Evidence map›Paper›PMID 39927097›Full record

ArticleHealth affairs scholar2025

Racial disparities in hospitalization and neighborhood deprivation among Medicare beneficiaries.

Lusine Poghosyan, Jianfang Liu, Julius L Chen, Kathleen Flandrick, Amy McMenamin, Joshua Porat-Dahlerbruch, Tawandra L Rowell-Cunsolo, Grant R Martsolf

Abstract read
In one paragraph

Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

8 authors.

Lusine PoghosyanSchool of Nursing, Columbia University, New York, NY 10032, United States.ORCID https://orcid.org/0000-0002-0529-8171
Jianfang LiuSchool of Nursing, Columbia University, New York, NY 10032, United States.
Julius L ChenMailman School of Public Health, Columbia University, New York, NY 10032, United States.ORCID https://orcid.org/0000-0001-9213-0774
Kathleen FlandrickSchool of Nursing, Columbia University, New York, NY 10032, United States.ORCID https://orcid.org/0000-0002-2030-6555
Amy McMenaminSchool of Nursing, Columbia University, New York, NY 10032, United States.ORCID https://orcid.org/0000-0002-8551-7097
Joshua Porat-DahlerbruchSchool of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, United States.ORCID https://orcid.org/0000-0002-8273-9399
Tawandra L Rowell-CunsoloSandra Rosenbaum School of Social Work, University of Wisconsin-Madison, Madison, WI 53706, United States.ORCID https://orcid.org/0000-0003-3715-8998
Grant R MartsolfSchool of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, United States.

Funding

Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner PracticeR01MD011514 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2017 to 2020
$3.0M
NIMHD NIH HHS R01 MD011514
6 · The paper itself

Abstract

Many neighborhoods with concentrated racial and ethnic minority older adult populations experience high neighborhood disadvantage. Yet, to date, no studies have analyzed how neighborhood disadvantage affects the relationship between race and hospitalization among older adults. To fill this gap, we examined if neighborhood disadvantage moderates the relationship between race and hospitalization among older adults in the United States. Medicare claims data from 2018 on 530 962 beneficiary hospitalizations were merged with neighborhood data, and regression models assessed if the Area Deprivation Index (ADI) moderated the association between race and hospitalization. At the highest ADI score, the odds ratio (OR) for hospitalization for Black compared with White beneficiaries was the lowest (OR: 0.96; 95% CI: 0.89-1.04). At the lowest ADI score, the OR for hospitalization for Black compared with White beneficiaries was the highest (OR: 1.19; 95% CI: 1.09-1.29). When Black and White beneficiaries reside in severely deprived areas, the disparity in their outcomes is narrower. However, when they reside in areas with more advantages, White beneficiaries experience better outcomes than Black beneficiaries. Our findings have implications for practice and policy to invest resources in communities to assure health equity.

Indexed as

hospitalizationMedicareneighborhoodprimary careracial disparities

Identifiers

PMID39927097
PMCPMC11803629

What OpenQuestion holds

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Registered trials

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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.