Evidence map›Paper›PMID 40779577›Full record

ArticlePloS one2025

Racial/Ethnic differences in emergency department triage assignment among visits for substance use.

Samantha Goldfarb, Natalie Dix, Austin Spitz, Katelyn Graves, Megan Deichen Hansen, Shermeeka Hogans-Mathews, Jessica Day, Jeffrey Harman

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Samantha GoldfarbFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.ORCID https://orcid.org/0000-0001-6629-8311
Natalie DixFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.
Austin SpitzFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.ORCID https://orcid.org/0009-0002-5243-5412
Katelyn GravesFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.
Megan Deichen HansenFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.
Shermeeka Hogans-MathewsFlorida State University College of Medicine, Department of Family Medicine and Rural Health, Tallahassee, Florida, United States of America.ORCID https://orcid.org/0000-0001-9824-1870
Jessica DayFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.
Jeffrey HarmanFlorida State University College of Medicine, Department of Behavioral Sciences and Social Medicine, Tallahassee, Florida, United States of America.ORCID https://orcid.org/0000-0002-1125-7704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe opioid/substance use disorder (SUD) epidemic in the United States has become a public health crisis. Stigma by health care workers towards patients with SUD has been identified as a barrier to treatment. Additionally, racial inequities in wait times and service provision have been found in Emergency Departments (EDs).

objectiveThe purpose of this study was to examine the racial/ethnic differences in severity of ED triage assignment among visits for SUD.

methodsThis retrospective study utilized pooled data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 2016-20. The dependent variable was the recorded triage level for patients with SUD. The independent variable was patient race/ethnicity. Analyses controlled for variables such as age, sex, and arrival by ambulance. Differences in triage level by race/ethnicity among visits by patients with SUD was assessed via multivariable logistic regression models.

resultsOf the reported 788 SUD-specific ED visits from patients with SUD, 56.0% were non-Hispanic White, 28.6% were non-Hispanic Black, 12.9% were Hispanic, and 2.5% were of another race. Visits by Black patients with SUD had 53% lower odds of being assigned to an immediate/emergent triage level compared to visits by White patients with SUD (OR=0.47, p = .025).

conclusionWe found that visits by Black patients with SUD were associated with lower odds of receiving an immediate/emergent triage assignment compared to visits by White patients with SUD, after adjusting for confounding variables. Our results suggest potential dual stigma in ED care of being Black and having a substance use disorder.

Indexed as

Emergency Service, HospitalSubstance-Related DisordersTriageAdolescentAdultBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedRacial GroupsRetrospective StudiesUnited StatesWhite

Identifiers

PMID40779577
PMCPMC12334057

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.