Ethnicity & Disease最新文献

{"title":"COVID-19 Case-Fatality Rates in Michigan Are Higher for Arab Americans Compared With Non-Hispanic White Individuals for the Oldest Age Groups.","authors":"Florence J Dallo, Tiffany B Kindratt, Randell Seaton, Julie J Ruterbusch","doi":"10.18865/EthnDis-2023-82","DOIUrl":"10.18865/EthnDis-2023-82","url":null,"abstract":"<p><p>The aim of this study was to estimate and compare the age-specific and sex-adjusted case-fatality rates (CFRs) among Arab Americans to Hispanic, non-Hispanic Black, non-Hispanic White, and Asian adults living in Michigan. Data from Michigan's vital records, surveillance data (March 2020-July 2021), and an Arab/Chaldean surname algorithm were used. We used χ² tests to determine statistically significant differences between groups. Logistic regression was used to estimate age-specific and sex-adjusted CFRs. Arab Americans had a lower CFR of 1.54% compared with Asian (1.97%), non-Hispanic White (2.17%), and non-Hispanic Black adults (3.36%), regardless of sex. For those 80 years of age or older, Arab American (30.72%) and Asian adults (31.47%) had higher CFR compared with the other racial or ethnic groups, with non-Hispanic White adults displaying a lower CFR of 18.28%. An Arab American ethnic identifier would likely increase the visibility of this population so that they can be included in the efforts to increase awareness, testing, and prevention strategies of COVID-19 or similar pandemics that might be facing us in the future.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"35-40"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges to Social Connection Among Black Men with Chronic Conditions: Examination of Structural, Functional, and Quality Domains.","authors":"Thomas K M Cudjoe, Harry O Taylor, Ledric D Sherman, Caroline D Bergeron, Jeremy Holloway, Annie Nguyen, Matthew Lee Smith","doi":"10.18865/EthnDis-2024-8","DOIUrl":"10.18865/EthnDis-2024-8","url":null,"abstract":"<p><strong>Objectives: </strong>Limited social connection places individuals at greater risk for chronic conditions; however, there is limited research examining the association between chronic conditions and barriers to disease self-management on social connections. Our study addresses this gap in the empirical literature by examining these issues among Black men aged 40+ years with 1 or more chronic conditions.</p><p><strong>Methods: </strong>Data came from a national sample of 1200 Black men. We conducted 3 multivariate logistic regression models examining social connection domains (did not have people to call for help, felt isolated from others, and were not content with relationships/friendships) on 3 independent variables: the number of chronic health conditions, cut down or skipped social activities because of health problems, and self-reported barriers to disease self-management. Sociodemographic covariates for all regression models included age, education, partner status, and annual household income.</p><p><strong>Results: </strong>Men were aged 56.7 (±9.7) years and self-reported 4.0 (±2.9) chronic conditions. Approximately 1 in 4 participants reported that they did not have enough people to call for help (25.2%), felt isolated from others (26.0%), and were not content with friendships/relationships (23.8%). Across multivariate models, men who reported more barriers to disease self-management were significantly more likely to report a social connection domain challenge. The number of chronic conditions and cutting down or skipping social activities because of health problems were also associated with a greater likelihood of social connection challenges.</p><p><strong>Conclusions: </strong>Efforts to improve the self-management of illness symptomology may mitigate challenges to social connection among middle-aged and older Black men.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"41-47"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex, Race, and Ethnic Disparities in Cardiovascular Disease Risk Factors among Service Members and Veterans.","authors":"Sheila Faye Castañeda, Scott Christopher Roesch, Neika Sharifian, Claire Alexis Kolaja, Felicia Renee Carey, Ltc Keyia Nichole Carlton, Julia Susan Seay, Rudolph Pecundo Rull","doi":"10.18865/EthnDis-2023-81","DOIUrl":"10.18865/EthnDis-2023-81","url":null,"abstract":"<p><strong>Background: </strong>Health disparities in cardiovascular disease (CVD) risk factors persist among racially, ethnically, and sex diverse civilian populations. Little is known about whether these disparities persist in US military populations. The aim of this study was to examine and describe differences in CVD risk factors by sex, race, and ethnicity among US service members and veterans of Operation Enduring Freedom/Operation Iraqi Freedom conflicts.</p><p><strong>Method: </strong>Sex, racial, and ethnic differences in CVD risk factors (self-reported diagnoses of hypertension, high cholesterol, and diabetes, obese body mass index, and current smoking) were examined in 2014-2016 among 103,245 service members and veterans (age [years], M=40, SD=11; 70.3% men; 75.7% non-Hispanic White adults) enrolled in the Millennium Cohort Study. A series of ordinal regressions were conducted sequentially adjusting for sociodemographic, military, behavioral, and psychosocial factors.