Evidence map›Paper›PMID 42873416›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2026

Structural Racism and Coalition Decision-Making: A Qualitative Study of Opioid Prevention and Treatment Implementation.

Charles H Lea, Sadie Chen, Anindita Dasgupta, Elizabeth Jadovich, Dawn A Goddard-Eckrich, Shoshana N Benjamin, Mireille Bitangacha, Kesla Kingler, Melody Kingsley, Deborah Chassler and 11 more

Abstract read
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In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Charles H LeaSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA. chl2159@columbia.edu.ORCID http://orcid.org/0000-0002-5157-1052
Sadie ChenCollege of Medicine, The Ohio State University, 700 Ackerman Road, Columbus, OH, 43202, USA.
Anindita DasguptaDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168 Street, New York, NY, 10032, USA.
Elizabeth JadovichBoston Medical Center, One Boston Medical Center Pl, Boston, MA, 02118, USA.
Dawn A Goddard-EckrichSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA.
Shoshana N BenjaminSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA.
Mireille BitangachaCollege of Medicine, The Ohio State University, 700 Ackerman Road, Columbus, OH, 43202, USA.
Kesla KinglerWexner Medical Center, HEALing Communities Research, The Ohio State University, 150 Pressey Hall, 1070 Carmack Road, Columbus, OH, 43210, USA.
Melody KingsleyWexner Medical Center, HEALing Communities Research, The Ohio State University, 150 Pressey Hall, 1070 Carmack Road, Columbus, OH, 43210, USA.
Deborah ChasslerSchool of Social Work, Boston University, 264 Bay State Rd, Boston, MA, 02215, USA.
Avik ChatterjeeSchool of Medicine/Boston Medical C., , Boston University, 72 E Concord St, Boston, MA, 02118, USA.
Ally CoganBoston Medical Center, One Boston Medical Center Pl, Boston, MA, 02118, USA.
Jill DavisTrachtenberg School of Public Policy and Public Administration, The George Washington University, MPA Building, Suite 601, 805 21 St. NW, Washington, DC, 20052, USA.
Nishita DsouzaUniversity of North Florida, UNF Dr, J. Brooks Brown Hall, Jacksonville, FL, 32224, USA.
James L DavidSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA.
Nabila El-BasselSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA.
Ohshue S GatanagaSchool of Public Health, University of Washington, 3980 15 Ave NE, Seattle, WA, 98195, USA.
Louisa GilbertSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA.
Miriam HarrisSchool of Medicine/Boston Medical C., , Boston University, 72 E Concord St, Boston, MA, 02118, USA.
Ari HolmanSchool of Social Work, Columbia University, 1225 Amsterdam Ave, New York, NY, 10027, USA.
Daniel M WalkerCollege of Medicine, Department of Family and Community Medicine, The Ohio State University, 700 Ackerman Ave., Suite 4000, Columbus, OH, 43202, USA.

Funding

National Institute of Health/Substance Abuse and Mental Health Services Administration UM1DA049394National Institute of Health/Substance Abuse and Mental Health Services Administration UM1DA049406National Institute of Health/Substance Abuse and Mental Health Services Administration UM1DA049412National Institute of Health/Substance Abuse and Mental Health Services Administration UM1DA049415National Institute of Health/Substance Abuse and Mental Health Services Administration UM1DA049417
6 · The paper itself

Abstract

Structural racism drives inequities in opioid use disorder, overdose, and treatment access. However, less is known about how it shapes coalition-led implementation of opioid prevention and treatment strategies. Using structural racism as a lens, this study examines how community coalition members described the selection and implementation of opioid-related evidence-based practices intended to reach racial and ethnic minoritized communities. This qualitative study used interview data from 355 coalition members involved in the HEALing Communities Study, a community-engaged, wait-listed, cluster-randomized implementation trial across four states. Interviews focused on coalition context and implementation of evidence-based practices. This secondary analysis examined a subset of data from Massachusetts, New York, and Ohio related to race, racism, coalition context, and intervention implementation. Analysis involved a thematic approach, drawing on PRISM/RE-AIM-informed code reports and emergent coding to identify patterns related to structural racism and implementation. Structural racism was applied as an interpretive lens. Three key themes emerged: (1) Culture over Structures, in which participants often explained inequities through community culture, mistrust, or individual attitudes rather than structural racism; (2) White Residential Homogeneity, in which local racial demographics were used to justify limited race-conscious action; (3) The Burden of Proof, in which missing or difficult-to-use data stalled equity-focused implementation. Some coalitions described strategies to address these barriers, including critical dialogue, inclusive hiring, targeted outreach, and partnerships with community and faith-based organizations. Coalition-led implementation may both mitigate and reproduce racial inequities. Policies and practices that support race-conscious, community-led implementation, equitable data systems, and diverse coalition leadership may strengthen opioid prevention and treatment efforts for racial and ethnic minoritized communities. Future research should examine how these dynamics differ across local contexts, including rural and urban communities.

Indexed as

Community CoalitionsEvidence-Based PracticesHealth EquityIntervention ImplementationOpioidsQualitative MethodsStructural Racism

Identifiers

PMID42873416

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.