Evidence map›Paper›PMID 37580438›Full record

SynthesisJournal of racial and ethnic health disparities2024

A Systematic Review of the Relationship Between Discrimination, Racism, and Type 2 Diabetes Healthcare Outcomes for Black Americans.

Sandra B Anim, Roxanne Spurlark, Ruth-Alma Turkson-Ocran, Nicole Bohr, Cheryl Soco, Shannon D Simonovich

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of racial and ethnic health disparities, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Article
  10. Observational
  11. Article
  12. 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

6 authors at 3 institutions in 1 country.

Sandra B AnimDePaul University School of Nursing, Chicago, IL, USA.
Roxanne SpurlarkDePaul University School of Nursing, Chicago, IL, USA. rspurlar@depaul.edu.ORCID 0000-0003-4387-5221
Ruth-Alma Turkson-OcranBeth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0001-9932-052X
Nicole BohrUChicago Medicine, Chicago, IL, USA.ORCID 0000-0001-7269-6658
Cheryl SocoDePaul University School of Nursing, Chicago, IL, USA.ORCID 0000-0003-1042-4360
Shannon D SimonovichDePaul University School of Nursing, Chicago, IL, USA.ORCID 0000-0001-8713-9221
DePaul University · USBeth Israel Deaconess Medical Center · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisparities in type 2 diabetes (T2DM) risk, care, and complications impact Black Americans more than that of their White counterparts. This study aims to examine the association between discrimination, racism, and T2DM care and outcomes in Black Americans.

methodThe systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

resultsA total of six original research articles met the inclusion criteria, comprising three quantitative and three qualitative studies. Overall, the systematic review findings revealed that among Black Americans, perceived interpersonal discrimination and racism by healthcare professionals are associated with patients' behaviors that impact T2DM outcomes. The findings also revealed that provider-level factors such as communication, provider assumptions and attitudes, information sharing, shared decision-making, and disease management behaviors might influence T2DM outcomes in this population. DISCUSSION: Better T2DM-related outcomes depend on optimal disease control through adequate disease management. Building a therapeutic and culturally appropriate relationship free of discrimination and racism is vital for optimal disease management and decreasing health disparities in this patient population.

conclusionPerceived interpersonal racism and discrimination by healthcare providers, among other sociocultural factors, play a crucial role in influencing some patient behaviors that affect T2DM health outcomes in this population. Efforts to decrease health disparities in this specific community should also focus on interventions addressing provider-level factors and behaviors perceived as racist or discriminatory.

Indexed as

Black or African AmericanDiabetes Mellitus, Type 2Healthcare DisparitiesRacismHumansBlack AmericansCare outcomesDiabetesDiscriminationHealthcare disparitiesRacism

Identifiers

PMID37580438
OpenAlexW4385805434

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.