Evidence map›Paper›PMID 40073213›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Associations of perceived discrimination with health outcomes and health disparities in the All of Us cohort.

Vincent Lam, Sonali Gupta, I King Jordan, Leonardo Mariño-Ramírez

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Vincent LamNational Institute on Minority Health and Health Disparities, National Institutes of Health, Rockville, MD 20818, United States.
Sonali GuptaNational Institute on Minority Health and Health Disparities, National Institutes of Health, Rockville, MD 20818, United States.
I King JordanIHRC-Georgia Tech Applied Bioinformatics Laboratory, Atlanta, GA 30332, United States.ORCID 0000-0003-4996-2203
Leonardo Mariño-RamírezNational Institute on Minority Health and Health Disparities, National Institutes of Health, Rockville, MD 20818, United States.ORCID 0000-0002-5716-8512

Funding

Georgia Tech Applied Bioinformatics Laboratory RF383IHRCInc.-Georgia Tech Applied Bioinformatics Laboratory RF383NHLBI NIH HHSNIH HHS 1ZIAMD000018NIMHD
6 · The paper itself

Abstract

objectivesThe goal of this study was to investigate the association of perceived discrimination with health outcomes and disparities. MATERIALS AND

methodsThe study cohort consists of 60 180 participants from the 4 largest self-identified race and ethnicity (SIRE) groups in the All of Us Research Program participant body: Asian (1291), Black (4726), Hispanic (5336), and White (48 827). A perceived discrimination index (PDI) was derived from participant responses to the "Social Determinants of Health" survey, and the All of Us Researcher Workbench was used to analyze associations and mediation effects of PDI and SIRE with 1755 diseases.

resultsThe Black SIRE group has the greatest median PDI, followed by the Asian, Hispanic, and White groups. The Black SIRE group shows the greatest number of diseases with elevated risk relative to the White reference group, followed by the Hispanic and Asian groups. Perceived discrimination index was found to be positively and significantly associated with 489 out of 1755 (27.86%) diseases. "Mental Disorders" is the disease category with the greatest proportion of diseases positively and significantly associated with PDI: 59 out of 72 (81.94%) diseases. Mediation analysis showed that PDI mediates 69 out of 351 (19.66%) Black-White disease disparities. DISCUSSION: Perceived discrimination is significantly associated with risk for numerous diseases and mediates Black-White disease disparities in the All of Us participant cohort.

conclusionThis work highlights the role of discrimination as an important social determinant of health and provides a means by which it can be quantified and modeled on the All of Us platform.

Indexed as

Health Status DisparitiesRacismAdultAsianBlack or African AmericanCohort StudiesFemaleHispanic or LatinoHumansMaleMiddle AgedSocial Determinants of HealthUnited StatesWhitediscriminationdiseasehealth disparitiesmental healthmodeling

Identifiers

PMID40073213
PMCPMC12012377

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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.