Evidence map›Paper›PMID 38745879›Full record

ArticleJournal of clinical and translational science2024

The C2DREAM framework: Investigating the structural mechanisms undergirding racial health inequities.

Kene Orakwue, Anna K Hing, Tongtan Chantarat, Derek Hersch, Ebiere Okah, Michele Allen, Christi A Patten, Felicity T Enders, Rachel Hardeman, Sean M Phelan

Abstract read
In one paragraph

Article in Journal of clinical and translational science, 2024. 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
–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

5 citing papers in PubMed.

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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

10 authors.

Kene OrakwueDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA.ORCID https://orcid.org/0009-0007-5773-9462
Anna K HingDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA.
Tongtan ChantaratCenter for Antiracism Research for Health Equity, Minneapolis, MN, USA.
Derek HerschDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Ebiere OkahDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Michele AllenDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Christi A PattenDepartment of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-7194-8160
Felicity T EndersDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-3261-5400
Rachel HardemanDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA.
Sean M PhelanRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery & Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.

Funding

Understanding facilitators and barriers for the utilization of an Indigenized meal kit amongst urban Minnesota Native American youth and familiesP50MD017342 · NIMHD · UNIVERSITY OF MINNESOTA · PI ALLEN, MICHELE L, HARDEMAN, RACHEL R · 2021 to 2025
$24.8M
NIMHD NIH HHS P50 MD017342
6 · The paper itself

Abstract

Racism shapes the distribution of the social determinants of health (SDoH) along racial lines. Racism determines the environments in which people live, the quality of housing, and access to healthcare. Extensive research shows racism in its various forms negatively impacts health status, yet few studies and interventions seriously interrogate the role of racism in impacting health. The C2DREAM framework illuminates how exposure to racism, in multiple forms, connects to cardiovascular disease, hypertension, and obesity. The goal of the C2DREAM framework is to guide researchers to critically think about and measure the role of racism across its many levels of influence to better elucidate the ways it contributes to persistent health inequities. The conceptual framework highlights the interconnectedness between forms of racism, SDoH, and the lifecourse to provide a greater context to individual health outcomes. Utilizing this framework and critically contending with the effects of racism in its multiple and cumulative forms will lead to better research and interventions.

Indexed as

cardiovascular diseaseClinical translational researchhypertensionobesityracismsocial determinants of health

Identifiers

PMID38745879
PMCPMC11091923

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.