Evidence map›Paper›PMID 37038741›Full record

ArticleThe American journal of psychiatry2023

Differences in Social Determinants of Health Underlie Racial/Ethnic Disparities in Psychological Health and Well-Being: Study of 11,143 Older Adults.

Dylan J Jester, Jordan N Kohn, Lize Tibiriçá, Michael L Thomas, Lauren L Brown, James D Murphy, Dilip V Jeste

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
11.3field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 41 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Dylan J JesterDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
Jordan N KohnDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
Lize TibiriçáDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
Michael L ThomasDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
Lauren L BrownDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
James D MurphyDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
Dilip V JesteDepartment of Psychiatry (Jester, Kohn, Tibiriçá, Jeste), Sam and Rose Stein Institute for Research on Aging (Jester, Kohn, Tibiriçá), and Department of Radiation Medicine and Applied Sciences (Murphy), University of California, San Diego, La Jolla; Department of Psychology, Colorado State University, Fort Collins (Thomas); Division of Health Management and Policy, School of Public Health, San Diego State University, San Diego (Brown).
San Diego State University · US

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
TRAINING IN THE DEMOGRAPHY OF AGINGT32AG000221 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 1992 to 2026
$15.3M
FELLOWSHIP IN GERIATRIC MENTAL HEALTHT32MH019934 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Elizabeth W Twamley · 1994 to 2026
$9.5M
Measuring stress and epigenetic aging among Black older adults in longitudinal studies of agingK01AG081842 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Lauren Brown · 2023 to 2026
$582k
NIA NIH HHS K01 AG081842NIA NIH HHS L30 AG064751NIA NIH HHS U01 AG009740NIMH NIH HHS T32 MH019934
6 · The paper itself

Abstract

objectiveThe authors sought to determine the impact of selected social determinants of health (SDoH) on psychological health and well-being (defined as depression, cognition, and self-rated health) among Black and Hispanic/Latinx adults relative to White adults 51-89 years of age.

methodsDisparities in depressive symptomatology, cognition, and self-rated health were measured among 2,306 non-Hispanic/Latinx Black, 1,593 Hispanic/Latinx, and 7,244 non-Hispanic/Latinx White adults who participated in the Health and Retirement Study (N=11,143). Blinder-Oaxaca decomposition was used to examine whether differences in selected SDoH explained a larger share of the disparities than age, sex, measures of health, health behaviors, and health care utilization. Selected SDoH included education, parental education, number of years worked, marital status, veteran status, geographic residence, nativity status, income, and insurance coverage.

resultsBlack and Hispanic/Latinx adults reported worse depressive symptomatology, cognition, and self-rated health than White adults. Selected SDoH were associated with a larger proportion of the Black-White disparities in depressive symptomatology (51%), cognition (39%), and self-rated health (37%) than were age, sex, measures of health, health behaviors, and health care utilization. SDoH were associated with a larger proportion of the Hispanic/Latinx-White disparity in cognition (76%) and self-rated health (75%), but age and physical health correlated with the disparity in depressive symptomatology (28%). Education, parental education, years worked, income, and insurance parity were SDoH associated with these disparities.

conclusionsDifferences in SDoH underlie racial/ethnic disparities in depression, cognition, and self-rated health among older adults. Education, income, number of years worked, and insurance parity are key SDoH.

Indexed as

Health Status DisparitiesMental HealthSocial Determinants of HealthAgedAged, 80 and overBlack or African AmericanDepressionEthnicityHispanic or LatinoHumansMiddle AgedRacial GroupsWhite PeopleAfrican AmericanDepressive DisordersHealth InequityLatin AmericanMental HealthSocioeconomic Status

Identifiers

PMID37038741
PMCPMC10329971
OpenAlexW4364352097

What OpenQuestion holds

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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.