Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study

Rina Sobel Fox, Mercedes R Carnethon, Linda C. Gallo, Joshua F. Wiley, Carmen R. Isasi, Martha L. Daviglus, Jianwen Cai, Sonia M. Davis, Aida Luz Giachello, Patricia Gonzalez, Jessica L. McCurley, Neil Schneiderman, Frank J. Penedo*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Metabolic syndrome (MetS) is a group of cardiovascular risk factors including elevated blood pressure, elevated triglycerides, decreased high-density lipoprotein cholesterol, impaired fasting glucose, and abdominal obesity, which disproportionately affects Hispanics/Latinos. The present study examined associations between perceived discrimination and MetS in Hispanic/Latino adults from various background groups (i.e., Dominican, Central American, Cuban, Mexican, Puerto Rican, South American). Methods: Data were obtained from 5174 Hispanics/Latinos who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. MetS components and covariates were measured at a baseline examination, and perceived discrimination was assessed within 9 months of baseline. Path analysis modeled associations of perceived discrimination with MetS prevalence and each of the six components of MetS, controlling for age, sex, income, acculturation, physical activity, diet, smoking, and alcohol use. Results: Among the full cohort, perceived discrimination was not associated with MetS prevalence in any of the models evaluated. Higher perceived discrimination at work/school was associated with larger waist circumference. When examining background groups separately, higher perceived ethnicity-associated threat was related to increased MetS prevalence only among individuals of Central American background. Differential patterns of association between perceived discrimination and MetS components were found for different background groups. Conclusions: Overall results suggested that perceived discrimination was not strongly or consistently associated with MetS among Hispanics/Latinos.

Original languageEnglish (US)
Pages (from-to)331-342
Number of pages12
JournalInternational Journal of Behavioral Medicine
Volume26
Issue number4
DOIs
StatePublished - Aug 15 2019

Fingerprint

Hispanic Americans
Health
Acculturation
Abdominal Obesity
Waist Circumference
HDL Cholesterol
Fasting
Triglycerides
Smoking
Alcohols
Exercise
Diet
Blood Pressure
Glucose

Keywords

  • Background groups
  • Cardiometabolic risk
  • Hispanic/Latino
  • Metabolic syndrome
  • Path analysis
  • Perceived discrimination

ASJC Scopus subject areas

  • Applied Psychology

Cite this

Fox, Rina Sobel ; Carnethon, Mercedes R ; Gallo, Linda C. ; Wiley, Joshua F. ; Isasi, Carmen R. ; Daviglus, Martha L. ; Cai, Jianwen ; Davis, Sonia M. ; Giachello, Aida Luz ; Gonzalez, Patricia ; McCurley, Jessica L. ; Schneiderman, Neil ; Penedo, Frank J. / Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study. In: International Journal of Behavioral Medicine. 2019 ; Vol. 26, No. 4. pp. 331-342.
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title = "Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study",
abstract = "Background: Metabolic syndrome (MetS) is a group of cardiovascular risk factors including elevated blood pressure, elevated triglycerides, decreased high-density lipoprotein cholesterol, impaired fasting glucose, and abdominal obesity, which disproportionately affects Hispanics/Latinos. The present study examined associations between perceived discrimination and MetS in Hispanic/Latino adults from various background groups (i.e., Dominican, Central American, Cuban, Mexican, Puerto Rican, South American). Methods: Data were obtained from 5174 Hispanics/Latinos who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. MetS components and covariates were measured at a baseline examination, and perceived discrimination was assessed within 9 months of baseline. Path analysis modeled associations of perceived discrimination with MetS prevalence and each of the six components of MetS, controlling for age, sex, income, acculturation, physical activity, diet, smoking, and alcohol use. Results: Among the full cohort, perceived discrimination was not associated with MetS prevalence in any of the models evaluated. Higher perceived discrimination at work/school was associated with larger waist circumference. When examining background groups separately, higher perceived ethnicity-associated threat was related to increased MetS prevalence only among individuals of Central American background. Differential patterns of association between perceived discrimination and MetS components were found for different background groups. Conclusions: Overall results suggested that perceived discrimination was not strongly or consistently associated with MetS among Hispanics/Latinos.",
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author = "Fox, {Rina Sobel} and Carnethon, {Mercedes R} and Gallo, {Linda C.} and Wiley, {Joshua F.} and Isasi, {Carmen R.} and Daviglus, {Martha L.} and Jianwen Cai and Davis, {Sonia M.} and Giachello, {Aida Luz} and Patricia Gonzalez and McCurley, {Jessica L.} and Neil Schneiderman and Penedo, {Frank J.}",
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Fox, RS, Carnethon, MR, Gallo, LC, Wiley, JF, Isasi, CR, Daviglus, ML, Cai, J, Davis, SM, Giachello, AL, Gonzalez, P, McCurley, JL, Schneiderman, N & Penedo, FJ 2019, 'Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study', International Journal of Behavioral Medicine, vol. 26, no. 4, pp. 331-342. https://doi.org/10.1007/s12529-019-09782-7

Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study. / Fox, Rina Sobel; Carnethon, Mercedes R; Gallo, Linda C.; Wiley, Joshua F.; Isasi, Carmen R.; Daviglus, Martha L.; Cai, Jianwen; Davis, Sonia M.; Giachello, Aida Luz; Gonzalez, Patricia; McCurley, Jessica L.; Schneiderman, Neil; Penedo, Frank J.

In: International Journal of Behavioral Medicine, Vol. 26, No. 4, 15.08.2019, p. 331-342.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study

AU - Fox, Rina Sobel

AU - Carnethon, Mercedes R

AU - Gallo, Linda C.

AU - Wiley, Joshua F.

AU - Isasi, Carmen R.

AU - Daviglus, Martha L.

AU - Cai, Jianwen

AU - Davis, Sonia M.

AU - Giachello, Aida Luz

AU - Gonzalez, Patricia

AU - McCurley, Jessica L.

AU - Schneiderman, Neil

AU - Penedo, Frank J.

PY - 2019/8/15

Y1 - 2019/8/15

N2 - Background: Metabolic syndrome (MetS) is a group of cardiovascular risk factors including elevated blood pressure, elevated triglycerides, decreased high-density lipoprotein cholesterol, impaired fasting glucose, and abdominal obesity, which disproportionately affects Hispanics/Latinos. The present study examined associations between perceived discrimination and MetS in Hispanic/Latino adults from various background groups (i.e., Dominican, Central American, Cuban, Mexican, Puerto Rican, South American). Methods: Data were obtained from 5174 Hispanics/Latinos who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. MetS components and covariates were measured at a baseline examination, and perceived discrimination was assessed within 9 months of baseline. Path analysis modeled associations of perceived discrimination with MetS prevalence and each of the six components of MetS, controlling for age, sex, income, acculturation, physical activity, diet, smoking, and alcohol use. Results: Among the full cohort, perceived discrimination was not associated with MetS prevalence in any of the models evaluated. Higher perceived discrimination at work/school was associated with larger waist circumference. When examining background groups separately, higher perceived ethnicity-associated threat was related to increased MetS prevalence only among individuals of Central American background. Differential patterns of association between perceived discrimination and MetS components were found for different background groups. Conclusions: Overall results suggested that perceived discrimination was not strongly or consistently associated with MetS among Hispanics/Latinos.

AB - Background: Metabolic syndrome (MetS) is a group of cardiovascular risk factors including elevated blood pressure, elevated triglycerides, decreased high-density lipoprotein cholesterol, impaired fasting glucose, and abdominal obesity, which disproportionately affects Hispanics/Latinos. The present study examined associations between perceived discrimination and MetS in Hispanic/Latino adults from various background groups (i.e., Dominican, Central American, Cuban, Mexican, Puerto Rican, South American). Methods: Data were obtained from 5174 Hispanics/Latinos who participated in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. MetS components and covariates were measured at a baseline examination, and perceived discrimination was assessed within 9 months of baseline. Path analysis modeled associations of perceived discrimination with MetS prevalence and each of the six components of MetS, controlling for age, sex, income, acculturation, physical activity, diet, smoking, and alcohol use. Results: Among the full cohort, perceived discrimination was not associated with MetS prevalence in any of the models evaluated. Higher perceived discrimination at work/school was associated with larger waist circumference. When examining background groups separately, higher perceived ethnicity-associated threat was related to increased MetS prevalence only among individuals of Central American background. Differential patterns of association between perceived discrimination and MetS components were found for different background groups. Conclusions: Overall results suggested that perceived discrimination was not strongly or consistently associated with MetS among Hispanics/Latinos.

KW - Background groups

KW - Cardiometabolic risk

KW - Hispanic/Latino

KW - Metabolic syndrome

KW - Path analysis

KW - Perceived discrimination

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