed race information, we employed adjusted multinomial logistical regression analyses to estimate differences in health outcomes among rural AIAN veterans (n = 1500) and urban AIAN veterans (n = 1567). We used rural White (n = 32,316) and urban White (n = 59,849) veteran samples as comparators. No statistically significant differences between urban and rural AIAN veterans' health outcomes were found. Urban AIAN veterans were 72% more likely to report financial barriers to care compared with urban White veterans (P = .002); no other healthcare access differences were found. Compared with their White veteran counterparts, both urban and rural AIAN veterans were significantly more likely to report poorer physical and mental health across an array of outcomes. Overall, rural and urban AIAN veterans' health outcomes were similar, but both groups suffered compromised health compared with that of both rural and urban White veterans. The findings identified key areas for improving and innovating care for both rural and urban AIAN veterans.

Indexed as

Health Status DisparitiesIndians, North AmericanRural PopulationUrban PopulationVeteransAdolescentAdultAgedAlaskaHumansMaleMiddle AgedOutcome Assessment, Health CareYoung AdultAmerican Indian and Alaska NativeHealth disparitiesRural healthUrban healthVeterans

Identifiers

PMID32189220
PMCPMC9059671

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.