1. Racial residential segregation, racial discrimination, and diabetes: The Coronary Artery Risk Development in Young Adults study
- Author
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Sharrelle Barber, Kara M. Whitaker, Luigi Loizzo, Penny Gordon-Larsen, Pamela J. Schreiner, Stephanie L. Mayne, Mercedes R. Carnethon, Michael P. Bancks, April P. Carson, Kiarri N. Kershaw, and Anne E. Bantle
- Subjects
Male ,Health (social science) ,Diabetes risk ,Adolescent ,Geography, Planning and Development ,Logistic regression ,Article ,White People ,Gee ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Diabetes management ,Diabetes mellitus ,Diabetes Mellitus ,Humans ,Medicine ,Longitudinal Studies ,Prospective Studies ,030212 general & internal medicine ,Young adult ,Social Segregation ,030505 public health ,business.industry ,Proportional hazards model ,Incidence (epidemiology) ,Public Health, Environmental and Occupational Health ,Disease Management ,Social Discrimination ,medicine.disease ,United States ,Black or African American ,Female ,0305 other medical science ,business ,Demography - Abstract
Although racial residential segregation and interpersonal racial discrimination are associated with cardiovascular disease, few studies have examined their link with diabetes risk or management. We used longitudinal data from 2,175 black participants in the Coronary Artery Risk Development in Young Adults (CARDIA) Study to examine associations of racial residential segregation (G(i)* statistic) and experiences of racial discrimination with diabetes incidence and management. Multivariable Cox models estimated associations for incident diabetes and GEE logistic regression estimated associations with diabetes management (meeting targets for HbA1c, systolic blood pressure, and LDL cholesterol). Neither segregation nor discrimination were associated with diabetes incidence or management.
- Published
- 2020
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