</p><p><strong>Results: </strong>Overall, 59% of participants reported at least 1 CVD risk factor. Men had greater odds of screening positive for CVD risk factors than did women. Non-Hispanic Asian or Pacific Islander adults had lower odds of screening positive for CVD risk factors than did non-Hispanic White adults. Although unadjusted models showed non-Hispanic Black, Hispanic/Latino, and non-Hispanic American Indian/Alaska Native individuals had greater odds of screening positive for CVD risk factors, these associations were attenuated or reversed after adjusting for sociodemographic, military, behavioral, and/or psychosocial factors.</p><p><strong>Conclusion: </strong>Due to differences in CVD risk by sex, race, and ethnicity among service members and veterans, studies are needed to understand the potential mechanisms that explain persistent disparities. Implementation of CVD prevention interventions should be considered.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"8-16"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Associations between Race/Ethnicity and Glaucoma Prevalence in a Multicenter Brazilian Study: The ELSA-Brasil.","authors":"Patrícia Sena P de G V Protásio, Maria da Conceição Almeida, Marcelo Krieger Maestri, Geraldo Bezerra da Silva Junior, Sheila Alvim, André R Brunoni, Kallene S M Vidal, Estela M L Aquino, Paulo A Lotufo, Sandhi M Barreto, Maria Inês Schmidt, Antonio Alberto Lopes","doi":"10.18865/EthnDis-2024-6","DOIUrl":"10.18865/EthnDis-2024-6","url":null,"abstract":"<p><strong>Purpose: </strong>Previous research indicates a higher prevalence of glaucoma in Black individuals of African descent. However, the association between race and glaucoma in Brazil's multiracial population remains underexplored. This study examines this association and seeks to identify preventable factors potentially influencing prevalence differences among racial groups in Brazil, should such difference be found.</p><p><strong>Methods: </strong>Employing a cross-sectional design, data were analyzed from 10,696 participants in the multicenter Brazilian Longitudinal Study of Adult Health (2008-2010) who self-identified their race as White, Black, mixed race (<i>pardo</i>), Asian, or Indigenous and completed an ophthalmological questionnaire including their self-reported glaucoma status (yes or no). Poisson regression was used to estimate prevalence ratios (PRs) with robust SEs and adjustments for sociodemographic characteristics and the presence of diabetes, hypertension, and obesity.</p><p><strong>Results: </strong>The prevalence of glaucoma was 5.8% in Black (86/1483), 3.8% in mixed race (101/2688), 3.8% in indigenous (4/106), 3.5% in Asian (10/288), and 2.4% in White (145/6131) populations. Compared with Whites, Blacks and mixed-race individuals were younger. Age-adjusted prevalence was 175% higher in Black individuals (PR=2.75, 95% confidence interval [CI]: 2.12, 3.56) and 85% higher in mixed-race individuals (PR=1.85, 95% CI: 1.44, 2.36) compared with Whites. The strength of these associations was reduced in models including the comorbidities of obesity, hypertension, and diabetes, which are more prevalent in Black and mixed-race individuals.</p><p><strong>Conclusions: </strong>Our results reveal a higher prevalence of self-reported glaucoma in non-White groups, especially among Black and mixed-race individuals. Although causality cannot be conclusively established, our data suggest that the increased prevalence of glaucoma in these groups, compared with their White peers, is partially influenced by preventable health conditions.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"27-34"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Factors and Prevalence of Diabetes and Prediabetes in a United States-Mexico Border Community.","authors":"Jessica L McCurley, Jesus A Naranjo, Rebeca A Jiménez, Juan M Peña, Jose L Burgos, Adriana Carolina Vargas-Ojeda, Victoria D Ojeda, Scott Roesch, Paul J Mills, Maria Rosario Araneta, Gregory A Talavera, Linda C Gallo","doi":"10.18865/EthnDis-2024-3","DOIUrl":"10.18865/EthnDis-2024-3","url":null,"abstract":"<p><strong>Background: </strong>Domestic and international migrants along the United States-Mexico border are at increased risk for diabetes due to structural and psychosocial adversities.</p><p><strong>Objectives: </strong>This study assessed the prevalence of diabetes and prediabetes in a low-income United States-Mexico border community; examined the relationships between depression, anxiety, andadverse childhood experiences (ACEs) and diabetes prevalence and glucose regulation; and explored indirect effects of social support on these relationships. Results. Participants were 220 adults ages 19-83 years (M.47.2, SD.11.9) of majority Mexican nationality (89.1%). Over 70% reported history of migration to the United States; 56.8% reported deportation from the United States to Mexico. Prevalences of clinically significant depression and anxiety symptoms were 36.9% and 33.3%, respectively. Prevalences of diabetes and prediabetes were 17.3% and 29.1%, respectively. Psychological variables were not associated with diabetes or glucose regulation. Indirect effects were found from depression and ACEs through social support to hemoglobin A1c.</p><p><strong>Conclusions: </strong>Results suggest the need for diabetes prevention interventions with an integrated biopsychosocial approach.