Evidence map›Paper›PMID 34808396›Full record

ArticleSocial science & medicine (1982)2022

Cultural trauma as a fundamental cause of health disparities.

Andrew M Subica, Bruce G Link

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  15. Surveillance for Violent Deaths - National Violent Death Reporting System, 50 States, the District of Columbia, and Puerto Rico, 2022.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2025
    Article
  16. Review
  17. Article
  18. Equitable Management of Type 2 Diabetes in American Indian and Alaska Native Adults.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Article
  19. How Education Shapes Indigenous Health Inequalities in the USA and Mexico.Journal of racial and ethnic health disparities · 2025
    Article
  20. 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

2 authors.

Andrew M SubicaUniversity of California, Riverside School of Medicine, Department of Social Medicine, Population, and Public Health, 900 University Ave, Riverside, CA, 92521, USA. Electronic address: subica@gmail.com.
Bruce G LinkUniversity of California, Riverside School of Public Policy, 900 University Ave, Riverside, CA, 92521, USA.

Funding

Engaging Pacific Islanders in Mental Health Treatment ServicesR34MH122641 · NIMH · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI SUBICA, ANDREW MAKOTO · 2020 to 2022
$723k
NIMH NIH HHS R34 MH122641
6 · The paper itself

Abstract

Health disparities disproportionately affect minority cultural groups (e.g., Indigenous, immigrant, refugee) worldwide; enduring across time, disease states, and risk factors despite co-occurring advancements in health and medicine. Fundamental cause theory holds that important social factors (e.g., socioeconomic status, stigma, racism) produce health disparities by restricting equitable access to health-protective resources. Yet, extant literature has not utilized fundamental cause theory to describe the health disparities impact of cultural trauma: an overwhelming, often ongoing physical or psychological assault by an oppressive dominant group on another group's cultural resources through force, threats of force, or oppressive policies. This paper presents a novel conceptual model detailing cultural trauma and the mechanisms through which it may disrupt health and create disparities by damaging three health-protective cultural resources: cultural modes, institutions, and lands. Following cultural trauma, we propose affected groups are socially disadvantaged and exposed to pervasive stress, stigma, and diminished resources, perpetuating health disparities across generations. Consequently, cultural trauma may represent an unrecognized fundamental cause of health disparities, offering potential avenues for promoting health equity through targeted research, interventions, and policies.

Indexed as

Health EquityRacismHealthcare DisparitiesHealth Status DisparitiesHumansMinority GroupsSocial StigmaUnited StatesVulnerable PopulationsCultural traumaHealth disparitiesHistorical traumaSocial determinants

Identifiers

PMID34808396
PMCPMC9006767

What OpenQuestion holds

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LicenceCC BY
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.