Journal article
Socially Assigned Race and Diabetes: Findings from the Arizona Behavioral Risk Factor Surveillance System, 2013-2014
Journal of racial and ethnic health disparities, v 6(5), pp 926-934
01 Oct 2019
PMID: 31065999
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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Details
- Title
- Socially Assigned Race and Diabetes: Findings from the Arizona Behavioral Risk Factor Surveillance System, 2013-2014
- Creators
- Jourdyn A. Lawrence - Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USAKellee White - University of South CarolinaJason L. Cummings - University of South CarolinaJames W. Hardin - University of South CarolinaMyriam E. Torres - University of South Carolina
- Publication Details
- Journal of racial and ethnic health disparities, v 6(5), pp 926-934
- Publisher
- Springer Nature
- Number of pages
- 9
- Grant note
- USC: 11520 / University of South Carolina Social Science Provost Grant
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000486198100008
- Scopus ID
- 2-s2.0-85072057841
- Other Identifier
- 991021448170104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health