Branko Vujkovic, Voin Brkovic, Ana Pajičić, Vedrana Pavlovic, Dejana Stanisavljevic, Dušanka Krajnović, Aleksandra Jovic Vranes
Serbian Version of the eHealth Literacy Questionnaire (eHLQ): Translation, Cultural Adaptation, and Validation Study Among Primary Health Care Users
Journal of medical Internet research
structural racism generates racial inequities us primary education including segregated schools inequitable funding resources racial disparities discipline achievement hostile racial climates risk factors adverse youth health development black youth disproportionately exposed adverse school contexts may become biologically embedded via stressmediated epigenetic pathways study examined whether childhood exposure adverse school contexts associated changes epigenetic aging adolescent development dna methylationbased epigenetic clocks calculated saliva samples ages 9 15 among black n 774 white n 287 youth future families child wellbeing study 20092015 performed latent class analyses identify racespecific primary school contexts using administrative data segregation discipline achievement resources economic disadvantage racial harassment estimated change epigenetic age acceleration childhood adolescence across school typologies using grimage phenoage dunedinpace epigenetic clocks three distinct school contexts identified black youth segregated highlydisadvantaged 170 segregated moderatelydisadvantaged 521 integrated moderatelydisadvantaged 308 two school contexts emerged white youth integrated unequal 465 predominantly white advantaged 535 age 15 black youth attended segregated highlydisadvantaged primary schools experienced increases speed epigenetic aging grimage dunedinpace slowed epigenetic aging grimage observed black youth attended integrated moderatelydisadvantaged schools school contexts associated changes epigenetic age acceleration white youth findings suggest manifestations structural racism primary school contexts associated earlylife epigenetic age acceleration may forecast future health inequities