Ethnicity & Disease最新文献

{"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}

{"title":"Sociodemographic and Mental Health Factors Associated with Obesity in Resettled Refugees in Syracuse, New York.","authors":"Miriam Mutambudzi, Akritee Sharma, Waseem Sous, Andrea V Shaw, Kevin S Heffernan","doi":"10.18865/EthnDis-2023-59","DOIUrl":"10.18865/EthnDis-2023-59","url":null,"abstract":"<p><strong>Introduction: </strong>Resettled refugees have been exposed to stressful and life-threatening events preresettlement and are among the most marginalized and vulnerable groups in society. Postresettlement, they face challenges when assimilating to an unfamiliar host country, which renders them vulnerable to adverse health outcomes including obesity, a major public health burden. This study was conducted to examine the association of mental health and sociodemographic factors, including language proficiency and educational attainment, with obesity in first-generation resettled refugees.</p><p><strong>Methods: </strong>We used data from electronic health records from the Adult Ambulatory Medicine Clinic of the State University of New York Upstate, Syracuse, NY. The probability of being overweight and obese (class I and class II) relative to normal weight was estimated using fully adjusted multinomial logistic regression models with relative risk ratios (RRRs).</p><p><strong>Findings: </strong>Relative to male refugees, female refugees were more likely to have class I obesity (RRR=1.83; 95% confidence interval [CI]=1.19, 2.80) and class II obesity (RRR=4.07; 95% CI=2.41, 6.87). Limited English proficiency increased the risk of being overweight (RRR=2.02; 95% CI=1.29, 3.17) and having class II obesity (RRR=2.14, 95% CI=1.20, 3.81). A clinical mental health diagnosis increased the risk of class I (RRR=2.00; 95% CI=1.35, 2.96) and class II (RRR=1.76; 95% CI=1.15, 2.71) obesity. Having no formal education was associated with decreased risk of class II obesity (RRR=0.42; 95% CI=0.19, 0.90).</p><p><strong>Discussion: </strong>Obesity prevalence and subsequent related morbidity continue to be major public health burdens in vulnerable, often underserved populations in the United States. Further investigation into social determinants of obesity in refugees in a community setting that captures the unique experiences of heterogenous refugee groups outside the clinical setting is warranted.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"207-213"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512231","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":"Sleep as a Predictor of Health-Related Quality of Life among Economically Disadvantaged Black Older Adults.","authors":"Julia Roncoroni, Carolyn M Tucker, Guillermo Wippold, Karthek Ramchander, Michell Pirapakaran, Meagan Henry","doi":"10.18865/EthnDis-2022-2027","DOIUrl":"10.18865/EthnDis-2022-2027","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep disturbances may partially account for the health-related quality of life (HRQoL) disparities experienced by Black older adults when compared to non-Hispanic White (NHW) adults. The present study examined the role of self-reported sleep duration and the belief that one is not getting enough sleep on physical and mental HRQoL among Black older adults.</p><p><strong>Design: </strong>Participants were 281 community-dwelling, economically disadvantaged Black older adults between 60 and 97 years of age (Mean=69.01, SD=6.97) who lived in a large city in the Southeastern United States. The present study uses baseline data from a larger intervention study aimed at promoting social connection and food security among older adults. For this study (and as part of the larger intervention), participants completed an assessment battery that included (1) a demographic data and health questionnaire that included self-reported sleep duration and a belief that one is not getting enough sleep questions; (2) the CDC (Centers for Disease Control and Prevention) Health-Related Quality of Life-14 Healthy Days Core Module; and (3) the World Health Organization Quality of Life-Brief Form.</p><p><strong>Results: </strong>Descriptive results show that most participants slept less than 7 hours and felt like they did not get enough sleep. Results from 2 hierarchical regressions also showed that believing one is not getting enough sleep predicts lower self-reported mental and physical HRQoL.</p><p><strong>Conclusion: </strong>While sleep deprivation has a serious impact on quality of life for Black older adults, sleep disturbances in this population are understudied. Interventions to improve sleep duration and quality among Black older adults may help reduce disparities in quality of life between Black older adults and NHW adults.