Racial Discrimination in Health Care Is Associated with Worse Glycemic Control among Black Men but Not Black Women with Type 2 Diabetes

Frontiers in Public Health

Volumn 5, Issue , 2017, Pages

  Assari, Shervin ^a,b   Lee, Daniel B ^b   Nicklett, Emily Joy ^c   Moghani Lankarani, Maryam ^a   Piette, John D ^b,d,e   Aikens, James E ^e  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

^c UNIVERSITY OF MICHIGAN   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

African Americans; Blacks; diabetes; gender; racial discrimination

Indexed keywords

EID: 85118982346     PISSN: None     EISSN: 22962565     Source Type: Journal    
DOI: 10.3389/fpubh.2017.00235     Document Type: Article

References (96)

1. Williams DR Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med (2009) 32(1):20–47.10.1007/s10865-008-9185-019030981
2. Forsyth J Schoenthaler A Chaplin WF Ogedegbe G Ravenell J. Perceived discrimination and medication adherence in black hypertensive patients: the role of stress and depression. Psychosom Med (2014) 76(3):229–36.10.1097/PSY.000000000000004324677163
3. Jackson JS Brown TN Williams DR Torres M Sellers SL Brown K. Racism and the physical and mental health status of African Americans: a thirteen year national panel study. Ethn Dis (1995) 6(1–2):132–47.
4. Pascoe EA Smart Richman L. Perceived discrimination and health: a meta-analytic review. Psychol Bull (2009) 135(4):531.10.1037/a001605919586161
5. Williams DR Neighbors HW Jackson JS. Racial/ethnic discrimination and health: findings from community studies. Am J Public Health (2003) 93(2):200–8.10.2105/AJPH.93.2.20012554570
6. Banks KH Kohn-Wood LP Spencer M. An examination of the African American experience of everyday discrimination and symptoms of psychological distress. Community Ment Health J (2006) 42(6):555–70.10.1007/s10597-006-9052-916897412
7. Brondolo E Ver Halen NB Pencille M Beatty D Contrada RJ. Coping with racism: a selective review of the literature and a theoretical and methodological critique. J Behav Med (2009) 32(1):64–88.10.1007/s10865-008-9193-019127420
8. Krieger N. Methods for the scientific study of discrimination and health: an ecosocial approach. Am J Public Health (2012) 102(5):936–44.10.2105/AJPH.2011.30054422420803
9. McLaughlin KA Hatzenbuehler ML Keyes KM. Responses to discrimination and psychiatric disorders among Black, Hispanic, female, and lesbian, gay, and bisexual individuals. Am J Public Health (2010) 100(8):1477–84.10.2105/AJPH.2009.18158620558791
10. Ong AD Fuller-Rowell T Burrow AL. Racial discrimination and the stress process. J Pers Soc Psychol (2009) 96(6):1259.10.1037/a001533519469600
11. Schulz AJ Gravlee CC Williams DR Israel BA Mentz G Rowe Z. Discrimination, symptoms of depression, and self-rated health among African American women in Detroit: results from a longitudinal analysis. Am J Public Health (2006) 96(7):1265–70.10.2105/AJPH.2005.06454316735638
12. Utsey SO Giesbrecht N Hook J Stanard PM. Cultural, sociofamilial, and psychological resources that inhibit psychological distress in African Americans exposed to stressful life events and race-related stress. J Couns Psychol (2008) 55(1):49.10.1037/0022-0167.55.1.49
13. Brown TN Williams DR Jackson JS Neighbors HW Torres M Sellers SL et al. “Being black and feeling blue”: the mental health consequences of racial discrimination. Race Soc (2000) 2(2):117–31.10.1016/S1090-9524(00)00010-3
14. Canady RB Bullen BL Holzman C Broman C Tian Y. Discrimination and symptoms of depression in pregnancy among African American and White women. Womens Health Issues (2008) 18(4):292–300.10.1016/j.whi.2008.04.00318590883
15. Foynes MM Shipherd JC Harrington EF. Race and gender discrimination in the Marines. Cultur Divers Ethnic Minor Psychol (2013) 19(1):111.10.1037/a003056723148901
16. Odom EC Vernon-Feagans L. Buffers of racial discrimination: links with depression among rural African American mothers. J Marriage Fam (2010) 72(2):346–59.10.1111/j.1741-3737.2010.00704.x20672013
17. Torres L Ong AD. A daily diary investigation of latino ethnic identity, discrimination, and depression. Cultur Divers Ethnic Minor Psychol (2010) 16(4):561.10.1037/a002065221058819
