Ethnicity & Health最新文献

{"title":"'No lu'au for baby's 1st birthday': becoming a mother during the COVID-19 pandemic in Hawai'i.","authors":"December Maxwell, Kristina Hulama, Regina Praetorius, Jessica Williams, Akiko Tamura, Kaya Arakaki-Mineshima, Christina Jade Reinhofer, Kristen Kameda, Mitchell Wong, Bernadette Garrett, Vi Schap, Nalani Kaai, Kelly Chan, Jaron Yamauchi","doi":"10.1080/13557858.2026.2655615","DOIUrl":"10.1080/13557858.2026.2655615","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic had deleterious effects across healthcare. People who gave birth during this time experienced increases in mental health challenges compared to their non-pandemic counterparts. Given Hawai'i's geographical location, people who gave birth there may have experienced additional impacts not experienced on the US mainland. The purpose of this study was to investigate experiences of becoming a mother in Hawai'i during COVID-19.</p><p><strong>Methods: </strong>Story inquiry, a qualitative research method that is culturally appropriate, was used. Inclusion criteria were that participants had to be 18 or older, English-speaking, living in Hawai'i, and had to have been pregnant or given birth during COVID-19. Participants were recruited via social media and interviewed via phone to assess the experience of becoming a mother (BAM) during the pandemic.</p><p><strong>Results: </strong>Interviews with 15 participants revealed stories that began with discussions of the Perinatal Care Environment overall and how it could be both welcoming and lonely due to policy during the pandemic. From there, participants described cultural and geographically specific factors relating to their BAM experiences. The story then transitioned to plot points of new mothering challenges, which included missing out on key features of BAM due to COVID-19 and the isolation that happened because of the pandemic. From there, after birth, shared stories moved on to describe navigating COVID-19-specific mental health challenges.</p><p><strong>Discussion: </strong>Shared plot points that emerged reinforce that healthcare environments and healthcare providers have the ability to support more positive birth experiences and influence mental health outcomes for new mothers. Plot points are also highlighted culturally, and geographically specific factors related to the experiences of becoming a mother, either positively or negatively, in Hawai'i, including spirituality and o'hana. Implications for policy and practice are discussed related to recommendations for mental health practice and policy in the wake of acute stress events like the COVID-19 pandemic.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"651-670"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variations in perceived social support among family caregivers from diverse cultural backgrounds.","authors":"Rafat Hussain, Danish Ahmad, Bhavya Pushkarna, Rahul Malhotra","doi":"10.1080/13557858.2026.2655631","DOIUrl":"10.1080/13557858.2026.2655631","url":null,"abstract":"<p><p><b>Background:</b> With increasing health needs, public-care systems rely highly on family members to provide caregiving. Despite a rapid increase in multicultural populations, there is limited cross-cultural research on family caregivers, particularly their perceptions of social support. The current paper explores similarities and differences in the correlates of perceived social support between Australian family caregivers of culturally diverse backgrounds (CALD) and those primarily of Anglo-Celtic ancestry (non-CALD). <b>Methods:</b> Cross-sectional anonymous survey of family caregivers aged ≥18 years, who self-identified as CALD (<i>n</i> = 349) and non-CALD (<i>n</i> = 302). Perceived social support was assessed using the Expressed Social Support (ESS) scale. Demographic, caregiving, and health-related correlates of perceived social support amongst both groups were assessed using descriptive and inferential statistical techniques. <b>Results:</b> Although the total ESS scores were similar in both group of caregivers (mean 15.4 ± 5.0 vs. 16.0 ± 4.9), there was some variation across the eight ESS items between the two groups. In multivariable regression, after adjusting for demographic, carer and health covariates, mental health score was the most significant covariate of perceived social support in both groups. Other significant covariates included older age (≥60 years) and education in CALD caregivers and being a primary carer in non-CALD caregivers. <b>Conclusion:</b> Our study highlights similarities and differences amongst correlates of perceived social support across two culturally distinct groups of Australian family caregivers, which include demographic, care-related and health-related factors, including mental health. Future research using longitudinal mixed methods approaches would be valuable in better understanding trajectories of care associated with personal, cultural, and structural factors and how its influences perceptions of social support across the diversity of family caregivers.