Evidence map›Paper›PMID 34997433›Full record

SynthesisJournal of urban health : bulletin of the New York Academy of Medicine2022

Racism and Older Black Americans' Health: a Systematic Review.

S E LaFave, J J Suen, Q Seau, A Bergman, M C Fisher, R J Thorpe, S L Szanton

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of urban health : bulletin of the New York Academy of Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
21.3field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Racial Discrimination and Multiple Health Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Cohort Differences in Perceived Discrimination Trajectories among Aging Black Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  10. Racial/ethnic discrimination and racial trauma: Concurrent evaluation among Black adults who smoke in the United States.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Arts-based research with immigrant and racialized older adults: A scoping review.Qualitative social work : QSW : research and practice · 2024
    Article
  17. Article
  18. Article
  19. 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

7 authors at 1 institution in 1 country.

S E LaFaveJohns Hopkins University School of Nursing, Baltimore, MD, USA.
J J SuenJohns Hopkins University School of Nursing, Baltimore, MD, USA. Suen@jhmi.edu.
Q SeauJohns Hopkins University School of Nursing, Baltimore, MD, USA.
A BergmanJohns Hopkins University School of Nursing, Baltimore, MD, USA.
M C FisherJohns Hopkins University School of Nursing, Baltimore, MD, USA.
R J ThorpeJohns Hopkins University School of Nursing, Baltimore, MD, USA.
S L SzantonJohns Hopkins University School of Nursing, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

NRSA Training CoreTL1TR003100 · NCATS · JOHNS HOPKINS UNIVERSITY · PI SAHA, SOMNATH · 2019 to 2023
$4.5M
The role structural discrimination on depression, sleep, cardiovascular disease, and cognitive declineDP1AG069874 · NIA · JOHNS HOPKINS UNIVERSITY · PI SZANTON, SARAH L · 2020 to 2024
$4.1M
Health Services and Outcomes Research for Aging PopulationsT32AG066576 · NIA · JOHNS HOPKINS UNIVERSITY · PI CYNTHIA Melinda BOYD, Jennifer L. Wolff · 2020 to 2026
$3.8M
Informal Advance Care Planning with Family in Blacks with End Stage Renal Disease on HemodialysisF31NR019211 · NINR · JOHNS HOPKINS UNIVERSITY · PI FISHER, MARLENA CAMILLE · 2020 to 2022
$136k
Investigating the Relationship Between Age-Related Hearing Loss and Loneliness Among Community-Dwelling Older AdultsF31AG071353 · NIA · JOHNS HOPKINS UNIVERSITY · PI SUEN, JONATHAN J. · 2021 to 2023
$104k
NCATS NIH HHS TL1 TR003100NIA NIH HHS DP1 AG069874NIA NIH HHS F31 AG071353NIA NIH HHS T32 AG066576NINR NIH HHS F31 NR019211
6 · The paper itself

Abstract

We reviewed research that examines racism as an independent variable and one or more health outcomes as dependent variables in Black American adults aged 50 years and older in the USA. Of the 43 studies we reviewed, most measured perceived interpersonal racism, perceived institutional racism, or residential segregation. The only two measures of structural racism were birth and residence in a "Jim Crow state." Fourteen studies found associations between racism and mental health outcomes, five with cardiovascular outcomes, seven with cognition, two with physical function, two with telomere length, and five with general health/other health outcomes. Ten studies found no significant associations in older Black adults. All but six of the studies were cross-sectional. Research to understand the extent of structural and multilevel racism as a social determinant of health and the impact on older adults specifically is needed. Improved measurement tools could help address this gap in science.

Indexed as

RacismSocial SegregationAgedBlack or African AmericanBlack PeopleHumansMiddle AgedSystemic RacismDiscriminationOlder adultsRacismSocial determinants of healthSystematic review

Identifiers

PMID34997433
PMCPMC8866626
OpenAlexW4205357593

What OpenQuestion holds

Textmetadata
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.