Evidence map›Paper›PMID 36066788›Full record

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

Black Canadians' Exposure to Everyday Racism: Implications for Health System Access and Health Promotion among Urban Black Communities.

Winston Husbands, Daeria O Lawson, Egbe B Etowa, Lawrence Mbuagbaw, Shamara Baidoobonso, Wangari Tharao, Sanni Yaya, LaRon E Nelson, Muna Aden, Josephine Etowa

Abstract read
In one paragraph

Article 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–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

30 citing papers in PubMed.

  1. Article
  2. Article
  3. Diminished returns to Black health: A Canadian problem?Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Healthcare utilization and HIV burden among Black communities in Ontario: a matched cohort study.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  8. Disparities in cost-related prescription nonadherence between Black and White adults in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Factors associated with self-rated health in Black Canadians: A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
  14. Engaging in culturally responsive and antiracism research and programs for Black Canadian communities.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Article
  15. Article
  16. Article
  17. Everyday racism experiences, healthcare access, and self-rated health: A study of Black men in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2025
    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

10 authors.

Winston HusbandsDalla Lana School of Public Health, University of Toronto, Toronto, Canada. winston.husbands@utoronto.ca.ORCID 0000-0003-4742-5105
Daeria O LawsonDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.
Egbe B EtowaDaphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.
Shamara BaidoobonsoDepartment of Community Health and Epidemiology, Dalhousie University, Halifax, Canada.
Wangari TharaoWomen's Health in Women's Hands Community Health Centre, Toronto, Canada.
Sanni YayaSchool of International Development and Global Studies, University of Ottawa, Ottawa, Canada.
LaRon E NelsonSchool of Nursing, Yale University, New Haven, USA.
Muna AdenWomen's Health in Women's Hands Community Health Centre, Toronto, Canada.
Josephine EtowaSchool of Nursing, University of Ottawa, Ottawa, Canada.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
CIHR 163414NCATS NIH HHS UL1 TR001863NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

This study explores the social determinants of Black Canadians' exposure to everyday racism, its relationship to health system access, and implications for health promotion. We used data from the A/C Study survey on HIV transmission and prevention among Black Canadians. We implemented the survey (N = 1360) in 2018-2019 in Toronto and Ottawa-two large cities that together account for 42% of Canada's Black population-among self-identified Black residents aged 15-64 years, who were born in sub-Sahara Africa or the Caribbean or had a parent who was born in those regions. Participants reported racist encounters in the preceding 12 months using the Everyday Discrimination Scale. We assessed the socio-demographic correlates of racist experiences and the impact of racism on health system access using multivariable generalised linear models. Sixty percent of participants reported experiencing racism in the preceding 12 months. Based on the adjusted odds ratios, participants were more likely to experience racism if they were older, employed, Canadian-born, had higher levels of education, self-identified as LGBTQ + and reported generally moderate access to basic needs and adequate housing; and less likely to experience racism if they lived in Ottawa, self-identified as female or reported higher levels of social capital. Visiting a healthcare provider or facility, and difficulty accessing healthcare were associated with racist experiences. Racist experiences diminished the likelihood of being tested for HIV. Racist experiences were widespread, especially among those with higher levels of social wellbeing or greater exposure to Canadian institutions. Study participants also associated racist experiences with the healthcare system.

Indexed as

Healthcare DisparitiesHealth PromotionHealth Services AccessibilityRacismAdolescentAdultBlack PeopleCanadaFemaleHIV InfectionsHumansMaleMiddle AgedSocial Determinants of HealthBlack CanadiansEveryday racismHealthSystemic anti-Black racism

Identifiers

PMID36066788
PMCPMC9447939

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.