Evidence map›Paper›PMID 42022706›Full record

ArticleCureus2026

Racial and Ethnic Disparities in Cost-Related Healthcare Access Barriers in Florida (2012-2024): A Joinpoint Regression and Bayesian Analysis.

Carlos Acosta-Batista, Berenice D Pena Reina, Jeniffer S Romero, Loraine Gonzalez Chirino, Antoinette Contino Rivero, Nathali Gonzalez Reyes

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PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2026. 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

6 authors.

Carlos Acosta-BatistaClinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Berenice D Pena ReinaClinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Jeniffer S RomeroClinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Loraine Gonzalez ChirinoClinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Antoinette Contino RiveroClinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
Nathali Gonzalez ReyesClinical Research Department, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEconomic barriers to healthcare disproportionately affect racial and ethnic minorities. While the Affordable Care Act (ACA) aimed to reduce these disparities, the COVID-19 pandemic represented an unprecedented external shock. This study aims to quantify state-level trends in cost-related healthcare access barriers in Florida, focusing on intersectional vulnerabilities.

methodsWe conducted an ecological time-series analysis using aggregated state-level data (

resultsOver the 13-year period, Hispanic women exhibited the highest temporal average barrier rate (23.81%). Bayesian paired inference demonstrated very strong evidence (Bayes factor

conclusionsState-level macro-trends demonstrate that the onset of the COVID-19 pandemic coincided with a pronounced structural break, abruptly halting previous gains in healthcare access for the Hispanic female cohort in Florida. These ecological findings underscore the profound intersectional vulnerability of the primary care safety net during periods of systemic disruption.

Indexed as

access to healthcarebayesian inferencedisparities in healthcarehealthcare access barrierspublic health policy

Identifiers

PMID42022706
PMCPMC13098713

What Socratic holds

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LicenceCC BY
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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 Socratic graph.