The Current State of Care for Black and Hispanic Inflammatory Bowel Disease Patients

Julia J. Liu, Bincy P. Abraham, Paula Adamson, Edward L. Barnes, Kelly A. Brister, Oriana M. Damas, Sarah C. Glover, Kimberly Hooks, Ana Ingram, Gilaad G. Kaplan, Edward V. Loftus, Dermot P.B. McGovern, Melodie Narain-Blackwel, Florence Damilola Odufalu, Sandra Quezada, Vonda Reeves, Bo Shen, Thaddeus S. Stappenbeck, Latonia Ward

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Research on the care of inflammatory bowel disease (IBD) patients has been primarily in populations of European ancestry. However, the incidence of IBD, which comprises Crohn's disease and ulcerative colitis, is increasing in different populations around the world. In this comprehensive review, we examine the epidemiology, clinical presentations, disease phenotypes, treatment outcomes, social determinants of health, and genetic and environmental factors in the pathogenesis of IBD in Black and Hispanic patients in the United States. To improve health equity of underserved minorities with IBD, we identified the following priority areas: access to care, accurate assessment of treatment outcomes, incorporation of Black and Hispanic patients in therapeutic clinical trials, and investigation of environmental factors that lead to the increase in disease incidence.

Original languageEnglish (US)
Pages (from-to)297-307
Number of pages11
JournalInflammatory bowel diseases
Issue number2
StatePublished - Feb 1 2023


  • disparity
  • outcomes
  • pathogenesis
  • Colitis, Ulcerative/epidemiology
  • Black or African American
  • Humans
  • Crohn Disease/therapy
  • Hispanic or Latino
  • Incidence
  • Inflammatory Bowel Diseases/epidemiology

ASJC Scopus subject areas

  • Gastroenterology
  • Immunology and Allergy


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