Evidence map›Paper›PMID 38347310›Full record

ArticleJournal of racial and ethnic health disparities2025

Examining Race-Based and Gender-Based Discrimination, Trust in Providers, and Mental Well-Being Among Black Women.

Yendelela L Cuffee, Portia A Jackson Preston, Suzanne Akuley, Rachel Jaffe, Sharina Person, Jeroan J Allison

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
10.2field-weighted citation impact, top 2% 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

5 citing papers in PubMed, 9 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

6 authors at 4 institutions in 1 country.

Yendelela L CuffeeProgram in Epidemiology, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19713, USA. ylcuffee@udel.edu.ORCID 0000-0001-7150-0086
Portia A Jackson PrestonDepartment of Public Health, California State University, Fullerton, 800 N. State College Drive, KHS-121, Fullerton, CA, 92834, USA.ORCID 0000-0001-9076-6357
Suzanne AkuleyProgram in Epidemiology, College of Health Sciences, University of Delaware, 100 Discovery Blvd, Newark, DE, 19713, USA.ORCID 0000-0002-0741-7277
Rachel JaffeUniversity of Delaware, 100 Discovery Blvd, Newark, DE, 19713, USA.
Sharina PersonPopulation and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Albert Sherman Center, Worcester, MA, 01605, USA.ORCID 0000-0001-9121-9566
Jeroan J AllisonPopulation and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Albert Sherman Center, Worcester, MA, 01605, USA.ORCID 0000-0003-4472-2112
University of Delaware · USUniversity of Massachusetts Chan Medical School · USCalifornia State University, Fullerton · USSouth College · US

Funding

UMass Center for Health Equity Intervention ResearchP60MD006912 · NIMHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ALLISON, JEROAN J · 2012 to 2016
$6.8M
SCRATCH Research ProjectU01HL079171 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SHIKANY, JAMES · 2004 to 2008
$3.5M
NHLBI NIH HHS U01 HL079171NHLBI NIH HHS U01 HL079171-01NIMHD NIH HHS 1P60MD006912NIMHD NIH HHS P60 MD006912
6 · The paper itself

Abstract

objectivesTo examine experiences of discrimination among Black women, and to determine if experiencing race- and gender-based discrimination is associated with mental well-being and trust.

methodsData from the TRUST study were used to examine experiences of discrimination among 559 Black women with hypertension receiving healthcare at a safety-net hospital in Birmingham, Alabama. A three-level variable was constructed to combine the race-based and gender-based measures of the Experiences of Discrimination scale. Linear regression was used to examine the association between experiences of discrimination with mental well-being and trust.

resultsWomen who reported no experiences of race- or gender-based discrimination were older and reported higher mental well-being scores and greater trust. Fifty-three percent of study participants reported experiencing discrimination. Compared to participants who did not experience race- or gender-based discrimination, participants reporting experiences of race- or gender-based discrimination and those reporting experiencing both race- and gender-based discrimination were more likely to report poorer mental health.

conclusionReported experiences of gender- and/or race-based discrimination in this study were associated with lower mental health scores and less trust in health care providers. Our findings highlight the importance of examining experiences of discrimination among Black women, and the role of discrimination as a stressor and in reducing trust for providers. Incorporating an understanding and acknowledgement of experiences of discrimination into interventions, programs, and during clinical encounters may foster more trusting relationships between providers and patients.

Indexed as

Black or African AmericanMental HealthRacismSexismTrustAdultAgedAlabamaFemaleHumansHypertensionMiddle AgedBlackDiscriminationMental well-beingProvider trustWomen

Identifiers

PMID38347310
PMCPMC11913924
OpenAlexW4391743870

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.