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"17-26"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stroke Incidence and High-Sensitivity C-Reactive Protein Among African Americans: The Jackson Heart Study.","authors":"Cellas A Hayes, Roland J Thorpe, Mandip Dhamoon, Elizabeth Heitman, Keith C Norris, Bettina M Beech, Marino Bruce, Benjamin Walker, Jennifer C Reneker","doi":"10.18865/EthnDis-2023-78","DOIUrl":"10.18865/EthnDis-2023-78","url":null,"abstract":"<p><strong>Background: </strong>Strokes are a leading cause of death and disability among African Americans in the United States. Biological markers to predict stroke remain elusive; thus, our objective was to investigate whether inflammation, as measured by high-sensitivity C-reactive protein (hs-CRP), was associated with stroke incidence among African Americans enrolled in the Jackson Heart Study (JHS).</p><p><strong>Methods: </strong>Baseline hs-CRP levels were categorized in quintiles: quintile 1 (0.0084 mg/L); quintile 2 (0.0085-0.0189 mg/L); quintile 3 (0.0190-0.036 mg/L); quintile 4 (0.037-0.0675 mg/L); quintile 5 (≥0.0676 mg/L). Nonfatal stroke incidence was ascertained from passive community surveillance through annual phone calls and adjudicated via hospital records. At baseline, stroke risk factors/covariates were compared across quintiles using a one-way analysis of variance and a chi-square test. The association between baseline hs-CRP levels and stroke incidence was determined using a Cox regression analysis to estimate hazard ratios (HRs) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>In the unadjusted model, hs-CRP levels in quintile 2 (HR, 1.48; 95% CI, 0.96-2.29), quintile 3 (HR, 1.44; 95% CI, 0.93-2.24), and quintile 4 (HR, 1.09; 95% CI, 0.68-1.74) were not associated with stroke incidence when compared with quintile 1 (reference). However, individuals within quintile 5 (HR, 1.78; 95% CI, 1.17-2.72) exhibited a significantly increased risk for stroke compared with those in the reference quintile. This risk persisted after adjusting for stroke risk factors (demographics, anthropometrics, health condition covariates, health behavioral risk factors, and cardiovascular disease history) for quintile 5 (HR, 1.87; 95% CI, 1.17-2.98) compared with reference quintile 1.</p><p><strong>Conclusions: </strong>An increased and independent risk of nonfatal stroke appears at the highest quintile of hs-CRP values (≥0.0676 mg/L) among JHS participants.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"35 1","pages":"1-7"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial Disparities in Foot Examination among People with Diabetes in Brazil: A Nationwide Survey, 2019.","authors":"Clarice Nunes Bramante, Julia Soto Rizzato, Isabella Bagni Nakamura, Taís Freire Galvão, Marcus Tolentino Silva","doi":"10.18865/EthnDis-2023-50","DOIUrl":"10.18865/EthnDis-2023-50","url":null,"abstract":"<p><strong>Objective: </strong>To assess the absence of diabetic foot examination in Brazil and how ethnicity affected this outcome.</p><p><strong>Design: </strong>This is an analysis of a nationwide survey held in Brazil in 2019. Participants with diabetes and that were 15 years of age or older were eligible for inclusion in the analysis. Adjusted Poisson regression with robust variance was used to calculate prevalence ratios (PRs) and 95% confidence intervals (95% CIs) of never having had the foot examined, with separate models according to ethnicity. Stata 14.2 was used for all calculations.</p><p><strong>Results: </strong>We included 6216 individuals with diabetes; 52.1% (95%CI: 50.0%-54.2%) reported never having had their feet examined by a health care professional and 61% self-declared as Black (Black and Brown [Brazilian mixed race]). A higher frequency of negligence was observed among Black individuals (55.3%; 52.5%-58.1%) than among White individuals (48.2%; 45.0%-51.5%). Negligence was higher between 15- to 39-year-old participants (PR = 1.34, 1.14-1.57), lower educational level (PR = 1.37, 1.13-1.65), higher alcohol consumption (PR = 1.18, 1.06-1.31), fair health status (PR = 1.11, 1.01-1.21), and diabetes diagnosis of up to 10 years (PR = 1.42, 1.28-1.57). Among Blacks, tobacco use and other factors increased the frequency of the outcome, whereas participation in the Brazilian Unified Health System primary care program was a protection factor (P<.05).</p><p><strong>Conclusion: </strong>Black Brazilians with diabetes had higher negligence of foot examination by health care professionals. Strengthening primary care would help mitigate systemic racism in Brazil.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"221-229"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acculturation, Perceptions about Seeking Mental Health Care, and Utilization of Mental Health Services among US-based South Asians.","authors":"Reet Kapur, Konya Badsa, Farzana Kapadia","doi":"10.18865/EthnDis-2024-10","DOIUrl":"10.18865/EthnDis-2024-10","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the relationship between acculturation, cultural perceptions surrounding mental health (MH) burden and utilization of MH services among South Asian (SA) adults in the United States.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>Four hundred five SA adults (≥18 years old) residing in the United States.