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"671-689"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of an individual's race on their hypertension status: an analysis rooted in nativity and discrimination.","authors":"Tori J Chace, T Elizabeth Durden","doi":"10.1080/13557858.2026.2729321","DOIUrl":"https://doi.org/10.1080/13557858.2026.2729321","url":null,"abstract":"<p><strong>Objectives: </strong>Hypertension, or high blood pressure, is an undeniable public health crisis, affecting an estimated 1.28 billion adults globally, acting as a primary risk factor for chronic diseases, and largely contributing to premature death. Prior research suggests that minority individuals are at a heightened risk for both discriminatory experiences and hypertension. Simultaneously, some studies have identified a protective effect among foreign-born minorities - referred to as the epidemiological paradox. Few studies have assessed the intersecting effects of race, nativity, and discrimination on hypertensive risk and prevalence.</p><p><strong>Methods: </strong>Using data from the 2023 National Health Interview Survey (n =   29,522), a series of progressively adjusted logistic regression models were utilized to determine the odds ratios for hypertension by race, accounting for relevant demographic and socioeconomic covariates and self-reported nativity and experiences with discrimination.</p><p><strong>Results: </strong>Black individuals had higher odds of hypertension across all models as compared to White individuals, while Hispanic individuals had statistically significant lower odds of hypertension. Foreign-born nativity status emerged as a modest protective factor. Sex, age, and general health status were the strongest predictors of hypertension, while discrimination was not statistically significant in the fully adjusted model, potentially due to measurement limitations.</p><p><strong>Conclusion: </strong>Public health initiatives should prioritize age- and sex-specific, racially informed strategies to reduce hypertensive risk and improve treatment outcomes. Findings challenge anti-immigrant narratives by suggesting that an individual's nativity status may have protective effects against chronic health conditions.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How temporal caregiving demands shape mental health among older East Asian dementia caregivers.","authors":"Mina Lee, Kun Wang, Hyo Jung Lee","doi":"10.1080/13557858.2026.2729317","DOIUrl":"https://doi.org/10.1080/13557858.2026.2729317","url":null,"abstract":"<p><p><b>Objective:</b> Dementia caregiving is associated with elevated psychological distress, yet limited research has examined how caregiving demands shape mental health among East Asian American caregivers, a rapidly growing but understudied population. Guided by the stress process framework, this study examined three temporal dimensions of objective caregiving demands - time intensity, frequency, and chronicity - and their associations with subjective caregiving demands and depressive symptoms among older East Asian American caregivers of individuals living with Alzheimer's disease and related dementias (AD/ADRD).<b>Design:</b> Survey data were collected from 82 East Asian American caregivers aged 50 years or older who were providing care to individuals with dementia in the United States. Participants were recruited through community-based organizations and ethnic community settings. Ordinary least squares regression models were estimated to examine associations among temporal caregiving demands, subjective caregiving demands, and depressive symptoms. An exploratory post hoc structural equation model was also estimated to examine indirect associations.<b>Result:</b> Caregivers in this sample reported substantial caregiving involvement, averaging more than 10 hours of care per day, five days per week, over a period exceeding five years. In adjusted regression models, time intensity and chronicity were not directly associated with depressive symptoms, while caregiving frequency was negatively associated with depressive symptoms. Subjective caregiving demands were strongly and positively associated with depressive symptoms. Temporal caregiving demands were positively associated with subjective caregiving demands when examined separately. An exploratory post hoc analysis suggested that chronicity was indirectly associated with depressive symptoms through subjective caregiving demands.