Racial/Ethnic Discrimination and Diabetes-Related Outcomes Among Latinos with Type 2 Diabetes.
Adult
Age Factors
Community-Based Participatory Research
Cross-Sectional Studies
Depression
/ ethnology
Diabetes Mellitus, Type 2
/ blood
Emigrants and Immigrants
/ psychology
Female
Glycated Hemoglobin
Hispanic or Latino
/ psychology
Humans
Linear Models
Male
Mental Health
Middle Aged
Racism
/ psychology
Sex Factors
Socioeconomic Factors
Stress, Psychological
/ ethnology
Depressive symptoms
Diabetes
Diabetes-related distress
Discrimination
Hispanics
Latinos
Unfair treatment
Journal
Journal of immigrant and minority health
ISSN: 1557-1920
Titre abrégé: J Immigr Minor Health
Pays: United States
ID NLM: 101256527
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
pubmed:
13
2
2018
medline:
29
5
2019
entrez:
14
2
2018
Statut:
ppublish
Résumé
Discrimination is associated with adverse health outcomes, but few studies have examined the association of discrimination with diabetes-related outcomes including mental health and glycemic control, particularly for immigrant and US-born Latinos. We analyzed survey data (n = 222) collected at baseline of a diabetes intervention. Using multiple linear regression, we examined the association of racial/ethnic discrimination with depressive symptoms, diabetes-related distress, and HbA1c, and variation in these associations by nativity and, for immigrants, length of US residence. Racial/ethnic discrimination was positively associated with depressive symptoms (b = 2.57, SE = 0.45, p < 0.01) and diabetes-related distress (b = 0.30, SE = 0.09, p < 0.01). We could not reject the null hypothesis of no cross-sectional association of racial/ethnic discrimination with HbA1c (b = - 0.27, SE = 0.18, p = 0.14). Although racial/ethnic discrimination did not directly affect HbA1c, racial/ethnic discrimination had a significant mediating effect on HbA1c through diabetes-related distress (p = 0.02). Results suggest that racial/ethnic discrimination is detrimental for health for Latinos with diabetes.
Identifiants
pubmed: 29435948
doi: 10.1007/s10903-018-0710-0
pii: 10.1007/s10903-018-0710-0
doi:
Substances chimiques
Glycated Hemoglobin A
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
105-114Subventions
Organisme : NIDDK NIH HHS
ID : R18 DK078558
Pays : United States
Organisme : Centers for Disease Control and Prevention (US)
ID : U50/CCU417409
Organisme : American Association of Family Physicians Foundation
ID : P30DK092926
Organisme : NIDDK NIH HHS
ID : R18DK0785501A1
Pays : United States
Références
Diabetes Care. 2000 Jul;23(7):943-50
pubmed: 10895844
Acta Diabetol. 2000 Mar;37(1):1-7
pubmed: 10928229
J Health Soc Behav. 2000 Sep;41(3):295-313
pubmed: 11011506
Am J Public Health. 2003 Feb;93(2):200-8
pubmed: 12554570
Ethn Dis. 2004 Summer;14(3 Suppl 1):S27-37
pubmed: 15682769
Diabetes Care. 2005 Mar;28(3):626-31
pubmed: 15735199
Am J Public Health. 2005 Sep;95(9):1552-60
pubmed: 16051927
J Gen Intern Med. 2006 Jun;21(6):547-52
pubmed: 16808734
J Health Care Poor Underserved. 2006 May;17(2 Suppl):88-105
pubmed: 16809877
Diabetes Care. 2007 Mar;30(3):542-8
pubmed: 17327318
Diabetes Educ. 2007 May-Jun;33(3):509-20
pubmed: 17570882
Soc Sci Med. 2007 Oct;65(7):1524-35
pubmed: 17602812
Arch Intern Med. 2007 Sep 24;167(17):1853-60
pubmed: 17893306
J Behav Med. 2009 Feb;32(1):20-47
pubmed: 19030981
Diabet Med. 2008 Sep;25(9):1096-101
pubmed: 19183314
Horm Behav. 2010 Feb;57(2):105-11
pubmed: 19786032
Diabetes Care. 2010 Jan;33(1):23-8
pubmed: 19837786
J Community Psychol. 2008 May 1;36(4):421-433
pubmed: 19960098
Diabetes Care. 2010 May;33(5):1034-6
pubmed: 20150291
Soc Sci Med. 2010 Oct;71(8):1390-8
pubmed: 20822840
Ann Behav Med. 2011 Apr;41(2):243-51
pubmed: 21136227
Am J Public Health. 2011 Dec;101(12):2253-60
pubmed: 21680932
Ethn Dis. 2011 Summer;21(3):322-7
pubmed: 21942165
J Health Psychol. 1997 Jul;2(3):335-51
pubmed: 22013026
Soc Sci Med. 2012 Dec;75(12):2099-106
pubmed: 22386617
MMWR Suppl. 2012 Jun 15;61(2):32-7
pubmed: 22695461
Health Aff (Millwood). 2012 Dec;31(12):2727-37
pubmed: 23213157
J Affect Disord. 2013 Sep 5;150(2):533-9
pubmed: 23453278
J Immigr Minor Health. 2014 Dec;16(6):1208-16
pubmed: 23689972
Am J Public Health. 2014 Feb;104 Suppl 1:S28-34
pubmed: 24354823
Health Psychol. 2014 Jul;33(7):597-607
pubmed: 24364373
Ethn Dis. 2013 Autumn;23(4):421-7
pubmed: 24392603
J Immigr Minor Health. 2015 Apr;17(2):566-73
pubmed: 24469589
Nat Rev Endocrinol. 2014 May;10(5):303-10
pubmed: 24663223
Diabetes Care. 2014 Jun;37(6):1525-34
pubmed: 24722495
Endocrine. 2015 Jun;49(2):422-8
pubmed: 25414069
Am J Public Health. 2015 Feb;105(2):329-37
pubmed: 25521886
Diabetes Technol Ther. 2015 Apr;17(4):243-7
pubmed: 25549154
Annu Rev Clin Psychol. 2015;11:407-40
pubmed: 25581238
Ethn Dis. 2015 Spring;25(2):130-7
pubmed: 26118138
J Behav Med. 2015 Dec;38(6):863-75
pubmed: 26133488
PLoS One. 2015 Sep 23;10(9):e0138511
pubmed: 26398658
Child Youth Serv Rev. 2015 Oct;57:83-89
pubmed: 26435562
J Immigr Minor Health. 2017 Jun;19(3):702-708
pubmed: 27041120
Med Anthropol. 2017 May-Jun;36(4):396-410
pubmed: 27849361
Int J Epidemiol. 2017 Jun 1;46(3):839-849
pubmed: 28115577
J Immigr Minor Health. 2018 Apr;20(2):255-260
pubmed: 28391499
Ethn Health. 2018 Jan 21;:1-19
pubmed: 29355028