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Dimensions of and Responses to Perceived Discrimination and Subclinical Disease Among African-Americans in the Jackson Heart Study.

Publication ,  Journal Article
Okhomina, VI; Glover, L; Taylor, H; Sims, M
Published in: J Racial Ethn Health Disparities
October 2018

BACKGROUND: Although discrimination among African Americans (AAs) has been linked to various health outcomes, few studies have examined associations of multiple measures of discrimination with prevalent subclinical disease in a large sample of AAs. OBJECTIVES: To examine the associations of measures of discrimination and coping responses to discrimination with prevalent subclinical disease among AAs in the Jackson Heart Study (JHS); and whether this association is modified by sex. METHODS: We examined the associations of everyday, lifetime, and burden of lifetime discrimination with carotid intima-media thickness (cIMT), and left ventricular hypertrophy (LVH) among 3029 AAs in the JHS. Prevalence ratios (PR 95% confidence interval-CI) and odds ratios (OR 95% CI) were estimated for above-median cIMT and LVH, respectfully, adjusting for demographic, behavioral, and clinical risk factors. RESULTS: No significant associations were found between everyday and lifetime discrimination and median cIMT and LVH. Participants who reported high (vs. no) burden of lifetime discrimination had a 48% reduced odds of LVH (OR, 0.52; 95% CI, 0.29, 0.94) after full adjustment. There was evidence of effect modification by sex in the association of coping with everyday discrimination and LVH after full adjustment (p value for interaction < 0.01). Women who actively (vs. passively) coped with everyday discrimination had a greater odds of prevalent LVH (OR, 2.49; 95% CI, 1.39, 4.46). CONCLUSIONS: This study suggests that the manner by which AA women cope with discriminatory events is associated with subclinical disease.

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Published In

J Racial Ethn Health Disparities

DOI

EISSN

2196-8837

Publication Date

October 2018

Volume

5

Issue

5

Start / End Page

1084 / 1092

Location

Switzerland

Related Subject Headings

  • Young Adult
  • Sex Factors
  • Risk Factors
  • Racism
  • Prevalence
  • Odds Ratio
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Hypertrophy, Left Ventricular
 

Citation

APA
Chicago
ICMJE
MLA
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Okhomina, V. I., Glover, L., Taylor, H., & Sims, M. (2018). Dimensions of and Responses to Perceived Discrimination and Subclinical Disease Among African-Americans in the Jackson Heart Study. J Racial Ethn Health Disparities, 5(5), 1084–1092. https://doi.org/10.1007/s40615-017-0457-7
Okhomina, Victoria I., LáShauntá Glover, Herman Taylor, and Mario Sims. “Dimensions of and Responses to Perceived Discrimination and Subclinical Disease Among African-Americans in the Jackson Heart Study.J Racial Ethn Health Disparities 5, no. 5 (October 2018): 1084–92. https://doi.org/10.1007/s40615-017-0457-7.
Okhomina VI, Glover L, Taylor H, Sims M. Dimensions of and Responses to Perceived Discrimination and Subclinical Disease Among African-Americans in the Jackson Heart Study. J Racial Ethn Health Disparities. 2018 Oct;5(5):1084–92.
Okhomina, Victoria I., et al. “Dimensions of and Responses to Perceived Discrimination and Subclinical Disease Among African-Americans in the Jackson Heart Study.J Racial Ethn Health Disparities, vol. 5, no. 5, Oct. 2018, pp. 1084–92. Pubmed, doi:10.1007/s40615-017-0457-7.
Okhomina VI, Glover L, Taylor H, Sims M. Dimensions of and Responses to Perceived Discrimination and Subclinical Disease Among African-Americans in the Jackson Heart Study. J Racial Ethn Health Disparities. 2018 Oct;5(5):1084–1092.
Journal cover image

Published In

J Racial Ethn Health Disparities

DOI

EISSN

2196-8837

Publication Date

October 2018

Volume

5

Issue

5

Start / End Page

1084 / 1092

Location

Switzerland

Related Subject Headings

  • Young Adult
  • Sex Factors
  • Risk Factors
  • Racism
  • Prevalence
  • Odds Ratio
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Hypertrophy, Left Ventricular