Danielle L. Beatty Moody|Yue Chang|Charlotte Brown|Joyce T. Bromberger|Karen A. Matthews
Everyday Discrimination and Metabolic Syndrome Incidence in a Racially/Ethnically Diverse Sample: Study of Women's Health Across the Nation
University of Maryland, Baltimore County|University of Maryland, Baltimore County|University of Maryland, Baltimore County|University of Maryland, Baltimore County|University of Maryland, Baltimore County
abstract objective everyday discrimination may contribute incident metabolic syndrome mets united states related racialethnic differences mets study investigated whether everyday discrimination predicted mets diverse sample methods longitudinal cohort study 2132 women mean standard deviation 458 27 years selfreported black n 523 white n 1065 chinese n 194 japanese n 227 hispanic n 123 baseline drawn seven cities across united states conducted mets defined accordance national cholesterol education program adult treatment panel iii criteria everyday discrimination scale used assess exposure level everyday discrimination results everyday discrimination exposure baseline predicted 33 greater incidence mets 1389year standard deviation 383 hazard ratio hr 133 95 confidence interval ci 111164 p 001 followup full sample pronounced black hispanic japanese women 1point increase continuous everyday discrimination score hr 103 95 ci 101105 p 001 predicted 3 greater incidence mets specifically blood pressure hr 101 95 ci 100103 p 04 waist circumference hr 105 95 ci 103106 p lt 001 triglyceride level hr 102 95 ci 100104 p 01 associations independent risk factors including physical activity socioeconomic status smoking alcohol consumption conclusions everyday discrimination contributes poorer metabolic health midlife women united states findings clinical implications development mets ultimately cardiovascular disease diabetes intervention strategies reduce outcomes