PMID- 31065999
OWN - NLM
STAT- MEDLINE
DCOM- 20200924
LR  - 20221207
IS  - 2196-8837 (Electronic)
IS  - 2196-8837 (Linking)
VI  - 6
IP  - 5
DP  - 2019 Oct
TI  - Socially Assigned Race and Diabetes: Findings from the Arizona Behavioral Risk 
      Factor Surveillance System, 2013-2014.
PG  - 926-934
LID - 10.1007/s40615-019-00593-w [doi]
AB  - Socially assigned race, the racial/ethnic categorization of individuals by 
      others, may serve as the basis for differential or unfair treatment. Latinxs are 
      commonly socially assigned to a race/ethnicity with which they do not 
      self-identify. However, it is unclear the degree to which self-identified Latinxs 
      who are socially assigned as white or Latinx may differentially predict health 
      outcomes beyond general health status and healthcare utilization. We examine the 
      association between socially assigned race and type 2 diabetes mellitus (T2DM). 
      Data from the Arizona's Behavioral Risk Factor Surveillance System (2013, 2014) 
      was used in a cross-sectional analysis (restricted to Latinxs and non-Hispanic 
      whites; N = 8370) to examine the association between self-identified (SI) and 
      socially assigned (SA) race/ethnicity agreement and T2DM. Latinxs were 
      categorized according to SI-SA race/ethnicity agreement: discordant (SI-SA, 
      different) and concordant (SI-SA, same). T2DM was based on self-reported 
      physician diagnosis. Data were analyzed using Poisson regression models to 
      estimate prevalence ratios (PR) and 95% confidence intervals (CI). Latinxs 
      comprised 28.5% of our sample, of which, 18.5% was discordant and 81.5% was 
      concordant. In fully adjusted models, concordant Latinxs were more likely to have 
      T2DM than whites (aPR 2.01, 95% CI 1.44, 2.82). There were no significant 
      differences in T2DM between discordant Latinxs and whites. Our results suggest 
      that socially assigned race is an understudied determinant of health and may 
      further understanding of the impact of racial stratification on Latinx health 
      inequities. Additional research examining socially assigned race and other health 
      outcomes are warranted to gain further insight of the biological impact of 
      racialized lived experiences.
FAU - Lawrence, Jourdyn A
AU  - Lawrence JA
AD  - Department of Social and Behavioral Sciences, Harvard T.H Chan School of Public 
      Health, Boston, MA, USA.
FAU - White, Kellee
AU  - White K
AUID- ORCID: 0000-0002-0939-8073
AD  - Department of Epidemiology and Biostatistics, Arnold School of Public Health, 
      University of South Carolina, Columbia, SC, USA. kwhite20@umd.edu.
AD  - Department of Health Services Administration, University of Maryland College Park 
      School of Public Health, 3302D SPH Bldg 255, 4200 Valley Drive, College Park, MD, 
      20742, USA. kwhite20@umd.edu.
FAU - Cummings, Jason L
AU  - Cummings JL
AD  - Department of Sociology and African American Studies, University of South 
      Carolina, Columbia, SC, USA.
FAU - Hardin, James W
AU  - Hardin JW
AD  - Department of Epidemiology and Biostatistics, Arnold School of Public Health, 
      University of South Carolina, Columbia, SC, USA.
FAU - Torres, Myriam E
AU  - Torres ME
AD  - Department of Epidemiology and Biostatistics, Arnold School of Public Health, 
      University of South Carolina, Columbia, SC, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190507
PL  - Switzerland
TA  - J Racial Ethn Health Disparities
JT  - Journal of racial and ethnic health disparities
JID - 101628476
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Arizona/epidemiology
MH  - Behavioral Risk Factor Surveillance System
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*ethnology
MH  - Female
MH  - Health Status Disparities
MH  - Hispanic or Latino/*classification/psychology/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Self Concept
MH  - White People/*classification/psychology/statistics & numerical data
MH  - Young Adult
OTO - NOTNLM
OT  - Diabetes
OT  - Discrimination
OT  - Health disparities
OT  - Latinos
OT  - Socially assigned race
EDAT- 2019/05/09 06:00
MHDA- 2020/09/25 06:00
CRDT- 2019/05/09 06:00
PHST- 2019/01/22 00:00 [received]
PHST- 2019/04/16 00:00 [accepted]
PHST- 2019/04/07 00:00 [revised]
PHST- 2019/05/09 06:00 [pubmed]
PHST- 2020/09/25 06:00 [medline]
PHST- 2019/05/09 06:00 [entrez]
AID - 10.1007/s40615-019-00593-w [pii]
AID - 10.1007/s40615-019-00593-w [doi]
PST - ppublish
SO  - J Racial Ethn Health Disparities. 2019 Oct;6(5):926-934. doi: 
      10.1007/s40615-019-00593-w. Epub 2019 May 7.