Evidence map›Paper›PMID 33449073›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021

Does the Hispanic Mortality Advantage Vary by Marital Status Among Postmenopausal Women in the Women's Health Initiative?

Melissa Flores, John M Ruiz, Emily A Butler, David A Sbarra, David O Garcia, Lindsay Kohler, Tracy E Crane, Giselle Corbie-Smith, Viola Benavente, Candyce H Kroenke and 2 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00000611 (Women's Health Initiative), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 49% 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.

NCT00000611 phase3completednot on this map

Women's Health Initiative (WHI)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)ConditionsBone Diseases, Breast Neoplasms, Cardiovascular Diseases, Colonic NeoplasmsArmshormone replacement therapy, estrogens, progestins, estrogen replacement therapy, diet, fat-restricted
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

12 authors at 5 institutions in 2 countries.

Melissa FloresCenter for Border Health Disparities, Health Sciences, The University of Arizona, Tucson, AZ.ORCID 0000-0002-9436-6665
John M RuizThe Department of Psychology, College of Science, The University of Arizona, Tucson, AZ.
Emily A ButlerNorton School of Family and Consumer Sciences, College of Agricultural Life Sciences, The University of Arizona, Tucson, AZ.
David A SbarraThe Department of Psychology, College of Science, The University of Arizona, Tucson, AZ.
David O GarciaHealth Promotion Sciences, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ.
Lindsay KohlerHealth Promotion Sciences, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ.
Tracy E CraneHealth Promotion Sciences, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ.
Giselle Corbie-SmithSchool of Medicine, University of North Carolina, Chapel Hill, NC.
Viola BenaventeCollege of Nursing, Texas State University, San Marcos, TX.
Candyce H KroenkeKaiser Permanente Northern California Division of Research, Oakland, CA.
Nazmus SaquibCollege of Medicine, Sulaiman Al-Rajhi Colleges Al Bukairiyah, Saudi Arabia.
Cynthia A ThomsonHealth Promotion Sciences, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ.
University of Arizona · USKaiser Permanente · USSulaiman Al Rajhi Colleges · SATexas State University · USUniversity of North Carolina at Chapel Hill · US

Funding

Social networks and disparities in health behaviors and breast cancer outcomes in immigrant womenR01CA230440 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KROENKE, CANDYCE H · 2019 to 2024
$3.2M
Social networks, breast cancer treatment, and survivalK07CA187403 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KROENKE, CANDYCE H · 2015 to 2019
$914k
NCI NIH HHS K07 CA187403NCI NIH HHS R01 CA230440NHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100003INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100046CWHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

backgroundLiterature assessing the effect of marital status on mortality has underrepresented, or altogether omitted Hispanics and the potential moderating effect of Hispanic ethnicity on these relationships. Given cultural and network dynamics, marital advantages in older Hispanic women may be greater than other groups given their family-focused, collectivist orientation. PURPOSE: The purpose of this study was to understand whether older Hispanic women exhibited a more pronounced marital advantage as compared with non-Hispanic Whites.

methodsWe used longitudinal data from the Women's Health Initiative (WHI) Observational Study and Clinical Trials (N = 161,808) collected initially from 1993 to 1998 and followed until 2018. Our sample excluded those respondents indicating "other" as their race-ethnicity and those missing marital status and race-ethnicity variables (N = 158,814). We used Cox-proportional hazards models to assess the association between race-ethnicity, marital status, and the interactive effect of race-ethnicity and marital status on survival.

resultsAfter controlling for socioeconomic status (SES) and health controls, we found a Hispanic survival advantage when compared with non-Hispanic Whites and all other racial-ethnic groups with the exception of Asian/Pacific Islander women (all significant HRs < 0.78, all ps ≤ 0.001). Hispanics had a higher rate of divorce when compared with non-Hispanic Whites. The interactive effect of race-ethnicity and marital status was not significant.

conclusionsU.S. Hispanic, postmenopausal women exhibit a mortality advantage over and above marital status despite their high rates of divorce. Implications and potential explanations are discussed. CLINICAL

trial registrationNCT00000611.

Indexed as

Hispanic or LatinoAgedClinical Trials as TopicEthnicityFemaleHumansLongitudinal StudiesMarital StatusMiddle AgedMortalityObservational Studies as TopicPostmenopauseProportional Hazards ModelsUnited StatesWomen's HealthHispanicHispanic mortality paradoxLatinaMarital statusMortalityRace-ethnicity

Identifiers

PMID33449073
PMCPMC8240130
OpenAlexW3122833201

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.