Racial residential segregation, racial discrimination, and diabetes: The Coronary Artery Risk Development in Young Adults study
Racial residential segregation, racial discrimination, and diabetes: The Coronary Artery Risk Development in Young Adults study
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DOI：
10.1016/j.healthplace.2020.102286
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发表时间：
2020-03-01
期刊：
影响因子：
4.8
通讯作者：
Kershaw, Kiarri N.
中科院分区：
文献类型：
--
作者：
Mayne, Stephanie L.;Loizzo, Luigi;Kershaw, Kiarri N.
虽然种族居住隔离和人际种族歧视与心血管疾病有关，但很少有研究探讨它们与糖尿病风险或管理的联系。我们使用了来自年轻人冠状动脉风险发展（CARDIA）研究中的2，175名黑人参与者的纵向数据，以检查种族居住隔离（Gi* 统计量）和种族歧视与糖尿病发病率和管理的相关性。多变量考克斯模型估计了糖尿病发病率的相关性，GEE逻辑回归估计了与糖尿病管理（达到HbA 1c、收缩压和LDL胆固醇目标）的相关性。隔离和歧视都与糖尿病的发病率或管理无关。
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 (Gi* 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.