Evidence map›Paper›PMID 33324760›Full record

ArticleInnovation in aging2020

Perceived Discrimination Trajectories and Depressive Symptoms Among Middle-Aged and Older Black Adults.

Kellee White, Bethany A Bell, Shuo J Huang, David R Williams

Open access · goldAbstract read
In one paragraph

Article in Innovation in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Racism and Older Black Americans' Health: a Systematic Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2022
    Pooled it
  2. Discrimination and depressive symptoms: the role of psychological resilience across racial and ethnic groups.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  3. Article
  4. Age, Intersectional Discrimination, and Health in Black Transgender Women.Journal of racial and ethnic health disparities · 2025
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  8. Cohort Differences in Perceived Discrimination Trajectories among Aging Black Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
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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 3 institutions in 1 country.

Kellee WhiteDepartment of Health Policy and Management, University of Maryland College Park School of Public Health.
Bethany A BellCollege of Social Work, University of South Carolina, Columbia.
Shuo J HuangDepartment of Health Policy and Management, University of Maryland College Park School of Public Health.
David R WilliamsDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
University of Maryland, College Park · USHarvard University · USUniversity of South Carolina · US

Funding

Perceived Discrimination Trajectories and Cognitive Functioning Among Older Black AdultsR03AG064565 · NIA · UNIV OF MARYLAND, COLLEGE PARK · PI WHILBY, KELLEE WHITE · 2019 to 2020
$155k
NIA NIH HHS R03 AG064565
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPerceived discrimination is a risk factor for poor mental health. However, most studies measure discrimination at one time point, which does not account for heterogeneity in the cumulative patterning of exposure to discrimination. To address this gap, we examine the association between discrimination trajectories and depressive symptoms among black middle-aged and older adults. RESEARCH DESIGN AND

methodsData were analyzed from a subsample of black Health and Retirement Study respondents (2006-2018,

resultsIndividuals in the persistently high (incident rate ratio [IRR]: 1.70; 95% confidence interval [CI]: 1.49-1.95) and moderate general discrimination trajectories (IRR: 1.19; 95% CI: 1.06-1.33) were more likely to have elevated depressive symptoms in comparison to those in the persistently low trajectory. This relationship was strongest among older adults aged older than 65 years. Respondents in the persistently high racial discrimination trajectory (IRR: 1.50; 95% CI: 1.29-1.73) had a higher risk of elevated depressive symptoms in comparison to respondents in the persistently low trajectory. Sensitivity analyses indicated that there was an independent association between persistently high racial discrimination trajectory class and elevated depressive symptoms, after adjusting for racial discrimination measured at a single time point. DISCUSSION AND IMPLICATIONS: Characterizing longitudinal patterns of perceived discrimination may facilitate the stratification of mental health risk and vulnerability among black middle-aged and older adults. Trajectories of racial discrimination may inform risk of worse depressive symptoms more accurately than a single assessment of discrimination.

Indexed as

Cumulative inequalityLife course perspectiveMental healthMinority agingRace/ethnicityRacial discrimination

Identifiers

PMID33324760
PMCPMC7724643
OpenAlexW3086484986

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.