</p><p><strong>Methods: </strong>Cross-sectional study of acculturation, attitudes toward MH burden, and MH service utilization was conducted via online survey. Multivariate logistic regression models were employed to understand how these factors were associated with MH service utilization.</p><p><strong>Main outcome measure: </strong>Utilization of MH services.</p><p><strong>Results: </strong>Among the 405 participants, 49.0% identified as immigrants (75.1% Indian, 8% Bangladeshi, 5.5% Pakistani, and 3.8% from other SA countries). Current utilization of MH services was associated with comfort conversing in English (odds ration [OR]=5.99; 95% confidence interval [CI]=1.63, 27.02), having English-speaking peers (OR=3.80; 95% CI=1.12, 12.93), and having family (OR=2.37; 95% CI=1.21, 4.64) and peers (OR=5.64; 95% CI=1.71, 18.66) who used MH services. Participants with mostly SA peers (OR=0.48; 95% CI=0.23, 0.97) reported lower lifetime MH service utilization, and those with positive perceptions about MH burden reported higher lifetime utilization (OR=1.04; 95% CI=1.01, 1.09).</p><p><strong>Conclusions: </strong>Comfort expressing emotions in English, knowledge of family/peer MH service use, and type of social connections were associated with MH service utilization among SA immigrants. Interventions should aim to increase SA languages in which MH services are offered and to engage with SA communities to increase acceptance of MH service utilization.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"199-206"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I Have Come Because I See You Care About Me\": Recruiting Older Black Americans for Genomic Research.","authors":"Jodi M Winship, Marissa Mackiewicz, Muhammad Babar, Dave L Dixon, Elvin T Price, Lana J Sargent","doi":"10.18865/EthnDis-2023-75","DOIUrl":"10.18865/EthnDis-2023-75","url":null,"abstract":"<p><p>The lack of diversity in genomic studies is a disparity that influences our understanding of human genomic variation and threatens equity in the benefits of precision medicine. Given our current genomic research with Black older adults, we conducted a qualitative study to elucidate participants' knowledge, attitudes, and beliefs about genomic research and research participation and what factors contribute to their willingness to participate and to gain insights into barriers that researchers may have in recruiting Black Americans. We conducted semistructured interviews (N=16) with previous genomic research participants, and an inductive thematic approach was used to code and interpret the data. The mean age was 70, 82% reported <$15,000 annual income, and 100% participated in genomic research. The results note that genomic research is poorly understood despite participation in prior genomic studies, and cultural beliefs about health and managing health impact an individual's research participation. Although not all participants identified with historical distrust, those who did report health system distrust also contributed distrust in research. Relationship building facilitates research participation, especially when perceived as personally relevant and meaningful. Participant incentives and convenience to engage in the study are less important if the personal benefits or relevance of the research are clear. Our results provide new context into the importance of relationship building and research literacy and highlight new considerations for engaging racially diverse populations in research.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"185-191"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Study Examining Stress and Obesity among Employees at a Historically Black College and University (HBCU): Does Job Satisfaction Matter?","authors":"Paul Archibald, Kevin Daniels, Robert Massenburg, Ethan Simms, Roland J Thorpe","doi":"10.18865/EthnDis-2023-88","DOIUrl":"10.18865/EthnDis-2023-88","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the potential of using specific biopsychosocial instruments in capturing data on the relationship between stress and obesity and determine if job satisfaction influences the effect estimate.</p><p><strong>Participants: </strong>Fifty-three Black employees at a Historically Black College and University (HBCU).</p><p><strong>Methods: </strong>Logistic regression analyses were used to determine associations.</p><p><strong>Results: </strong>Initially, perceived stress is not associated with obesity (adjusted odds ratio [AOR], 1.17; 95% CI, 1.01-1.36). The dimension of job satisfaction related to contingent/performance-based rewards had a negative significant relationship with obesity (AOR, 0.60; 95% CI, 0.37-0.96). The relationship between perceived stress and obesity became positively significant in the presence of job satisfaction related to contingent/performance-based rewards (AOR, 1.36; 95% CI, 1.02-1.84).</p><p><strong>Conclusions: </strong>Results indicate that perceived stress in conjunction with job satisfaction related to contingent/performance-based rewards may be related to obesity. This underscores the need for further investigation of obesity, stress, and job satisfaction among HBCU employees. The instruments and tools used showed promising capacity for use among this understudied population.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"192-198"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}