<b>Conclusion:</b> Findings suggest that the mental health implications of dementia caregiving may depend less on objective time exposure alone and more on caregivers' subjective appraisal of caregiving demands. Culturally and linguistically responsive interventions should address perceived caregiving burden, improve access to formal support, and attend to the long-term caregiving experiences of East Asian American dementia caregivers.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot study: exploring mHealth interventions to increase colorectal cancer knowledge in emerging adult Black men.","authors":"Chelsey McGill, Alison J Patev, Arnethea L Sutton, Priyanka Patel, Oxana Palesh, Maria D Thomson, Larry D Keen","doi":"10.1080/13557858.2026.2731112","DOIUrl":"https://doi.org/10.1080/13557858.2026.2731112","url":null,"abstract":"<p><p>Over the last twenty years, colorectal cancer (CRC) has steadily increased in individuals under the age of 50. Black men are disproportionately affected by the disease. In Virginia, CRC is one of the top five leading causes of cancer-related deaths. The current pilot mHealth intervention, PRISM, was created to increase CRC awareness. A pilot sample of 20 Black men between the ages of 18-25 were recruited in Petersburg, Virginia, where cancer is the second leading cause of death. The 14-day mHealth intervention, PRISM, demonstrated preliminary evidence to increase CRC awareness and knowledge among 20 participants pre-post change <i>t</i>(19) = 9.64, <i>p</i> < 0.001 in a single arm trial. Future studies should assess the acceptability and feasibility of PRISM through a randomized design. Creating culturally tailored interventions may help educate individuals in marginalized communities about preventive diseases such as CRC, contributing to a reduction in CRC cases among Black men and early-onset CRC (EoCRC).</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>'No estamos solos'</i>: empowering and supporting Latino immigrants to manage chronic disease through a culturally relevant nutrition and physical activity intervention.","authors":"Keri E Revens, Sarai Ordonez, Lennin Caro, Kim Clark, Julia R Chandler, David Bellar","doi":"10.1080/13557858.2026.2729319","DOIUrl":"https://doi.org/10.1080/13557858.2026.2729319","url":null,"abstract":"<p><strong>Background: </strong>NC Latino immigrants experience health disparities, contributing to higher rates of chronic disease. A community health clinic partnered with a university to develop a low-cost, physical activity and nutrition intervention for Latino immigrants managing chronic disease.</p><p><strong>Purpose: </strong>To assess changes in clinical, anthropometric, and behavioral outcomes at baseline, 6 months, and one year after intervention.</p><p><strong>Methods: </strong>A mixed methods approach was used; data from EMR, Anthropometry, functional measures, and survey instruments were compared across time to examine mental wellbeing and cardiovascular risk. Focus groups were conducted to gain additional insight into participant experiences; qualitative data were analyzed using a grounded theoretical approach.</p><p><strong>Results: </strong>There were (<i>n</i> = 243) participants. Significant changes were found in HbA1c, total cholesterol, triglycerides, LDL cholesterol, BMI, % body fat, weight, and waist circumference, functional capacity, and symptoms of depression, anxiety, and stress. Focus group data showed participants perceive social support as a motivator towards healthy lifestyle changes.</p><p><strong>Discussion: </strong>Findings suggest a culturally responsive intervention at a community clinic may support improvements in health outcomes in Latino immigrants. Findings inform lifestyle interventions that can be tailored to specific minority populations to support reductions in health disparities.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-22"},"PeriodicalIF":2.1,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of postnatal care and support among Black women and birthing people in the UK: Systematic review and thematic synthesis.","authors":"Lorraine Ashley, Christine McCourt, Marina A S Daniele, Ellinor K Olander, Katherine Waterfall, Diana Yeh","doi":"10.1080/13557858.2026.2726767","DOIUrl":"10.1080/13557858.2026.2726767","url":null,"abstract":"<p><p>The postnatal period is a time for recovery and social transition, yet it is often called the 'Cinderella service' of maternity care, due to its relative neglect in research and policy. Literature often conflates postnatal experiences with antenatal and intrapartum