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

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, …
Health & place, Vol.62, pp.102286-10
03/2020
DOI: 10.1016/j.healthplace.2020.102286
PMCID: PMC7266830
PMID: 32479363
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7266830View
Open Access

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. •The link between racial segregation or discrimination and diabetes is understudied .•We assessed associations with diabetes incidence and management in black adults.•Racial segregation was not associated with diabetes incidence or management.•Neither were experiences of interpersonal racial discrimination.
Diabetes Epidemiology Neighborhood Racial discrimination Segregation

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