Evidence map›Paper›PMID 35472083›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Demographic differences in willingness to share electronic health records in the All of Us Research Program.

Christine L M Joseph, Amy Tang, David W Chesla, Mara M Epstein, Pamala A Pawloski, Alan B Stevens, Stephen C Waring, Brian K Ahmedani, Christine C Johnson, Cathryn D Peltz-Rauchman

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Enabling Health Data Sharing with Fine-Grained Privacy.Proceedings of the ... ACM International Conference on Information & Knowledge Management. ACM International Conference on Information and Knowledge Management · 2023
    Article
  7. Consideration of bias in data sources and digital services to advance health equity.Journal of the American Medical Informatics Association : JAMIA · 2022
    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

10 authors at 6 institutions in 1 country.

Christine L M JosephHenry Ford Health System, Public Health Sciences, Detroit, Michigan, USA.
Amy TangHenry Ford Health System, Public Health Sciences, Detroit, Michigan, USA.
David W CheslaSpectrum Health, Research and Development, Grand Rapids, Michigan, USA.
Mara M EpsteinThe Meyers Primary Care Institute, Worcester, Massachusetts, USA.
Pamala A PawloskiHealth Partners Institute, Bloomington, Minnesota, USA.
Alan B StevensBaylor Scott and White Medical Center Temple, Center for Applied Health Research, Temple, Texas, USA.
Stephen C WaringEssentia Institute for Rural Health, Division of Research, Duluth, Minnesota, USA.
Brian K AhmedaniHenry Ford Health System, Center for Health Policy and Health Services Research, Detroit, Michigan, USA.
Christine C JohnsonHenry Ford Health System, Public Health Sciences, Detroit, Michigan, USA.
Cathryn D Peltz-RauchmanHenry Ford Health System, Public Health Sciences, Detroit, Michigan, USA.
Henry Ford Health System · USBaylor Scott & White Medical Center - Temple · USCorewell Health Blodgett Hospital · USEssentia Health · USHealthPartners · USUniversity of Massachusetts Chan Medical School · US

Funding

Trans-America Consortium of the Health Care Systems Research Network for the All of Us Research ProgramOT2OD026550 · OD · HENRY FORD HEALTH SYSTEM · PI AHMEDANI, BRIAN KENNETH, JOHNSON, CHRISTINE C · 2018 to 2022
$57.3M
NIH HHS OT2 OD026550
6 · The paper itself

Abstract

objectiveParticipant willingness to share electronic health record (EHR) information is central to success of the National Institutes of Health All of Us Research Program (AoURP). We describe the demographic characteristics of participants who decline access to their EHR data. MATERIALS AND

methodsWe included participants enrolling in AoURP between June 6, 2017 and December 31, 2019 through the Trans-American Consortium for the Health Care Systems Research Network (TACH). TACH is a consortium of health care systems spanning 6 states, and an AoURP research partner.

resultsWe analyzed data for 25 852 participants (89.3% of those enrolled). Mean age = 52.0 years (SD 16.8), with 66.5% White, 18.7% Black/African American, 7.7% Hispanic, 32.5% female, and 76% with >a high school diploma. Overall, 2.3% of participants declined to share access to their EHR data (range across TACH sites = 1.3% to 3.5%). Younger age, female sex, and education >high school were significantly associated with decline to share EHR data, odds ratio (95% confidence interval) = 1.26 (1.19-1.33), 1.74 (1.42-2.14), and 2.44 (1.86-3.21), respectively. Results were similar when several sensitivity analyses were performed. DISCUSSION: AoURP seeks a dataset reflecting our nation's diversity in all aspects of participation. Those under-represented in biomedical research may be reluctant to share access to their EHR data.

conclusionIn our data, race and ethnicity were not independently related to participant decision to decline access to their EHR information. Results suggest that the value of the AoURP dataset is unlikely to be constrained by the size or the racial/ethnic composition of this subgroup.

Indexed as

Electronic Health RecordsPopulation HealthEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedRacial GroupsUnited StatesAfrican AmericanAll of Us Research Programdiversityelectronic health recordTrans-American Consortium for the Health Care Systems Research Network

Identifiers

PMID35472083
PMCPMC9196689
OpenAlexW4225000465

What OpenQuestion holds

Textmetadata
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.