Evidence map›Paper›PMID 40795911›Full record

ArticleJournal of the National Cancer Institute. Monographs2025

The legacy of colonialism and commercial tobacco-caused social inequities.

Pebbles Fagan, Linda A Alexander

Abstract readHistorical Article
In one paragraph

Article in Journal of the National Cancer Institute. Monographs, 2025. 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. Article
  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

2 authors.

Pebbles FaganCenter for the Study of Tobacco, Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, United States.ORCID 0009-0006-8028-2088
Linda A AlexanderAssociation of Schools and Programs of Public Health, Washington, DC, United States.

Funding

The Center for Research, Health, and Social JusticeP50MD017319 · NIMHD · UNIV OF ARKANSAS FOR MED SCIS · PI CORNELL, CAROL ELLEN · 2021 to 2025
$21.9M
NIMHD NIH HHS P50 MD017319
6 · The paper itself

Abstract

There is growing acknowledgment that tobacco-related health disparities and social inequities among racialized groups in the United States are linked to colonialism. Tobacco as a cash crop helped to advance colonial economic and political wealth and control through the exploitation of people of African-descent and Indigenous people and their land for centuries. Few scholars have acknowledged or delineated the historical context of tobacco-related health disparities. This paper provides a brief overview of the history of commercial tobacco-related health disparities in the United States and describes how tobacco-fuel colonialism that began in the early 1600s influenced present-day patterns of the social determinants that are the foundation for health disparities. A discussion of the tobacco historical context helps us to understand generational structured and systemic inequalities and informs the type of public health, social, structural, cultural, and political actions that should be taken to end disparities among historically marginalized groups.

Indexed as

ColonialismHealth InequitiesHealth Status DisparitiesHistory, 16th CenturyHistory, 17th CenturyHistory, 18th CenturyHistory, 19th CenturyHistory, 20th CenturyHistory, 21st CenturyHumansPublic HealthSocial Determinants of HealthTobacco ProductsUnited States

Identifiers

PMID40795911
PMCPMC12342878

What OpenQuestion holds

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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.