Evidence map›Paper›PMID 40125368›Full record

ArticleHealth equity2024

Cardiovascular Outcomes, Health-Promoting Behaviors, and Social Determinants: Structural Racism and the Behavioral Risk Factor Surveillance System.

Jaclyn K Schwartz, Emily A Kringle, Suzanne Perea Burns, Catherine R Hoyt, Kelly M Harris, Sami Tayeb

Abstract read
In one paragraph

Article in Health equity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Jaclyn K SchwartzProgram in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-4068-7746
Emily A KringleSchool of Kinesiology, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota, USA.
Suzanne Perea BurnsDivision of Occupational Therapy, University of New Mexico School of MedicineAlbuquerque, New Mexico, USA.
Catherine R HoytProgram in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Kelly M HarrisProgram in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
Sami TayebProgram in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
teleABLE: Adapting a Behavioral Activation-Based Intervention to Reduce Post-Stroke Sedentary Behavior Using TelehealthK23HL159240 · NHLBI · UNIVERSITY OF MINNESOTA · PI KRINGLE, EMILY · 2021 to 2025
$949k
Early Identification Of Developmental Delay Among Infants And Toddlers With Sickle Cell DiseaseK23HL161328 · NHLBI · WASHINGTON UNIVERSITY · PI Catherine Rose Hoyt · 2023 to 2026
$554k
Medication Adherence After StrokeR03HD097729 · NICHD · WASHINGTON UNIVERSITY · PI SCHWARTZ, JACLYN K · 2019 to 2021
$297k
NCATS NIH HHS UL1 TR002345NHLBI NIH HHS K23 HL159240NHLBI NIH HHS K23 HL161328NICHD NIH HHS R03 HD097729
6 · The paper itself

Abstract

Purpose: Cardiovascular disease disproportionately affects historically marginalized populations in the United States. This study explored disparities in cardiovascular health outcomes, social determinants of health, and health-promoting behaviors across racial and ethnic groups. Methods: Using data from the 2019 Behavioral Risk Factor Surveillance System, we conducted a descriptive analysis of cardiovascular conditions and diabetes, social determinants of health, and health-promoting behaviors across eight racial/ethnic categories. Results: Historically marginalized groups had higher rates of cardiovascular conditions and greater barriers to health care access. However, these groups often demonstrated equal or higher rates of engagement in health-promoting behaviors compared with White adults. For example, Black adults had the highest hypertension prevalence (41%) despite having the highest rates of blood pressure management behaviors. Discussion: The persistence of health disparities despite equivalent health-promoting behaviors suggests a significant influence of structural factors like racism. Critical examination using Quantitative Critical Theory revealed potential biases in measurement tools and data categorization that may perpetuate inequities. Health Equity Implications: Findings underscore the need for equity-focused research approaches that explicitly address structural racism. Future studies should prioritize culturally relevant measures, clinically meaningful outcomes, and active involvement of researchers from marginalized communities to advance cardiovascular health equity.

Indexed as

cardiovascularhealth disparitiespreventative health behaviorssystemic racism

Identifiers

PMID40125368
PMCPMC11499743

What OpenQuestion holds

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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.