Evidence map›Paper›PMID 37740168›Full record

ArticleJournal of general internal medicine2024

Addressing Structural Inequalities, Structural Racism, and Social Determinants of Health: a Vision for the Future.

Leonard E Egede, Rebekah J Walker, Joni S Williams

Abstract readEditorial
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Experiences and challenges of North Korean defectors with cervical cancer: a qualitative study using thematic analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Critical bioethics: a new paradigm for the era of techno-feudalism.Medicine, health care, and philosophy · 2026
    Article
  7. Article
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  19. Association of Individual and Contextual Factors for Protection from Dental Caries.International journal of environmental research and public health · 2026
    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

3 authors.

Leonard E EgedeDivision of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. legede@mcw.edu.ORCID 0000-0003-1546-1515
Rebekah J WalkerDivision of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Joni S WilliamsDivision of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Financial Incentives And Nurse Coaching to Enhance Diabetes Outcomes (FINANCE-DM) - Diversity SupplementR01DK120861 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.4M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Structural Racism and Disparities in Social Risk, Human Capital, Health Care Resources, and Health Outcomes: A Multi-level Analysis of Pathways and Policy Levers for ChangeR01MD017574 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.5M
Impact of structural racism on hospital/clinic closures, community assets, and health outcomes in urban communitiesR01MD018012 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.4M
Community-Based Intervention to Improve Diabetes Outcomes in Older African American Women with Multi-Caregiving BurdenR21DK123720 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI WILLIAMS, JONI STROM · 2020 to 2022
$595k
NIDDK NIH HHS PI: WilliamsNIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01DK118038NIDDK NIH HHS R01 DK120861NIDDK NIH HHS R01DK120861NIDDK NIH HHS R21 DK123720NIMHD NIH HHS PI: Egede/LindeNIMHD NIH HHS PI: Egede/WalkerNIMHD NIH HHS R01 MD013826NIMHD NIH HHS R01MD013826NIMHD NIH HHS R01 MD017574NIMHD NIH HHS R01MD017574NIMHD NIH HHS R01 MD018012NIMHD NIH HHS R01MD018012
6 · The paper itself

Abstract

Significant national discourse has focused on the idea of structural inequalities and structural racism within a variety of societal sectors, including healthcare. This perspective provides an understanding of the historic and pervasive nature of structural inequalities and structural racism; uses well-known frameworks in health equity research for conceptualizing structural inequality and structural racism; offers a summary of the consequences of structural inequalities and structural racism on modern-day health outcomes; and concludes with strategies and suggestions for a way forward. Recommended strategies across different sectors of influence include (a) employment and economic empowerment sector: creating capacity for individuals to earn livable wages; (b) education sector: developing new funding structures to ensure equal opportunities are offered to all; (c) healthcare sector: prioritizing universal access to high-quality health care, including mental health treatment; (d) housing sector: improving access to affordable, safe housing through public-private partnerships; (e) criminal justice sector: focusing reform on restorative justice that is people-centric instead of punitive; and (f) environmental sector: creating sustainable systems that alleviate downstream consequences of climate change. The recommended strategies account for the mutually reinforcing and pervasive nature of structural inequalities/structural racism and target key sectors of influence to enhance overall health outcomes and achieve equity regardless of race, ethnicity, or socioeconomic status.

Indexed as

RacismSystemic RacismDelivery of Health CareEthnicityHousingHumansSocial Determinants of Health

Identifiers

PMID37740168
PMCPMC10897090

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.