ArticleDiabetes care2023
Structural Racism as an Upstream Social Determinant of Diabetes Outcomes: A Scoping Review.
Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
What it found
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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.
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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.
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Who cites it
43 citing papers in PubMed.
- What works to address inequalities in primary care: Development of Living Evidence Maps using machine learning.Public health in practice (Oxford, England) · 2026Article
- Diabetes and Suicide Risk Among Black Males, Including Sexual Minority Males: A Narrative Review With Primary Care Implications.Current diabetes reports · 2026Review
- Reported Knowledge of Recent HbA1c, Blood Pressure, and LDL-cholesterol Levels and Goals Among US Adults with Diabetes-National Health and Nutrition Examination Survey 2011-2020.Journal of general internal medicine · 2026Article
- Structural Disadvantage in Adolescence and Biological Aging in Early Midlife.JAMA network open · 2026Observational
- Pathways between race, structural racism, and obesity across census tracts in the United States.Diabetes, obesity & metabolism · 2026Article
- Co-expressed MicroRNAs Associated with An Elevated Psychometabolic Risk Phenotype in Women during Midlife.medRxiv : the preprint server for health sciences · 2026Article
- Race, Structural Racism, and Prevalence of Diabetes in US Neighborhoods.JAMA network open · 2026Article
- Moving beyond individual-level factors: evidence-based strategies to advance structural competency in sports and exercise medicine.British journal of sports medicine · 2026Article
- The Association of County-level Structural Racism with Risk Factors for Negative Maternal Health and Birth Outcomes among Non-Hispanic Black People of Childbearing Age.Journal of racial and ethnic health disparities · 2026Article
- Article
- Insufficient: A scoping review of structural racism and intimate partner violence in US-based immigrant communities of color.PLOS global public health · 2026Article
- Pilot randomized trial of cash transfer interventions to improve health outcomes in low income adults with poorly controlled type 2 diabetes: Study protocol and baseline characteristics.Contemporary clinical trials · 2026Article
- Co-expressed microRNAs associated with elevated psychometabolic risk phenotype in women during midlife.Frontiers in endocrinology · 2026Article
- A Standard Measure of Structural Racism, Do We Have One? Can We Have One? A Narrative Review of Commonly Used Measures and Domains of Use.Journal of racial and ethnic health disparities · 2025Review
- Overall Experiences and Perceptions of Racism of Parents of Non-Hispanic Black Children With Diabetes.The science of diabetes self-management and care · 2025Article
- An epigenome-wide analysis of DNA methylation, racialized and economic inequities, and air pollution.Clinical epigenetics · 2025Article
- Structural Racism and HIV Pre-exposure Prophylaxis Use in the Nationwide US: A County-Level Analysis.Journal of racial and ethnic health disparities · 2025Article
- Risk Trajectories of Type 2 Diabetes-Related Microvascular Complications Across Racial/Ethnic Groups Among Older Adults.Journal of racial and ethnic health disparities · 2025Article
- Historic Residential Redlining and Diabetes: Mediating Pathways and Policy Solutions.Diabetes care · 2025Article
- Promoting Equity in Public Health: Addressing Inequality and Social Disparities.Health science reports · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo evaluate the evidence on the role of structural racism as an upstream factor impacting diabetes outcomes, identify current gaps, and recommend areas for future work. RESEARCH DESIGN AND
methodsA reproducible search of Medline and Ovid was used. Structural factors based on the World Health Organization social determinants of health framework (governance, macroeconomic policy, social policy, public policy, and cultural and societal values) had to be included as measured variables or contextual factors discussed as upstream influences. Outcomes included 1) hemoglobin A1c (HbA1c), 2) LDL, 3) BMI, 4) quality of life, 5) self-efficacy, 6) mortality, 7) years of life lost, and 8) self-care behaviors.
resultsThirteen articles were included for final synthesis. Ten studies focused on governance, two on social policies, one on public policies, and one on cultural and societal values. Results highlight significant associations between structural racism and poorer clinical outcomes (HbA1c and blood pressure), worse self-care behaviors (diet and physical activity), lower standards of care, higher mortality, and more years of life lost for adults with diabetes.
conclusionsThere is a paucity of work investigating the relationship between structural racism and diabetes outcomes. Five areas for future work include 1) more rigorous research on the relationship between structural racism, downstream social determinants, and health outcomes in diabetes, 2) policy assessments specific to diabetes outcomes, 3) research designed to examine pathways and mechanisms of influence, 4) intervention development to mitigate the impact of structural racism, and 5) tracking and monitoring of change over time.
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Registered trials
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.