18. Wagner J Abbott G. Depression and depression care in diabetes relationship to perceived discrimination in African Americans. Diabetes Care (2007) 30(2):364–6.10.2337/dc06-1756
19. Walker RL Salami TK Carter SE Flowers K. Perceived racism and suicide ideation: mediating role of depression but moderating role of religiosity among African American adults. Suicide Life Threat Behav (2014) 44(5):548–59.10.1111/sltb.1208924690042
20. Broman CL Mavaddat R Hsu S-Y. The experience and consequences of perceived racial discrimination: a study of African Americans. J Black Psychol (2000) 26(2):165–80.10.1177/0095798400026002003
21. Sellers RM Shelton JN. The role of racial identity in perceived racial discrimination. J Pers Soc Psychol (2003) 84(5):1079.10.1037/0022-3514.84.5.107912757150
22. Brondolo E Brady N Thompson S Tobin JN Cassells A Sweeney M et al. Perceived racism and negative affect: analyses of trait and state measures of affect in a community sample. J Soc Clin Psychol (2008) 27(2):150.10.1521/jscp.2008.27.2.15019079772
23. Assari S Miller RJ Taylor RJ Mouzon D Keith V Chatters LM. Discrimination fully mediates the effects of incarceration history on psychological distress and depressive symptoms among African American men. J Racial Ethn Health Disparities (2017).10.1007/s40615-017-0364-y
24. Assari S Lankarani MM. Discrimination and psychological distress: gender differences among Arab Americans. Front Psychiatry (2017) 8:23.10.3389/fpsyt.2017.0002328265246
25. Clark R Anderson NB Clark VR Williams DR. Racism as a stressor for African Americans: a biopsychosocial model. Am Psychol (1999) 54(10):805.10.1037/0003-066X.54.10.805
26. Kessler RC Mickelson KD Williams DR. The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav (1999) 40(3):208–30.10.2307/2676349
27. Landrine H Klonoff EA. The schedule of racist events: a measure of racial discrimination and a study of its negative physical and mental health consequences. J Black Psychol (1996) 22(2):144–68.10.1177/00957984960222002
28. Jackson JS Knight KM Rafferty JA. Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course. Am J Public Health (2010) 100(5):933–9.10.2105/AJPH.2008.14344619846689
29. Himmelstein MS Young DM Sanchez DT Jackson JS. Vigilance in the discrimination-stress model for Black Americans. Psychol Health (2015) 30(3):253–67.10.1080/08870446.2014.96610425247925
30. Sellers RM Caldwell CH Schmeelk-Cone KH Zimmerman MA. Racial identity, racial discrimination, perceived stress, and psychological distress among African American young adults. J Health Soc Behav (2003) 44(3):302–17.10.2307/1519781
31. Haywood C Jr Lanzkron S Bediako S Strouse JJ Haythornthwaite J Carroll CP et al. Perceived discrimination, patient trust, and adherence to medical recommendations among persons with sickle cell disease. J Gen Intern Med (2014) 29(12):1657–62.10.1007/s11606-014-2986-7
32. Haywood C Jr Diener-West M Strouse J Carroll CP Bediako S Lanzkron S et al. Perceived discrimination in health care is associated with a greater burden of pain in sickle cell disease. J Pain Symptom Manage (2014) 48(5):934–43.10.1016/j.jpainsymman.2014.02.002
33. Chen FM Fryer GE Jr Phillips RL Jr Wilson E Pathman DE. Patients’ beliefs about racism, preferences for physician race, and satisfaction with care. Ann Fam Med (2005) 3(2):138–43.10.1370/afm.28215798040
34. Caughy MOB O’Campo PJ Muntaner C. Experiences of racism among African American parents and the mental health of their preschool-aged children. Am J Public Health (2004) 94(12):2118–24.10.2105/AJPH.94.12.211815569963
35. Krieger N. Racial and gender discrimination: risk factors for high blood pressure? Soc Sci Med (1990) 30(12):1273–81.10.1016/0277-9536(90)90307-E2367873
36. Krieger N Sidney S. Racial discrimination and blood pressure: the CARDIA Study of young black and white adults. Am J Public Health (1996) 86(10):1370–8.10.2105/AJPH.86.10.13708876504
37. Slaughter-Acey JC Caldwell CH Misra DP. The influence of personal and group racism on entry into prenatal care among African American women. Womens Health Issues (2013) 23(6):e381–7.10.1016/j.whi.2013.08.00124041828
