Perceived Discrimination, Retention, and Diabetes Risk Among American Indians and Alaska Natives in a Diabetes Lifestyle Intervention
Autor: | Ann Bullock, David R. Williams, Spero M. Manson, Ginny Garcia-Alexander, Jenny Chang, Kelly L. Gonzales, Michelle M. Jacob, Luohua Jiang |
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Rok vydání: | 2021 |
Předmět: |
retention
Diabetes risk media_common.quotation_subject Health Behavior diabetes prevention Context (language use) Racism Article 03 medical and health sciences 0302 clinical medicine Discrimination Psychological Negatively associated Diabetes mellitus Lifestyle intervention Retention in Care Medicine Humans 030212 general & internal medicine Socioeconomic status Life Style American Indian or Alaska Native media_common Community and Home Care 030505 public health business.industry medicine.disease Alaskan Natives Diabetes Mellitus Type 2 Public Health and Health Services Indians North American perceived discrimination Geriatrics and Gerontology 0305 other medical science business Gerontology Body mass index Risk Reduction Behavior Demography |
Zdroj: | J Aging Health Journal of aging and health, vol 33, iss 7-8_suppl |
ISSN: | 1552-6887 |
Popis: | Objectives: To examine the association of perceived discrimination with participant retention and diabetes risk among American Indians and Alaska Natives. Methods: Data were drawn from the Special Diabetes Program for Indians–Diabetes Prevention Demonstration Project ( N = 2553). Results: Perceived discrimination was significantly and negatively associated with short-term and long-term retention and diabetes risk without adjusting. After controlling for socioeconomic characteristics and clinical outcomes, perceived discrimination was not associated with retention but was significantly associated with less improvement in body mass index (BMI) and high-density lipoprotein (HDL) cholesterol. Every unit increase in the perceived discrimination score was associated with 0.14 kg/m2 less BMI reduction (95% CI: [0.02, 0.26], p = 0.0183) and 1.06 mg/dl lower HDL at baseline (95% CI: [0.36, 1.76], p = 0.0028). Discussion: Among racialized groups, improving retention and health in lifestyle interventions may require investigating perceived discrimination and the broader context of structural racism and colonialism. |
Databáze: | OpenAIRE |
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