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

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Publisher: Springer
Document Type: Report
Length: 484 words

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Byline: Rina S. Fox (1), Mercedes R. Carnethon (2), Linda C. Gallo (3,4), Joshua F. Wiley (5), Carmen R. Isasi (6), Martha L. Daviglus (7), Jianwen Cai (8), Sonia M. Davis (8), Aida L. Giachello (2), Patricia Gonzalez (9), Jessica L. McCurley (4), Neil Schneiderman (10), Frank J. Penedo (10) Keywords: Hispanic/Latino; Perceived discrimination; Metabolic syndrome; Cardiometabolic risk; Path analysis; Background groups 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. Author Affiliation: (1) 0000 0001 2299 3507, grid.16753.36, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA (2) 0000 0001 2299 3507, grid.16753.36, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA (3) 0000 0001 0790 1491, grid.263081.e, Department of Psychology, San Diego State University, San Diego, CA, USA (4) 0000 0001 0790 1491, grid.263081.e, SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA (5) 0000 0004 1936 7857, grid.1002.3, Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, VIC, Australia (6) 0000000121791997, grid.251993.5, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA (7) 0000 0001 2175 0319, grid.185648.6, Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL, USA (8) 0000000122483208, grid.10698.36, Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA (9) 0000 0001 0790 1491, grid.263081.e, Graduate School of Public Health, San Diego State University, San Diego, CA, USA (10) 0000 0004 1936 8606, grid.26790.3a, Department of Psychology, University of Miami, Miami, FL, USA Article History: Registration Date: 04/03/2019 Online Date: 24/06/2019

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Gale Document Number: GALE|A594329791