Evidence map›Paper›PMID 39083750›Full record

ArticleAmerican journal of public health2024

United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico.

Anna-Michelle Marie McSorley, Alexandra C Rivera-González, Damaris Lopez Mercado, José A Pagán, Jonathan Purtle, Alexander N Ortega

Abstract read
In one paragraph

Article in American journal of public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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.

Anna-Michelle Marie McSorleyAnna-Michelle Marie McSorley is with the Center for Anti-racism, Social Justice, and Public Health, and the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Alexandra C. Rivera-González is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Damaris Lopez Mercado is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. José A. Pagán is with the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Jonathan Purtle is with the Department of Public Health Policy and Management and the Global Center for Implementation Science, School of Global Public Health, New York University, New York, NY. Alexander N. Ortega is with the Thompson School of Social Work and Public Health, University of Hawaii at Manoa, Honolulu.ORCID 0000-0002-7631-5880
Alexandra C Rivera-GonzálezAnna-Michelle Marie McSorley is with the Center for Anti-racism, Social Justice, and Public Health, and the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Alexandra C. Rivera-González is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Damaris Lopez Mercado is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. José A. Pagán is with the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Jonathan Purtle is with the Department of Public Health Policy and Management and the Global Center for Implementation Science, School of Global Public Health, New York University, New York, NY. Alexander N. Ortega is with the Thompson School of Social Work and Public Health, University of Hawaii at Manoa, Honolulu.ORCID 0000-0003-0198-6599
Damaris Lopez MercadoAnna-Michelle Marie McSorley is with the Center for Anti-racism, Social Justice, and Public Health, and the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Alexandra C. Rivera-González is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Damaris Lopez Mercado is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. José A. Pagán is with the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Jonathan Purtle is with the Department of Public Health Policy and Management and the Global Center for Implementation Science, School of Global Public Health, New York University, New York, NY. Alexander N. Ortega is with the Thompson School of Social Work and Public Health, University of Hawaii at Manoa, Honolulu.ORCID 0000-0002-0161-6208
José A PagánAnna-Michelle Marie McSorley is with the Center for Anti-racism, Social Justice, and Public Health, and the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Alexandra C. Rivera-González is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Damaris Lopez Mercado is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. José A. Pagán is with the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Jonathan Purtle is with the Department of Public Health Policy and Management and the Global Center for Implementation Science, School of Global Public Health, New York University, New York, NY. Alexander N. Ortega is with the Thompson School of Social Work and Public Health, University of Hawaii at Manoa, Honolulu.ORCID 0000-0002-8915-9602
Jonathan PurtleAnna-Michelle Marie McSorley is with the Center for Anti-racism, Social Justice, and Public Health, and the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Alexandra C. Rivera-González is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Damaris Lopez Mercado is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. José A. Pagán is with the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Jonathan Purtle is with the Department of Public Health Policy and Management and the Global Center for Implementation Science, School of Global Public Health, New York University, New York, NY. Alexander N. Ortega is with the Thompson School of Social Work and Public Health, University of Hawaii at Manoa, Honolulu.
Alexander N OrtegaAnna-Michelle Marie McSorley is with the Center for Anti-racism, Social Justice, and Public Health, and the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Alexandra C. Rivera-González is with the Department of Public Health, School of Social Sciences, Humanities, and Arts, University of California, Merced. Damaris Lopez Mercado is with the Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA. José A. Pagán is with the Department of Public Health Policy and Management, School of Global Public Health, New York University, New York, NY. Jonathan Purtle is with the Department of Public Health Policy and Management and the Global Center for Implementation Science, School of Global Public Health, New York University, New York, NY. Alexander N. Ortega is with the Thompson School of Social Work and Public Health, University of Hawaii at Manoa, Honolulu.ORCID 0000-0001-6861-6993

Funding

The Puerto Rico Healthcare System Before and After Three Public Health DisastersR01MD016426 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Ligia M. Chavez, Alexander N Ortega · 2022 to 2026
$3.3M
Psychiatric and substance use disorders in Puerto Rico before and after Hurricane MariaR01MD013866 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI CANINO, GLORISA J, ORTEGA, ALEXANDER N · 2019 to 2023
$3.2M
NIMHD NIH HHS R01 MD013866NIMHD NIH HHS R01 MD016426
6 · The paper itself

Abstract

Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico's deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniquely devastating, decades of inequitable US federal policy practices have fueled the persistence of health inequities in the territory. Here we demonstrate how existing health and health care inequities in Puerto Rico have been exacerbated by compounding disasters but are rooted in the differential treatment of the territory under US federal policies. Specifically, we focus on the unequal US Federal Emergency Management Agency response to disasters in the territory, the lack of parity in federal Medicaid funding for Puerto Rico, and Puerto Rico's limited political power as a territory of the United States. We also provide empirically supported policy recommendations aimed at reducing health and health care inequities in the often-forgotten US territory of Puerto Rico. (

Indexed as

Healthcare DisparitiesDisastersFederal GovernmentHealth InequitiesHealth PolicyHumansMedicaidPuerto RicoUnited States

Identifiers

PMID39083750
PMCPMC11292284

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.