38. Hausmann LR Kressin NR Hanusa BH Ibrahim SA. Perceived racial discrimination in health care and its association with patients’ healthcare experiences: does the measure matter? Ethn Dis (2010) 20:40–7.
39. Piette JD Bibbins-Domingo K Schillinger D. Health care discrimination, processes of care, and diabetes patients’ health status. Patient Educ Couns (2006) 60:41–8.10.1016/j.pec.2004.12.001
40. Ryan AM Gee GC Griffith D. The effects of perceived discrimination on diabetes management. J Health Care Poor Underserved (2008) 19:149–63.10.1353/hpu.2008.000518263991
41. Peek ME Wagner J Tang H Baker DC Chin MH. Self-reported racial discrimination in health care and diabetes outcomes. Med Care (2011) 49(7):618–25.10.1097/MLR.0b013e318215d92521478770
42. Trivedi AN Ayanian JZ. Perceived discrimination and use of preventive health services. J Gen Intern Med (2006) 21:553–8.10.1111/j.1525-1497.2006.00413.x16808735
43. Assari S. Gender differences in the predictive role of self-rated health on short-term risk of mortality among older adults. SAGE Open Med (2016) 4:2050312116666975.10.1177/205031211666697527651902
44. Assari S. Psychosocial correlates of body mass index in the united states: intersection of race, gender and age. Iran J Psychiatry Behav Sci (2016) 10(2):e3458.10.17795/ijpbs-345827822270
45. Brodish AB Cogburn CD Fuller-Rowell TE Peck S Malanchuk O Eccles JS. Perceived racial discrimination as a predictor of health behaviors: the moderating role of gender. Race Soc Probl (2011) 3(3):160–9.10.1007/s12552-011-9050-622844386
46. Neblett EW Bernard DL Banks KH. The moderating roles of gender and socioeconomic status in the association between racial discrimination and psychological adjustment. Cogn Behav Pract (2016) 23(3):385–97.10.1016/j.cbpra.2016.05.002
47. Ifatunji MA Harnois CE. An explanation for the gender gap in perceptions of discrimination among African Americans considering the role of gender bias in measurement. Sociol Race Ethn (2015) 2(3):2332649215613532.10.1177/2332649215613532
48. Browne I Misra J. The intersection of gender and race in the labor market. Annu Rev Sociol (2003) 29:487–513.10.1146/annurev.soc.29.010202.100016
49. Aikens JE Perkins DW Lipton B Piette JD. Longitudinal analysis of depressive symptoms and glycemic control in type 2 diabetes. Diabetes Care (2009) 32(7):1177–81.10.2337/dc09-007119389814
50. Bureau of the Census. U.S. Census of Population: Subject Reports, Socioeconomic Status. Final Report PC(2)-5C. Washington, DC: U.S. Government Printing Office (1967). Available from: https://census.gov/library/publications/1964/dec/population-pc-2-5c.html
51. Nam CB Powers MG. The Socioeconomic Approach to Status Measurement. Houston, TX: Cap and Gown Press (1983).
52. Assari S. Cross-country variation in additive effects of socio-economics, health behaviors, and comorbidities on subjective health of patients with diabetes. J Diabetes Metab Disord (2014) 13(1):36.10.1186/2251-6581-13-3624559091
53. Assari S Lankarani MM Burgard S. Black-white difference in long-term predictive power of self-rated health on all-cause mortality in United States. Ann Epidemiol (2016) 26(2):106–14.10.1016/j.annepidem.2015.11.006
54. Schnittker J Bacak V. The increasing predictive validity of self-rated health. PLoS One (2014) 9(1):e84933.10.1371/journal.pone.008493324465452
55. Singh-Manoux A Martikainen P Ferrie J Zins M Marmot M Goldberg M. What does self rated health measure? Results from the British Whitehall II and French Gazel cohort studies. J Epidemiol Community Health (2006) 60(4):364–72.10.1136/jech.2005.03988316537356
56. Davis JE. Early schooling and academic achievement of African American males. Urban Educ (2003) 38(5):515–37.10.1177/0042085903256220
57. Honora DT. The relationship of gender and achievement to future outlook among African American adolescents. Adolescence (2002) 37(146):301.12144161
58. Noguera PA. The trouble with Black boys: the role and influence of environmental and cultural factors on the academic performance of African American males. Urban Educ (2003) 38(4):431–59.10.1177/0042085903038004005
