Evidence map›Paper›PMID 36260413›Full record

ArticleJournal of the American Geriatrics Society2022

Exploring the intersection of structural racism and ageism in healthcare.

Timothy W Farrell, William W Hung, Kathleen T Unroe, Teneille R Brown, Christian D Furman, Jane Jih, Reena Karani, Paul Mulhausen, Anna María Nápoles, Joseph O Nnodim and 5 more

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. State Racism Index and physical function: The REasons for Geographic and Racial Differences in Stroke (REGARDS) study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Contextualizing Age-Friendly Care Within Social Drivers of Health.Journal of the American Geriatrics Society · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Weathering the STORM and Forecasting Equity for Older Black Women: Expanding Social Determinants of Health.International journal of environmental research and public health · 2025
    Article
  16. Article
  17. Article
  18. Race-Specific Impact of Telehealth Advance Care Planning on Cost of Dementia: A Cost Prediction Study.International journal of environmental research and public health · 2025
    Article
  19. Article
  20. Review
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

15 authors.

Timothy W FarrellDivision of Geriatrics, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-0070-8757
William W HungDepartment of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Kathleen T UnroeDepartment of Medicine, Indiana University, Indianapolis, Indiana, USA.
Teneille R BrownCenter for Law and Biomedical Sciences, University of Utah S.J. Quinney College of Law, Salt Lake City, Utah, USA.
Christian D FurmanDepartment of Geriatric Medicine, Department of Geriatric and Palliative Medicine, Trager Institute/Optimal Aging Clinic, University of Louisville, Louisville, Kentucky, USA.
Jane JihDivision of General Internal Medicine, Multiethnic Health Equity Research Center, Asian American Research Center on Health, University of California, San Francisco, San Francisco, California, USA.
Reena KaraniDepartment of Medical Education, Department of Medicine, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Paul MulhausenIowa Total Care, West Des Moines, Iowa, USA.
Anna María NápolesDivision of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland, USA.
Joseph O NnodimDivision of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Gina UpchurchSenior PharmAssist, Durham, North Carolina, USA.
Chanel F WhittakerDepartment of Practice, Sciences, and Health Outcomes Research (P-SHOR), The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
Anna KimAmerican Geriatrics Society, New York, New York, USA.
Nancy E LundebjergAmerican Geriatrics Society, New York, New York, USA.
Ramona L RhodesCentral Arkansas Veterans Healthcare System, Geriatric Research Education and Clinical Center, North Little Rock, Arkansas, USA.

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Addressing Contextual Factors in Chronic Disease Management in Minority Older Adults through Photo-based Patient-Clinician CommunicationK23MD015089 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JIH, JANE · 2021 to 2025
$874k
Intramural NIH HHS Z99 MD999999NCATS NIH HHS KL2 TR001870NCATS NIH HHS UL1 TR001872NIMHD NIH HHS K23 MD015089
6 · The paper itself

Abstract

The American Geriatrics Society (AGS) has consistently advocated for a healthcare system that meets the needs of older adults, including addressing impacts of ageism in healthcare. The intersection of structural racism and ageism compounds the disadvantage experienced by historically marginalized communities. Structural racism and ageism have long been ingrained in all aspects of US society, including healthcare. This intersection exacerbates disparities in social determinants of health, including poor access to healthcare and poor outcomes. These deeply rooted societal injustices have been brought to the forefront of the collective public consciousness at different points throughout history. The COVID-19 pandemic laid bare and exacerbated existing inequities inflicted on historically marginalized communities. Ageist rhetoric and policies during the COVID-19 pandemic further marginalized older adults. Although the detrimental impact of structural racism on health has been well-documented in the literature, generative research on the intersection of structural racism and ageism is limited. The AGS is working to identify and dismantle the healthcare structures that create and perpetuate these combined injustices and, in so doing, create a more just US healthcare system. This paper is intended to provide an overview of important frameworks and guide future efforts to both identify and eliminate bias within healthcare delivery systems and health professions training with a particular focus on the intersection of structural racism and ageism.

Indexed as

AgeismCOVID-19RacismAgedDelivery of Health CareHealthcare DisparitiesHumansPandemicsSystemic RacismUnited Statesageismhealth disparitiesintersectionalityracismsocial determinants

Identifiers

PMID36260413
PMCPMC9886231

What OpenQuestion holds

Textmetadata
LicenceTDM
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.