Relationship of internalized racism to abdominal obesity and blood pressure in Afro-Caribbean women
Racism is associated with increased psychosocial stress and blood pressure in blacks. However, little is known of the relationship of racism to other features of insulin resistance syndrome. This study examined the relationship of internalized racism to abdominal obesity and elevated blood pressure...
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| Veröffentlicht in: | Journal of the National Medical Association 1999-08, Vol.91 (8), p.447-452 |
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| creator | TULL, E. S WICKRAMASURIYA, T FRASER, H JORDAN, O. W TAYLOR, J SMITH-BURNS, V BROWN, M CHAMPAGNIE, G DAYE, K DONALDSON, K SOLOMON, N WALKER, S |
| description | Racism is associated with increased psychosocial stress and blood pressure in blacks. However, little is known of the relationship of racism to other features of insulin resistance syndrome. This study examined the relationship of internalized racism to abdominal obesity and elevated blood pressure in a population of black Caribbean women aged 20-55 years. One hundred thirty-three randomly selected women from the island of Barbados comprised the study sample. Data collected included anthropometric and blood pressure measurements, and information about internalized racism, anxiety, and depression. The stress measures including anxiety, depression, and internalized racism were significantly correlated with waist circumference (r = .25, r = .21, and r = .25). After adjusting for age, education, anxiety, and depression, internalized racism remained significantly correlated with waist circumference. The odds ratio associated with development of abdominal obesity among those with high internalized racism (OR = 2.4 [95% CI, 1.1,5.3]) was significant (P < .05) after adjusting for age, education, and body mass index. Blood pressure was not independently related to internalized racism. Studies comparing black-white differences in diseases for which abdominal obesity is a risk factor (eg, diabetes and cardiovascular disease) should take into account the potential role of internalized racism in defining the differences between ethnic groups. |
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S ; WICKRAMASURIYA, T ; FRASER, H ; JORDAN, O. W ; TAYLOR, J ; SMITH-BURNS, V ; BROWN, M ; CHAMPAGNIE, G ; DAYE, K ; DONALDSON, K ; SOLOMON, N ; WALKER, S</creator><creatorcontrib>TULL, E. S ; WICKRAMASURIYA, T ; FRASER, H ; JORDAN, O. W ; TAYLOR, J ; SMITH-BURNS, V ; BROWN, M ; CHAMPAGNIE, G ; DAYE, K ; DONALDSON, K ; SOLOMON, N ; WALKER, S</creatorcontrib><description>Racism is associated with increased psychosocial stress and blood pressure in blacks. However, little is known of the relationship of racism to other features of insulin resistance syndrome. This study examined the relationship of internalized racism to abdominal obesity and elevated blood pressure in a population of black Caribbean women aged 20-55 years. One hundred thirty-three randomly selected women from the island of Barbados comprised the study sample. Data collected included anthropometric and blood pressure measurements, and information about internalized racism, anxiety, and depression. The stress measures including anxiety, depression, and internalized racism were significantly correlated with waist circumference (r = .25, r = .21, and r = .25). After adjusting for age, education, anxiety, and depression, internalized racism remained significantly correlated with waist circumference. The odds ratio associated with development of abdominal obesity among those with high internalized racism (OR = 2.4 [95% CI, 1.1,5.3]) was significant (P < .05) after adjusting for age, education, and body mass index. Blood pressure was not independently related to internalized racism. Studies comparing black-white differences in diseases for which abdominal obesity is a risk factor (eg, diabetes and cardiovascular disease) should take into account the potential role of internalized racism in defining the differences between ethnic groups.</description><identifier>ISSN: 0027-9684</identifier><identifier>EISSN: 1943-4693</identifier><identifier>PMID: 12656433</identifier><identifier>CODEN: JNMAAE</identifier><language>eng</language><publisher>Thorofare, NJ: Slack</publisher><subject>Abdomen ; Adult ; African Continental Ancestry Group ; Analysis. Health state ; Anxiety - epidemiology ; Anxiety - physiopathology ; Barbados - epidemiology ; Biological and medical sciences ; Body Mass Index ; Depression - epidemiology ; Depression - physiopathology ; Epidemiology ; Female ; General aspects ; Humans ; Hypertension - epidemiology ; Hypertension - ethnology ; Hypertension - physiopathology ; Logistic Models ; Medical sciences ; Middle Aged ; Obesity - epidemiology ; Obesity - ethnology ; Obesity - physiopathology ; Prejudice ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Stress, Psychological - epidemiology ; Stress, Psychological - physiopathology ; Tropical medicine</subject><ispartof>Journal of the National Medical Association, 1999-08, Vol.91 (8), p.447-452</ispartof><rights>1999 INIST-CNRS</rights><rights>Copyright Slack, Incorporated Aug 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2608441/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/214071175?