Racial residential segregation, racial discrimination, and diabetes: The Coronary Artery Risk Development in Young Adults study

Stephanie L. Mayne*, Luigi Loizzo, Michael P. Bancks, Mercedes R. Carnethon, Sharrelle Barber, Penny Gordon-Larsen, April P. Carson, Pamela J. Schreiner, Anne E. Bantle, Kara M. Whitaker, Kiarri N. Kershaw

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Article number102286
JournalHealth and Place
Volume62
DOIs
StatePublished - Mar 2020

Keywords

  • Diabetes
  • Epidemiology
  • Neighborhood
  • Racial discrimination
  • Segregation

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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    Mayne, S. L., Loizzo, L., Bancks, M. P., Carnethon, M. R., Barber, S., Gordon-Larsen, P., Carson, A. P., Schreiner, P. J., Bantle, A. E., Whitaker, K. M., & Kershaw, K. N. (2020). Racial residential segregation, racial discrimination, and diabetes: The Coronary Artery Risk Development in Young Adults study. Health and Place, 62, [102286]. https://doi.org/10.1016/j.healthplace.2020.102286