Evidence map›Paper›PMID 35356362›Full record

ArticleTherapeutic advances in gastroenterology2022

Social barriers influence inflammatory bowel disease (IBD) outcomes and disproportionally affect Hispanics and non-Hispanic Blacks with IBD.

Oriana M Damas, Gabriela Kuftinec, Nidah S Khakoo, Diana Morillo, Maria A Quintero, James Levitt, Joanna Lopez, David H Kerman, Maria T Abreu, Amar R Deshpande and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.4field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Prevalence and Impact of Social Risk in Patients With Inflammatory Bowel Diseases: National Estimates From the United States.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Article
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  15. The 'PeerJ · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Oriana M DamasAssistant Professor, Director of Translational Studies for the Crohn's and Colitis Center and Division of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine Clinical Research Building, 1120 NW 14th Street CRB 971, Miami, FL, 33136 USA.
Gabriela KuftinecDivision of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Nidah S KhakooDepartment of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID https://orcid.org/0000-0003-2561-3826
Diana MorilloDivision of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Maria A QuinteroDivision of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
James LevittGastro Health, Miami, FL, USA.
Joanna LopezGastro Health, Miami, FL, USA.
David H KermanDivision of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Maria T AbreuDivision of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Amar R DeshpandeDivision of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Seth J SchwartzDepartments of Kinesiology, Health Education, and Educational Psychology, College of Education, The University of Texas at Austin, Austin, TX, USADepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Ana PalacioDepartment of Public Health Sciences, University of Miami Miller School of Medicine and Miami VA Geriatric Research Education and Clinical Center, Miami, FL, USA.
University of Miami · US

Funding

The impact of diet patterns and PUFA-related polymorphisms on ulcerative colitis in HispanicsK23DK117054 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI DAMAS, ORIANA MAZORRA · 2019 to 2023
$1.0M
NIDDK NIH HHS K23 DK117054
6 · The paper itself

Abstract

Background: The impact of social determinants of health in inflammatory bowel disease (IBD) remains understudied. We evaluated the impact of social barriers on IBD outcomes within a diverse cohort of patients. Methods: We performed a cross-sectional study on adult IBD patients and assessed known social determinants of health. We calculated the total prevalence of these barriers in the sample as a whole and within each ethnic group. We summed the number of barriers present for each individual to create a cumulative social barrier score (SBS), and we evaluated the relationship of each barrier and of the cumulative SBS with IBD outcomes, including disease activity and depressive symptoms. Results: A total of 316 patients were included in the study. Disparities in the prevalence of social barriers emerged by ethnicity: non-Hispanic Blacks reported the greatest number of social barriers, followed by Hispanic patients. Prevalent social barriers included financial strains (38.4%), such as food insecurity, medical care delays (~30%), and low educational attainment (26.8%). Social barriers associated with poor IBD outcomes included low educational attainment, poor health literacy, and financial insecurity. High SBS was associated with greater depressive symptoms [odds ratio (OR) 1.94, 95% confidence interval (CI) 1.21-2.9, Conclusion: Our study identifies social barriers that may impact IBD care and are disproportionately higher in non-Hispanic Blacks and Hispanics in the United States. Future studies should focus on implementing interventions to reduce these barriers and improve delivery of care.

Indexed as

depressive symptomsfinancial insecurityinflammatory bowel diseaseminoritiessocial determinants of health

Identifiers

PMID35356362
PMCPMC8958706
OpenAlexW4220720212

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.