Evidence map›Paper›PMID 37218993›Full record

ArticleDemography2023

Racialized Health Inequities: Quantifying Socioeconomic and Stress Pathways Using Moderated Mediation.

Tyson H Brown, Taylor W Hargrove, Patricia Homan, Daniel E Adkins

Abstract read
In one paragraph

Article in Demography, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Association of multimorbidity trajectories from early adulthood through middle age with middle-age physical function.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  6. Reimagining Resilience in Aging: Leveraging AI/ML, Big Data Analytics, and Systems Innovation.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  7. Article
  8. Goal-Striving Stress and Bodily Pain among Working-Age Black and White Americans.Journal of racial and ethnic health disparities · 2025
    Article
  9. Racism Counterfactuals in Health Research.Journal of racial and ethnic health disparities · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Stolen Lives: Redress for Slavery's and Jim Crow's Ongoing Theft of Lifespan.The Russell Sage Foundation journal of the social sciences : RSF · 2024
    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

4 authors.

Tyson H BrownDepartment of Sociology and Population Research Institute, Duke University, Durham, NC, USA.ORCID 0000-0002-0979-0622
Taylor W HargroveDepartment of Sociology and Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-8759-1944
Patricia HomanDepartment of Sociology, Center for Demography and Population Health, and Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA.ORCID 0000-0003-3609-8188
Daniel E AdkinsDepartment of Sociology, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-3683-6793

Funding

STALLARD Admin Supp: Predicting Future Care Needs and Costs for Individual Medicare Enrollees with Incident Suspected Alzheimer's DiseaseP30AG034424 · NIA · DUKE UNIVERSITY · PI SCOTT M. LYNCH · 2009 to 2026
$12.2M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI Giovanna M Merli · 2015 to 2026
$5.7M
Network on Life Course Health Dynamics and Disparities in 21st Century America RenewalR24AG045061 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, Sarah A. Burgard · 2014 to 2026
$5.2M
Program Development (Pilot) CoreP30AG066615 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 2020 to 2026
$4.1M
NIA NIH HHS P30 AG034424NIA NIH HHS P30 AG066615NIA NIH HHS R24 AG045061NICHD NIH HHS P2C HD065563
6 · The paper itself

Abstract

Racism drives population health inequities by shaping the unequal distribution of key social determinants of health, such as socioeconomic resources and exposure to stressors. Research on interrelationships among race, socioeconomic resources, stressors, and health has proceeded along two lines that have largely remained separate: one examining differential effects of socioeconomic resources and stressors on health across racialized groups (moderation processes), and the other examining the role of socioeconomic resources and stressors in contributing to racial inequities in health (mediation processes). We conceptually and analytically integrate these areas using race theory and a novel moderated mediation approach to path analysis to formally quantify the extent to which an array of socioeconomic resources and stressors-collectively and individually-mediate racialized health inequities among a sample of older adults from the Health and Retirement Study. Our results yield theoretical contributions by showing how the socioeconomic status-health gradient and stress processes are racialized (24% of associations examined varied by race), substantive contributions by quantifying the extent of moderated mediation of racial inequities (approximately 70%) and the relative importance of various social factors, and methodological contributions by showing how commonly used simple mediation approaches that ignore racialized moderation processes overestimate-by between 5% and 30%-the collective roles of socioeconomic status and stressors in accounting for racial inequities in health.

Indexed as

Health Disparate Minority and Vulnerable PopulationsRacismSocial ClassAgedAgingHealth InequitiesHealth StatusHumansSocioeconomic FactorsAgingHealth disparitiesRacismSocioeconomic resourcesStress

Identifiers

PMID37218993
PMCPMC10841571

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.