Evidence map›Paper›PMID 33930432›Full record

ArticlePreventive medicine2021

Examining the role of healthcare access in racial/ethnic disparities in receipt of provider-patient discussions about smoking: A latent class analysis.

Lihua Li, Serena Zhan, Liangyuan Hu, Karen M Wilson, Madhu Mazumdar, Bian Liu

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

6 authors at 3 institutions in 1 country.

Lihua LiDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Tisch Cancer Institute, New York, NY, United States of America. Electronic address: Lihua.li@mountsinai.org.
Serena ZhanDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Tisch Cancer Institute, New York, NY, United States of America.
Liangyuan HuDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Tisch Cancer Institute, New York, NY, United States of America.
Karen M WilsonDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Madhu MazumdarDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Tisch Cancer Institute, New York, NY, United States of America; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Bian LiuDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Tisch Cancer Institute, New York, NY, United States of America; Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America.
Tisch Cancer InstituteIcahn School of Medicine at Mount Sinai · USTisch Hospital · US

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
Exploration of dynamic spatiotemporal exposure profiles via patient residential and healthcare utilization historyR21CA235153 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LIU, BIAN · 2019 to 2020
$377k
NCI NIH HHS P30 CA196521NCI NIH HHS R21 CA235153
6 · The paper itself

Abstract

Using insurance as a single indicator of healthcare access in examining the association between race/ethnicity and healthcare encounter-based interventions for smoking may not be adequate. In this study, we assessed the role of healthcare access using multifactorial measures in accounting for racial/ethnic disparities in the receipt of provider-patient discussions, defined as either being asked about smoking or advised to quit smoking by providers. We identified adult current smokers from the 2015 National Health Interview Survey. We first conducted a latent class analysis (LCA) to identify the underlying patterns of healthcare access measured by 13 indicators of healthcare access and utilization. We then used a propensity score - based weighting approach to examine racial/ethnic disparities in receiving provider-patient discussions about smoking or quitting in stratified groups by the distinct healthcare access clusters. Out of the 4134 adult current smokers who visited a doctor or a healthcare provider during the past 12 months, 3265 (79.90%) participants were classified as having high healthcare access and 869 (20.10%) participants as having low healthcare access. Compared to non-Hispanic whites, Hispanics had significantly lower odds of being asked about smoking (OR 0.46, 95% CI (0.27-0.77)) and being advised to quit (OR 0.57, 95% CI (0.34-0.97)) in the low access group, but neither association was significant in the high access group. In addition to increasing health insurance coverage, reducing other healthcare access barriers for Hispanics will likely facilitate provider-patient discussion and promote tobacco cessation among Hispanic smokers.

Indexed as

EthnicitySmoking CessationAdultHealthcare DisparitiesHealth Services AccessibilityHispanic or LatinoHumansLatent Class AnalysisSmokingUnited StatesHealthcare accessLatent class analysisPropensity score-based weighting analysisProvider-patient discussionRacial/ethnic disparitiesSmoking cessation

Identifiers

PMID33930432
PMCPMC12148065
OpenAlexW3159922173

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.