Racial and ethnic disparities in perceived health and barriers to care among adults with hip osteoarthritis: a national analysis of 16,000 + patients from the all of us program - Report - MDSpire
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Examining Racial and Ethnic Differences in Health Perception and Access to Care for Adults with Hip Osteoarthritis: Insights from a National Study of Over 16,000 Participants in the All of Us Program

  • By

  • Shujaa T. Khan

  • Sudhish A. Devadiga

  • Ahmed K. Emara

  • Smit Brahmbhatt

  • Khaled A Elmenawi

  • Peter G Delaney

  • Nicolas S. Piuzzi

  • August 24, 2026

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Clinical Report: Racial and Ethnic Differences in Health Perception and Access to Care

Overview

This study examines racial and ethnic disparities in health perception and access to care among adults with hip osteoarthritis, utilizing data from over 16,000 participants in the All of Us Research Program.

Background

Hip osteoarthritis (OA) is a significant global health issue, affecting millions and leading to substantial healthcare utilization. Disparities in disease severity and access to care have been documented, particularly among Black and Hispanic populations.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Black and Hispanic adults with hip OA experience greater structural joint damage and symptom severity compared to non-Hispanic White adults.
  • A meta-analysis indicated pain scores were 0.6 SD higher and disability scores 0.4 SD higher among Black patients than White patients.
  • Despite similar incidence rates, Black participants show more severe radiographic abnormalities and faster progression to mobility impairment.
  • Even when controlling for income and insurance, minority patients are less likely to receive diagnostic imaging and surgical interventions.
  • Perceptual barriers, such as reduced provider trust and fears of discrimination, contribute to delayed diagnosis and limited use of effective therapies.

Clinical Implications

Healthcare providers should be aware of the disparities in care access and health perception among different racial and ethnic groups.

Conclusion

The study examines structural and perceptual factors in understanding racial and ethnic disparities in hip osteoarthritis care.

Related Resources & Content

  1. Racial and ethnic disparities in perceived health and barriers to care among adults with hip osteoarthritis: a national analysis of 16,000 + patients from the all of us program, Archives of Orthopaedic and Trauma Surgery, 2026 -- Title
  2. Journal of General Internal Medicine — An Observational Study of Post-hip Fracture Outcomes in Older Adults with Type 2 Diabetes
  3. Dermatology and Therapy — Understanding Social Drivers of Health Among US Adults with Psoriasis from Different Races and Ethnicities
  4. Clinical Rheumatology — No association between alcohol consumption and hip osteoarthritis: a diverse national analysis of 87,585 adults from the “All of Us” research program
  5. Clinical Rheumatology — Racial and Ethnic Variations in Disease Burden Among Individuals with Rheumatoid Arthritis
  6. VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE NON-SURGICAL MANAGEMENT OF HIP & KNEE OSTEOARTHRITIS
  7. https://new.aaos.org/globalassets/quality-and-practice-resources/osteoarthritis-of-the-hip/oah-cpg.pdf
  8. Hip Pain and Mobility Deficits—Hip Osteoarthritis: Revision 2025 - APTA Orthopedics
  9. Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial | The BMJ
  10. Effect of hyaluronic acid in symptomatic hip osteoarthritis: A multicenter, randomized, placebo‐controlled trial - Richette - 2009 - Arthritis & Rheumatism - Wiley Online Library
  11. Racial and ethnic disparities in perceived health and barriers to care among adults with hip osteoarthritis: a national analysis of 16,000 + patients from the all of us program | Archives of Orthopaedic and Trauma Surgery | Springer Nature Link
  12. Disparities in Patient-Reported Healthcare Affordability and Access Among Arthroplasty Patients in the All of Us Database - PMC

Original Source(s)

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