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1913657$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12656433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TULL, E. S</creatorcontrib><creatorcontrib>WICKRAMASURIYA, T</creatorcontrib><creatorcontrib>FRASER, H</creatorcontrib><creatorcontrib>JORDAN, O. W</creatorcontrib><creatorcontrib>TAYLOR, J</creatorcontrib><creatorcontrib>SMITH-BURNS, V</creatorcontrib><creatorcontrib>BROWN, M</creatorcontrib><creatorcontrib>CHAMPAGNIE, G</creatorcontrib><creatorcontrib>DAYE, K</creatorcontrib><creatorcontrib>DONALDSON, K</creatorcontrib><creatorcontrib>SOLOMON, N</creatorcontrib><creatorcontrib>WALKER, S</creatorcontrib><title>Relationship of internalized racism to abdominal obesity and blood pressure in Afro-Caribbean women</title><title>Journal of the National Medical Association</title><addtitle>J Natl Med Assoc</addtitle><description>Racism is associated with increased psychosocial stress and blood pressure in blacks. However, little is known of the relationship of racism to other features of insulin resistance syndrome. This study examined the relationship of internalized racism to abdominal obesity and elevated blood pressure in a population of black Caribbean women aged 20-55 years. One hundred thirty-three randomly selected women from the island of Barbados comprised the study sample. Data collected included anthropometric and blood pressure measurements, and information about internalized racism, anxiety, and depression. The stress measures including anxiety, depression, and internalized racism were significantly correlated with waist circumference (r = .25, r = .21, and r = .25). After adjusting for age, education, anxiety, and depression, internalized racism remained significantly correlated with waist circumference. The odds ratio associated with development of abdominal obesity among those with high internalized racism (OR = 2.4 [95% CI, 1.1,5.3]) was significant (P < .05) after adjusting for age, education, and body mass index. Blood pressure was not independently related to internalized racism. Studies comparing black-white differences in diseases for which abdominal obesity is a risk factor (eg, diabetes and cardiovascular disease) should take into account the potential role of internalized racism in defining the differences between ethnic groups.</description><subject>Abdomen</subject><subject>Adult</subject><subject>African Continental Ancestry Group</subject><subject>Analysis. Health state</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - physiopathology</subject><subject>Barbados - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Depression - epidemiology</subject><subject>Depression - physiopathology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - ethnology</subject><subject>Hypertension - physiopathology</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity - epidemiology</subject><subject>Obesity - ethnology</subject><subject>Obesity - physiopathology</subject><subject>Prejudice</subject><subject>Public health. Hygiene</subject><subject>Public health. 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S</au><au>WICKRAMASURIYA, T</au><au>FRASER, H</au><au>JORDAN, O. W</au><au>TAYLOR, J</au><au>SMITH-BURNS, V</au><au>BROWN, M</au><au>CHAMPAGNIE, G</au><au>DAYE, K</au><au>DONALDSON, K</au><au>SOLOMON, N</au><au>WALKER, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of internalized racism to abdominal obesity and blood pressure in Afro-Caribbean women</atitle><jtitle>Journal of the National Medical Association</jtitle><addtitle>J Natl Med Assoc</addtitle><date>1999-08-01</date><risdate>1999</risdate><volume>91</volume><issue>8</issue><spage>447</spage><epage>452</epage><pages>447-452</pages><issn>0027-9684</issn><eissn>1943-4693</eissn><coden>JNMAAE</coden><abstract>Racism is associated with increased psychosocial stress and blood pressure in blacks. However, little is known of the relationship of racism to other features of insulin resistance syndrome. This study examined the relationship of internalized racism to abdominal obesity and elevated blood pressure in a population of black Caribbean women aged 20-55 years. One hundred thirty-three randomly selected women from the island of Barbados comprised the study sample. Data collected included anthropometric and blood pressure measurements, and information about internalized racism, anxiety, and depression. The stress measures including anxiety, depression, and internalized racism were significantly correlated with waist circumference (r = .25, r = .21, and r = .25). After adjusting for age, education, anxiety, and depression, internalized racism remained significantly correlated with waist circumference. The odds ratio associated with development of abdominal obesity among those with high internalized racism (OR = 2.4 [95% CI, 1.1,5.3]) was significant (P < .05) after adjusting for age, education, and body mass index. Blood pressure was not independently related to internalized racism. Studies comparing black-white differences in diseases for which abdominal obesity is a risk factor (eg, diabetes and cardiovascular disease) should take into account the potential role of internalized racism in defining the differences between ethnic groups.</abstract><cop>Thorofare, NJ</cop><pub>Slack</pub><pmid>12656433</pmid><tpages>6</tpages></addata></record> |
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| subjects | Abdomen Adult African Continental Ancestry Group Analysis. Health state Anxiety - epidemiology Anxiety - physiopathology Barbados - epidemiology Biological and medical sciences Body Mass Index Depression - epidemiology Depression - physiopathology Epidemiology Female General aspects Humans Hypertension - epidemiology Hypertension - ethnology Hypertension - physiopathology Logistic Models Medical sciences Middle Aged Obesity - epidemiology Obesity - ethnology Obesity - physiopathology Prejudice Public health. Hygiene Public health. Hygiene-occupational medicine Stress, Psychological - epidemiology Stress, Psychological - physiopathology Tropical medicine |
| title | Relationship of internalized racism to abdominal obesity and blood pressure in Afro-Caribbean women |
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