Evidence map›Paper›PMID 32529423›Full record

ArticleJournal of racial and ethnic health disparities2021

Inequities in Access to Medical Care Among Adults Diagnosed with Diabetes: Comparisons Between the US Population and a Sample of US-Residing Marshallese Islanders.

Samuel D Towne, Karen H Kim Yeary, Marie-Rachelle Narcisse, Chris Long, Zoran Bursac, Rachel Totaram, Elisa M Rodriguez, Pearl McElfish

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Food Security in the Time of COVID-19 for a Marshallese Community.International journal of environmental research and public health · 2023
    Article
  3. Article
  4. Article
  5. 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 at 4 institutions in 1 country.

Samuel D TowneDepartment of Health Management and Informatics, University of Central Florida, Orlando, FL, 32816, USA. samuel.towne@ucf.edu.ORCID http://orcid.org/0000-0002-7310-5837
Karen H Kim YearyDepartment of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY, 14263, USA.
Marie-Rachelle NarcisseCollege of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N College Ave, Fayetteville, AR, 72703, USA.
Chris LongCollege of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N College Ave, Fayetteville, AR, 72703, USA.
Zoran BursacDepartment of Biostatistics, Robert Stempel College of Public Health, Florida International University, 11200 SW 8th Street AHC5, Miami, FL, USA.
Rachel TotaramDepartment of Health Management and Informatics, University of Central Florida, Orlando, FL, 32816, USA.
Elisa M RodriguezDepartment of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY, 14263, USA.
Pearl McElfishCollege of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N College Ave, Fayetteville, AR, 72703, USA.
University of Arkansas for Medical Sciences · USRoswell Park Comprehensive Cancer Center · USUniversity of Central Florida · USFlorida International University · US

Funding

Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1 TR003107
6 · The paper itself

Abstract

objectiveWe examined barriers to accessing medical care for migrant US-residing Marshallese Islanders.

methodsCross-sectional analyses were conducted to identify potential inequities. Surveys from largely migrant diabetic Marshallese Islanders (n = 255) were compared with nationally representative data. Two major outcomes were assessed including 1-whether or not one reported having forgone medical care in the past year because of cost-and 2-whether or not one reported not having a usual source of care.

resultsOverall, 74% and 77% of Marshallese Islanders reported forgone care and no usual source of care, respectively, versus 15% and 7% of the US diabetic population. In multivariable analyses, being younger; uninsured; unemployed; male; of lower education; Native American or Hispanic (versus White); and residing in the South were associated with forgone care nationwide, whereas only lacking insurance was associated with forgone care among Marshallese Islanders. Nationwide being younger; uninsured; unmarried; female; of lower education; Native American or Hispanic (versus White); and residing in the South were associated with not having a usual source of care, whereas only being younger and uninsured were associated with not having a usual source of care among Marshallese Islanders.

conclusionThe largest group of diabetic Marshallese Islanders in the continental US faces severe healthcare access inequities necessitating policies that increase access to health insurance options and associated resources.

Indexed as

AdolescentAdultAgedCross-Sectional StudiesDiabetes MellitusFemaleHealthcare DisparitiesHumansMaleMiddle AgedNative Hawaiian or Pacific IslanderSocioeconomic FactorsTransients and MigrantsUnited StatesYoung AdultHealth disparitiesHealth inequitiesImmigrant healthSocial determinants of health

Identifiers

PMID32529423
PMCPMC9972993
OpenAlexW3035147534

What OpenQuestion holds

Textmetadata
LicenceTDM
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.