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"214-220"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512217","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 Commentary: Invisibility of Older African-American Adults in Electrophysiological Research on Alzheimer's Disease.","authors":"Ezra C Holston","doi":"10.18865/EthnDis-2023-76","DOIUrl":"10.18865/EthnDis-2023-76","url":null,"abstract":"<p><strong>Background: </strong>Currently, researchers are examining the feasibility of integrating electrophysiological biomarkers in the clinical assessment of older adults (≥65 years of age) with Alzheimer's disease (AD). This research has been executed predominantly in older Caucasian adults. Older African-American adults have not been effectively recruited for this research. This issue has resulted in a significant gap in the literature about electrophysiological biomarkers and potential clinical utility in assessing for and diagnosing AD in older African-American adults.</p><p><strong>Purpose: </strong>To share an opinion about the invisibility of older African-American adults in electrophysiological research on AD and potential outcome their inclusion can have on the integration of electrophysiological biomarkers into clinical practice.</p><p><strong>Methods: </strong>For this commentary, it was necessary to determine the status of older African-American adults in electrophysiological research. Studies were identified using the search engines PUBMED, CINAHL, Elsevier, and Scopus with a time range of between 2016 and 2022. Nineteen peer-reviewed studies supported this commentary.</p><p><strong>Results: </strong>In older Caucasian adults with AD, electrophysiological biomarkers were associated with the onset and progression of AD. These biomarkers related to the cognitive impairment of AD and its manifestations. There were no studies characterizing any electrophysiological biomarkers in older African-American adults with AD.</p><p><strong>Conclusion: </strong>Research is growing to support the integration of electrophysiological biomarkers into clinical practice. The invisibility of older African-American adults in this research affects the reliability of electrophysiological biomarkers and their application to persons with AD in racially diverse groups. This invisibility also contributes to health disparities confronting older African-American adults with AD and their caregivers.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 4","pages":"181-184"},"PeriodicalIF":3.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512213","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":"Physical Activity Engagement among Black Immigrants and African American Adults in the 2010 to 2018 NHIS Study.","authors":"Tiwaloluwa A Ajibewa, Ruth-Alma Turkson Ocran, Mercedes R Carnethon, Faith E Metlock, Xiaoyue Liu, Yvonne Commodore-Mensah","doi":"10.18865/EthnDis-2023-45","DOIUrl":"10.18865/EthnDis-2023-45","url":null,"abstract":"<p><strong>Background: </strong>High rates of physical inactivity persist in the United States, with higher rates among non-Hispanic Black adults than among their White peers. However, a comparison of physical activity engagement across nativity among Black adults in the United States has yet to be fully documented. The purpose of this cross-sectional study was to examine physical activity engagement rates among African immigrant and Afro-Caribbean immigrant adults compared with native-born African American adults using data from the 2010 to 2018 National Health Interview Survey.</p><p><strong>Methods: </strong>Using data from the 2010 to 2018 National Health Interview Survey, we used generalized linear models to compare levels of physical activity (meeting the moderate-to-vigorous physical activity [MVPA] recommendations) by ethnic subgroups of Black adults, sequentially adjusting for sociodemographic and health-related risk factors.</p><p><strong>Results: </strong>Data from 38,037 adults (58.8% female, 21% college/graduate degree, and 41.4% with obesity) were included. Only 41.9% of all participants met the MVPA recommendations. In the fully adjusted models across the 9 years, higher levels of MVPA were seen among African Americans (42%) than among African immigrants (38%) and Afro-Caribbean immigrants (41%). Compared with African Americans, African immigrants were less likely to engage in physical activity that met the MVPA guidelines (prevalence ratio: 0.90; 95% confidence interval: 0.85, 0.96), whereas there were no differences in meeting the guidelines between Afro-Caribbean immigrants (prevalence ratio: 0.96; 95% confidence interval:0.90, 1.02) and African Americans.</p><p><strong>Conclusion: </strong>Culturally tailored interventions addressing socioenvironmental barriers and facilitators of physical activity may have important impacts on physical activity promotion and long-term disease burden among Black adults across nativity.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":"34 3","pages":"165-172"},"PeriodicalIF":3.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11354821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114374","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}