Evidence mapPaperPMID 37490246Full record

ReviewNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2023

Intersectionality in Alzheimer's Disease: The Role of Female Sex and Black American Race in the Development and Prevalence of Alzheimer's Disease.

Maria B Misiura, Brittany Butts, Bruno Hammerschlag, Chinkuli Munkombwe, Arianna Bird, Mercedes Fyffe, Asia Hemphill, Vonetta M Dotson, Whitney Wharton

Open access · bronzeAbstract readReview
In one paragraph

Review in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% of its field
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Evaluating the Use of Anxiety Patient-Reported Outcome Measures (PROMs) in Dementia Clinical Trials: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Lower slow wave sleep and rapid eye movement sleep are associated with brain atrophy of Alzheimer's disease-vulnerable regions.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Alcohol Use Disorder and Dementia: A Review.Alcohol research : current reviews · 2024
    Review
  19. Lessons Learned in Time-Is Neurodegeneration Still Something Unpredictable?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
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

9 authors at 3 institutions in 1 country.

Maria B MisiuraDepartment of Psychology, Georgia State University, Atlanta, GA, USA. mmisiura1@gsu.edu.ORCID 0000-0002-8390-5950
Brittany ButtsNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Bruno HammerschlagNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Chinkuli MunkombweDepartment of Psychology, Georgia State University, Atlanta, GA, USA.
Arianna BirdDepartment of Psychology, Georgia State University, Atlanta, GA, USA.
Mercedes FyffeDepartment of Psychology, Georgia State University, Atlanta, GA, USA.
Asia HemphillDepartment of Psychology, Georgia State University, Atlanta, GA, USA.
Vonetta M DotsonDepartment of Psychology, Georgia State University, Atlanta, GA, USA.
Whitney WhartonNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Georgia State University · USEmory University · USGeorgia Institute of Technology · US

Funding

Role of estradiol and related hormones on inflammation, sleep, and risks for Alzheimer's diseaseR01AG066203 · NIA · EMORY UNIVERSITY · PI William Tzu-lung Hu, Whitney Lee Wharton · 2023 to 2023
$676k
Midlife Vascular Risk Factors for Alzheimer's Disease in Persons with HFpEFK23AG076977 · NIA · EMORY UNIVERSITY · 2024 to 2025
$386k
NIA NIH HHS K23 AG076977NIA NIH HHS R01 AG066203
6 · The paper itself

Abstract

It is well known that vascular factors and specific social determinants of health contribute to dementia risk and that the prevalence of these risk factors differs according to race and sex. In this review, we discuss the intersection of sex and race, particularly female sex and Black American race. Women, particularly Black women, have been underrepresented in Alzheimer's disease clinical trials and research. However, in recent years, the number of women participating in clinical research has steadily increased. A greater prevalence of vascular risk factors such as hypertension and type 2 diabetes, coupled with unique social and environmental pressures, puts Black American women particularly at risk for the development of Alzheimer's disease and related dementias. Female sex hormones and the use of hormonal birth control may offer some protective benefits, but results are mixed, and studies do not consistently report the demographics of their samples. We argue that as a research community, greater efforts should be made to not only recruit this vulnerable population, but also report the demographic makeup of samples in research to better target those at greatest risk for the disease.

Indexed as

Alzheimer DiseaseBlack or African AmericanDiabetes Mellitus, Type 2Clinical Trials as TopicFemaleHumansIntersectional FrameworkPatient SelectionPrevalenceSex FactorsUnited StatesAlzheimer’s diseaseBiological sexDementiaEthnicityHealth disparitiesRacial disparitiesVascular

Identifiers

PMID37490246
PMCPMC10457280
OpenAlexW4385230847

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.