Evidence map›Paper›PMID 40455378›Full record

ArticleJournal of racial and ethnic health disparities2026

Racial/Ethnic Disparities in Health Literacy, Perception of Health Status, and Access to Healthcare Among Heart Transplant Patients of the National Institutes of Health All of Us Research Program.

Soltan Al Chaar, Salim Yakdan, Diala El Masri, Jad El Masri, Mustafa Saleh, Monifa Al Akoum, Pascale Salameh

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Soltan Al Chaar *Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. salchaar@bwh.harvard.edu.ORCID 0009-0002-0418-9026
Salim Yakdan *Department of Neurological Surgery, Washington University, St. Louis, MO, USA.
Diala El MasriFaculty of Medicine, University of Balamand, Koura, Lebanon.
Jad El MasriDepartment of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Mustafa SalehFaculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Monifa Al AkoumDepartment of Radiology, Saint George University Medical Center, Beirut, Lebanon.
Pascale SalamehFaculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

Funding

University of Arizona-Banner Health All of Us Research Program OT2OD026549 · OD · UNIVERSITY OF ARIZONA · PI MORENO, FRANCISCO A, REIMAN, ERIC MICHAEL · 2018 to 2023
$78.9M
NIH HHS OT2 OD026549
6 · The paper itself

Abstract

backgroundRacial and ethnic disparities in healthcare remain a major challenge. We aim to better characterize and understand the ethnic/racial disparities in health literacy, self-perceived health status, and barriers to healthcare access among heart transplant patients.

methodsThis study utilized data from the National Institutes of Health (NIH) All of Us Research Program. Surveys were used to collect sociodemographic data, baseline health status, self-perception of health status, health literacy, and access to healthcare among heart transplant patients. Participants were categorized by race into Black/African-American (BAA), Non-White Hispanic (NWH), and White Caucasian (WC). All data extraction was conducted through the All of Us Researcher Workbench, and statistical analyses were performed using R Studio.

resultsAmong the 565 patients with heart transplantation, there are 131 BAA, 107 NWH, and 327 WC. Socio-economic status varied among our patients with WC reporting higher education and higher annual income and more likely to own a home compared with BAA and NWH (p < 0.05). Furthermore, BAA and NWH reported worse general health status, quality of life, ability to carry out daily physical activity, and usual social role compared to WC (p < 0.05). Compared to WC, NWH reported higher fatigue and pain score, whereas BAA reported higher emotional problems, less social satisfaction, increased difficulty with physical activity, and higher pain score (p < 0.05). A higher proportion of NWH and BAA compared with WC had barriers to healthcare access in the past 12 months (p < 0.05). When asked about difficulty understanding medical information and the need for health material assistance, the WC cohort had higher proportion responding "Never" compared with BAA and NWH (p < 0.05). Similarly, the WC cohort had higher proportion reporting "Extremely" when inquired about medical form confidence compared with BAA and NWH (p < 0.05).

conclusionBAA and NWH had poorer socioeconomic status, perceived their health as worse, reported lower quality of life, and demonstrated lower health literacy compared to WC.

Indexed as

Healthcare DisparitiesHealth LiteracyHealth Services AccessibilityHealth StatusHealth Status DisparitiesHeart TransplantationAdultAgedBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedNational Institutes of Health (U.S.)Barriers to access healthcareHealth literacyHeart transplant patientsPerception of health statusRace

Identifiers

PMID40455378
PMCPMC12510727

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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.