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Journal article
The Weight of Racial Discrimination: Examining the Association Between Racial Discrimination and Change in Adiposity Among Emerging Adult Women Enrolled in a Behavioral Weight Loss Program
Journal of racial and ethnic health disparities, v 9(3), pp 909-920
01 Jun 2022
PMID: 33782906
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Non-Hispanic Black (NHB) emerging adult (EA) women are at disproportionate risk for obesity but experience limited benefit from behavioral weight loss (BWL) programs. Race-related stress could play a role; the goal of this study was to examine the association between racial discrimination (RD) and early (3 months) changes in adiposity, and to explore potential protective factors, among EA in an adapted BWL program. Methods This is an ancillary study of non-Hispanic White (NHW) and NHB EA women enrolled in an adapted BWL trial (N = 49; 55.1% NHB; Age 21.2 (2.1); BMI = 33.0 + 4.3 kg/m(2)). At baseline, group- and personal-level RD (RD-group and RD-personal), racial identity (NHB women only), vigilant coping, and social support were assessed via validated questionnaires. Weight and waist circumference were measured objectively at 0 and 3 months. Results NHW women manifested greater reductions in waist circumference relative to NHB women (p = .004). RD-personal did not predict change in waist circumference at 3 months (p = .402); however, the association between RD-group and change in waist circumference was statistically significant (p = .015), such that reporting greater group-level discrimination predicted a smaller decrease in waist circumference; the model explained 22% of the variance. Social support and vigilant coping were not statistically significant in the model. Among NHB women only, higher racial identity-centrality predicted greater reduction in waist circumference (p = .019). Conclusion Findings suggest racial discrimination could contribute to greater cardiometabolic risk during this developmental period. Future research should examine how experiences of racial discrimination unfold in the daily lives of NHB women to inform mechanistic interventions to enhance health and well-being.
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Details
- Title
- The Weight of Racial Discrimination: Examining the Association Between Racial Discrimination and Change in Adiposity Among Emerging Adult Women Enrolled in a Behavioral Weight Loss Program
- Creators
- Kristal Lyn Brown - Virginia Commonwealth UniversityAnika L. Hines - Virginia Commonwealth UniversityNao Hagiwara - Virginia Commonwealth UniversityShawn Utsey - Virginia Commonwealth UniversityRobert A. Perera - Virginia Commonwealth UniversityJessica Gokee LaRose - Virginia Commonwealth University
- Publication Details
- Journal of racial and ethnic health disparities, v 9(3), pp 909-920
- Publisher
- SPRINGER INT PUBL AG
- Number of pages
- 12
- Grant note
- American Association of University Women (AAUW) R01DK103668 / National Institutes of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Creative Arts Therapies
- Web of Science ID
- WOS:000634605600001
- Scopus ID
- 2-s2.0-85103383528
- Other Identifier
- 991021862114204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health