Evidence map›Paper›PMID 40042742›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025

Health-related social needs mitigate ethnoracial inequities in patient-reported mental health.

Manraj N Kaur, Chengbo Zeng, Sri Harshini Malapati, Nadine J McCleary, Peter Meyers, Allison S Bryant, Andrea L Pusic, Maria O Edelen

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Unmet Health-Related Social Needs Among Black Adults Who Smoke.Journal of racial and ethnic health disparities · 2026
    Article
  3. Article
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Manraj N KaurDepartment of Surgery, Harvard Medical School, Brigham and Women's Hospital, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Boston, MA, 02115, USA. mkaur17@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-1911-0395
Chengbo ZengDepartment of Surgery, Harvard Medical School, Brigham and Women's Hospital, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Boston, MA, 02115, USA.
Sri Harshini MalapatiDepartment of Surgery, Harvard Medical School, Brigham and Women's Hospital, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Boston, MA, 02115, USA.
Nadine J McClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Peter MeyersMass General Brigham, Boston, MA, 02145, USA.
Allison S BryantMass General Brigham, Boston, MA, 02145, USA.
Andrea L PusicDepartment of Surgery, Harvard Medical School, Brigham and Women's Hospital, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Boston, MA, 02115, USA.
Maria O EdelenDepartment of Surgery, Harvard Medical School, Brigham and Women's Hospital, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Boston, MA, 02115, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the relationship between ethnoracial identity, health-related social needs (HRSNs), and mental health (MH), and to examine the mediating role of HRSNs on the relationship between MH and ethnoracial identity.

methodsData from 30,437 adults who were seeking care within Mass General Brigham integrated health system in United States and had completed PROMIS Global Health within three years of their most recent HRSNs screening between March 1, 2018 and January 31, 2023 were included. The presence and magnitude of PROMIS Global MH score differences for six ethnoracial groups (White non-Hispanic, White Hispanic, Black (Hispanic and non-Hispanic), Asian non-Hispanic, Other non-Hispanic and Other Hispanic (includes Asian Hispanic) was assessed. Regression-based mediation analyses were used to examine mediating role of four HRSNs (food insecurity, housing instability, transportation barriers and inability to pay for housing utilities) on relationship between ethnoracial identity and MH.

resultsCompared to White Non-Hispanic patients, ethnoracial minorities had worse MH, after adjusting for age, sex, education, employment, marital status, comorbidities, and insurance type. This relationship remained statistically significant (p < 0.001) for White Hispanic, Asian non-Hispanic and Other non-Hispanic patients, where HRSNs mediated 57%, 88% and 70% of the relationship between ethnoracial identity and MH respectively. For Blacks and Other Hispanic patients, HRSNs fully mediated this relationship.

conclusionDisparities in MH may be driven by structural racism and experiences of racism that result in differentials in HRSNs, rather than ethnoracial identity. Efforts directed at measuring and addressing the HRSNs, in addition to structural factors are critical to achieving MH equity.

Indexed as

EthnicityHealth Status DisparitiesMental HealthAdultAgedBlack or African AmericanFemaleHispanic or LatinoHumansMaleMiddle AgedUnited StatesWhiteHealth-related social needsMental healthPROMIS Global HealthRacial minorityRacismSocial determinants of health

Identifiers

PMID40042742

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