Evidence map›Paper›PMID 41176738›Full record

ArticleSpine deformity2026

Intersection of race and ethnicity with perceptions of health status and literacy in adult patients with spinal deformity: insights from the all of us research program.

Aladine A Elsamadicy, Paul Serrato, Justice Hansen, Shaila D Ghanekar, Barnabas Obeng-Gyasi, Ethan D L Brown, Sheng-Fu Larry Lo, Daniel M Sciubba

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Article in Spine deformity, 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

8 authors.

Aladine A ElsamadicyDepartment of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, 300 Community Dr. Manhasset, New York, NY, 11030, USA. aelsamadicy@northwell.edu.
Paul SerratoDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Justice HansenDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Shaila D GhanekarDepartment of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
Barnabas Obeng-GyasiDepartment of Neurosurgery, Allegheny Health Network, Pittsburgh, PA, USA.
Ethan D L BrownDepartment of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, 300 Community Dr. Manhasset, New York, NY, 11030, USA.
Sheng-Fu Larry LoDepartment of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, 300 Community Dr. Manhasset, New York, NY, 11030, USA.
Daniel M SciubbaDepartment of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, 300 Community Dr. Manhasset, New York, NY, 11030, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated racial disparities in health perception, health literacy, and barriers to care in patients with adult spinal deformity (ASD).

methodsWe conducted a cross-sectional study using the National Institutes of Health All of Us survey database. Adult patients with spinal deformities were identified using ICD-9/10 codes and categorized by race: non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic or Latino (HL). Survey responses regarding demographics, socioeconomic status, health status, health perceptions, health literacy, and barriers to healthcare were compared between groups.

resultsIn our cohort of 9271 patients, 69.7% were NHW, 15.7% were NHB, and 14.6% were HL. NHW patients reported the highest education, annual income, employment, married status, and home ownership (p < 0.001). HL patients reported both the highest and lowest fatigue (p < 0.001). NHB patients reported more pain (p < 0.001), while the HL cohort reported more emotional problems (p < 0.001). NHW patients accomplished more everyday activities (p < 0.001). HL patients had the worst self-perceptions of health (p < 0.001) and the least health literacy (p < 0.001). NHW patients were the least worried about paying for care (p < 0.001); however, they more often reported delaying prescriptions to save money (p = 0.041) and not being able to afford dental or specialist care (p < 0.001), deductibles (p = 0.003), or copays (p < 0.001). NHB patients experienced more transportation issues (p < 0.001), and HL patients experienced more issues with childcare or getting time off work (p < 0.001).

conclusionOur study points to racial disparities in self-perception of health, literacy, and barriers to care among ASD patients.

Indexed as

EthnicityHealth LiteracyHealth StatusSpinal CurvaturesAdultAgedBlack or African AmericanCross-Sectional StudiesFemaleHealthcare DisparitiesHealth Services AccessibilityHispanic or LatinoHumansMaleMiddle AgedRacial GroupsAdult spinal deformityBarriersHealth literacyHealth statusRacial disparities

Identifiers

PMID41176738

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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.