59. Roderick M. What’s happening to the boys? Early high school experiences and school outcomes among African American male adolescents in Chicago. Urban Educ (2003) 38(5):538–607.10.1177/0042085903256221
60. Swanson DP Cunningham M Spencer MB. Black males’ structural conditions, achievement patterns, normative needs, and “opportunities”. Urban Educ (2003) 38(5):608–33.10.1177/0042085903256218
61. Simpson AW Erickson MT. Teachers’ verbal and nonverbal communication patterns as a function of teacher race, student gender, and student race. Am Educ Res J (1983) 20(2):183–98.10.3102/00028312020002183
62. Howard LC Rose JC Barbarin OA. Raising African American boys: an exploration of gender and racial socialization practices. Am J Orthopsychiatry (2013) 83(2 Pt 3):218–30.10.1111/ajop.1203123889014
63. Thomas A Caldwell CH Assari S Jagers RJ Flay B. You do what you see: how witnessing physical violence is linked to violent behavior among male African American adolescents. J Mens Stud (2016) 24(2):185–207.10.1177/1060826516641104
64. Varner F Mandara J. Discrimination concerns and expectations as explanations for gendered socialization in African American families. Child Dev (2013) 84(3):875–90.10.1111/cdev.1202123199216
65. Bowman PJ Howard C. Race-related socialization, motivation, and academic achievement: a study of Black youths in three-generation families. J Am Acad Child Psychiatry (1985) 24(2):134–41.10.1016/S0002-7138(09)60438-6
66. Coard SI Wallace SA Stevenson HC Jr Brotman LM. Towards culturally relevant preventive interventions: the consideration of racial socialization in parent training with African American families. J Child Fam Stud (2004) 13(3):277–93.10.1023/B:JCFS.0000022035.07171.f8
67. Assari S Moazen-Zadeh E Caldwell CH Zimmerman MA. Racial discrimination during adolescence predicts mental health deterioration in adulthood: gender differences among Blacks. Front Public Health (2017) 5:104.10.3389/fpubh.2017.00104
68. Assari S Smith JR Caldwell CH Zimmerman MA. Gender differences in longitudinal links between neighborhood fear, parental support, and depression among African American emerging adults. Societies (2015) 5(1):151–70.10.3390/soc5010151
69. Assari S Caldwell CH. Neighborhood safety and major depressive disorder in a national sample of Black youth; gender by ethnic differences. Children (Basel) (2017) 4(2):E14.10.3390/children4020014
70. Assari S Lankarani MM. Association between stressful life events and depression; intersection of race and gender. J Racial Ethn Health Disparities (2016) 3(2):349–56.10.1007/s40615-015-0160-5
71. Assari S Caldwell CH Zimmerman MA. Perceived neighborhood safety during adolescence predicts subsequent deterioration of subjective health two decades later; gender differences in a racially-diverse sample. Int J Prev Med (2015) 6:117.10.4103/2008-7802.17043126730347
72. Assari S Moghani Lankarani M Caldwell CH Zimmerman MA. Fear of neighborhood violence during adolescence predicts development of obesity a decade later: gender differences among African Americans. Arch Trauma Res (2016) 5(2):e31475.10.5812/atr.3147527679791
73. Mezuk B Abdou CM Hudson D Kershaw KN Rafferty JA Lee H et al. “White box” epidemiology and the social neuroscience of health behaviors: the environmental affordances model. Soc Ment Health (2013) 3(2).10.1177/2156869313480892
74. Bertakis KD Azari R Helms LJ Callahan EJ Robbins JA. Gender differences in the utilization of health care services. J Fam Pract (2000) 49(2):147–52.10718692
75. Mayor E. Gender roles and traits in stress and health. Front Psychol (2015) 9(6):779.10.3389/fpsyg.2015.00779
76. Kelly MM Tyrka AR Price LH Carpenter LL. Sex differences in the use of coping strategies: predictors of anxiety and depressive symptoms. Depress Anxiety (2008) 25(10):839–46.10.1002/da.2034117603810
77. Harnois CE Ifatunji M. Gendered measures, gendered models: toward an intersectional analysis of interpersonal racial discrimination. Ethn Racial Stud (2011) 34(6):1006–28.10.1080/01419870.2010.516836
78. Caldwell CH Antonakos CL Tsuchiya K Assari S De Loney EH. Masculinity as a moderator of discrimination and parenting on depressive symptoms and drinking behaviors among nonresident African-American fathers. Psychol Men Masc (2013) 14(1):47.10.1037/a0029105
79. Hammond WP. Taking it like a man: masculine role norms as moderators of the racial discrimination–depressive symptoms association among African American men. Am J Public Health (2012) 102(S2):S232–41.10.2105/AJPH.2011.300485
80. Hawkins J Watkins DC Kieffer E Spencer M Piatt G Nicklett EJ et al. An exploratory study of the impact of gender on health behavior among African American and Latino men with type 2 diabetes. Am J Mens Health (2016) 11(2):1557988316681125.10.1177/1557988316681125
81. Hudson DL Bullard KM Neighbors HW Geronimus AT Yang J Jackson JS. Are benefits conferred with greater socioeconomic position undermined by racial discrimination among African American men? J Mens Health (2012) 9(2):127–36.10.1016/j.jomh.2012.03.00622707995
82. Assari S Watkins DC Caldwell CH. Race attribution modifies the association between daily discrimination and major depressive disorder among Blacks: the role of gender and ethnicity. J Racial Ethn Health Disparities (2015) 2(2):200–10.10.1007/s40615-014-0064-926863338
83. Seaton EK Neblett EW Upton RD Hammond WP Sellers RM. The moderating capacity of racial identity between perceived discrimination and psychological well-being over time among African American youth. Child Dev (2011) 82(6):1850–67.10.1111/j.1467-8624.2011.01651.x21954919
84. Sellers RM Linder NC Martin PM Lewis RL. Racial identity matters: the relationship between racial discrimination and psychological functioning in African American adolescents. J Res Adolesc (2006) 16:187–216.10.1111/j.1532-7795.2006.00128.x
85. Smalls C White R Chavous T Sellers R. Racial ideological beliefs and racial discrimination experiences as predictors of academic engagement among African American adolescents. J Black Psychol (2007) 33:299–330.10.1177/0095798407302541
86. Anderson LM Scrimshaw SC Fullilove MT Fielding JE Normand J Task Force on Community Preventive Services. Culturally competent healthcare systems. A systematic review. Am J Prev Med (2003) 24(3 Suppl):68–79.10.1016/S0749-3797(02)00657-812668199
87. Clifford A McCalman J Bainbridge R Tsey K. Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. Int J Qual Health Care (2015) 27(2):89–98.10.1093/intqhc/mzv01025758442
88. Gallagher RW Polanin JR. A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students. Nurse Educ Today (2015) 35(2):333–40.10.1016/j.nedt.2014.10.02125466790
89. Horvat L Horey D Romios P Kis-Rigo J. Cultural competence education for health professionals. Cochrane Database Syst Rev (2014) 5:CD009405.10.1002/14651858.CD009405.pub224793445
90. Lie DA Lee-Rey E Gomez A Bereknyei S Braddock CH III. Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research. J Gen Intern Med (2011) 26(3):317–25.10.1007/s11606-010-1529-020953728
91. Wang J Kearney JA. The experience of Chinese American parents of children with life-limiting illness: a comprehensive review. Int J Palliat Nurs (2013) 19(7):347–54.10.12968/ijpn.2013.19.7.34724273812
92. Aikens JE. Prospective associations between emotional distress and poor outcomes in type 2 diabetes. Diabetes Care (2012) 35(12):2472–8.10.2337/dc12-018123033244
93. Carter JS Pugh JA Monterrosa A. Non-insulin-dependent diabetes mellitus in minorities in the United States. Ann Intern Med (1996) 125(3):221–32. (AHRQ Grant HS07397).10.7326/0003-4819-125-3-199608010-000118686981
94. Cook CB Erdman DM Ryan GJ Greenlund KJ Giles WH Gallina DL et al. The pattern of dyslipidemia among urban African-Americans with type 2 diabetes. Diabetes Care (2000) 23(3):319–24. (AHRQ Grant HS09722).10.2337/diacare.23.3.31910868858
95. Hammond WP. Psychosocial correlates of medical mistrust among African American men. Am J Community Psychol (2010) 45(1–2):87–106.10.1007/s10464-009-9280-620077134
96. Hammond WP Matthews D Mohottige D Agyemang A Corbie-Smith G. Masculinity, medical mistrust, and preventive health services delays among community-dwelling African-American men. J Gen Intern Med (2010) 25(12):1300–8.10.1007/s11606-010-1481-z20714819