periods, risking overlooking distinct needs arising after birth. For Black women in the UK, structural barriers further shape experiences. This review synthesises literature on Black women's postnatal care and support experiences in the UK, up to the baby's first birthday, in both hospital and community settings.We included qualitative studies and qualitative parts of mixed-methods studies on the postnatal experiences of Black women in the UK, published between 2004 and 2024. We also included studies covering the antenatal and intrapartum periods, provided they included sufficient data on the postnatal period. Searches covered ten databases, including MEDLINE, CINAHL, and PsycINFO. Methodological quality was assessed using the CASP qualitative checklist, and data were analysed using Thomas and Harden's thematic synthesis.Nine papers met the inclusion criteria; only seven focused solely on Black women. Three key themes emerged: (1) inadequate and insensitive postnatal care, (2) barriers to formal mental health support, and (3) fragmented informal support and the expectation to cope. Women reported poor physical care in the wards, whilst community care was impersonal and routine, offering little opportunity to address emotional needs. Cultural stigma towards mental health discussion and cultural expectations of strength discouraged help-seeking.Our findings revealed that inadequate physical and impersonal care and limited informal support left women with unmet needs. Cultural expectations of strength further intensified these gaps, often leaving women to navigate this period in isolation. Addressing these gaps requires co-designed interventions with Black communities, rooted in lived experiences, to ensure care and support over the first year are equitable, culturally competent, and responsive to Black women's needs.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-23"},"PeriodicalIF":2.1,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is doing better science enough?: An autoethnographic study of a multidisciplinary collaboration to measure structural racism.","authors":"Paris B Adkins-Jackson, Emily A Haozous, Boeun Kim, Alicia Cooke, Melissa D Hladek, Darnell Leatherwood, Tiffany Riser, Odis Johnson, Erik Westlund, Laura J Samuel, Deidra C Crews, Gilbert Gee, Roland J Thorpe, Karen Bandeen-Roche, Sierra Grey-Coker, Sarah L Szanton","doi":"10.1080/13557858.2026.2729315","DOIUrl":"https://doi.org/10.1080/13557858.2026.2729315","url":null,"abstract":"<p><strong>Objectives: </strong>Addressing structural racism remains a critical challenge in population health and social sciences, as traditional quantitative approaches often fail to disrupt long-standing racialized health hierarchies. This study critically interrogates the process of a multidisciplinary scientific collaboration attempting to operationalize and measure life course structural racism while enacting an anti-racist praxis.</p><p><strong>Design: </strong>Utilizing a collaborative analytic autoethnography framework grounded in social cognitive theory and anti-racist praxis, our team - comprising biostatisticians, nurse scientists, epidemiologists, gerontologists, social scientists, and a nephrologist across racialized groups, career stages, and institutions - treated our team process as a socio-analytical field site. We examined the tension between individualistic paradigms and systemic measurement, gathering qualitative field data from team deliberations, and a dedicated focus group.</p><p><strong>Results: </strong>Three primary autoethnographic themes emerged: operationalizing and understanding structural racism, constructing methodological infrastructure, and navigating accountability and the pursuit of a multidimensional measure. While qualitative life-course history interviews, expert panels, public podcasts, and a national survey advanced conceptual and data infrastructure, significant methodological barriers - including historical address recall, geocoding missingness, and geographic mismatch - prevented immediate measure validation. Autoethnographic reflection revealed how institutional incentives, capitalistic academic pressures, and funding mechanisms complicate collective equity work.</p><p><strong>Conclusion: </strong>By interrogating our collaborative process, we demonstrate that doing 'different science' requires prioritizing reflexive, collective team dynamics and infrastructure over rapid measure production. Embedding anti-racist praxis and community accountability into scientific collaborations offers a transformative pathway for advancing structural racism research and dismantling systemic health inequities.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking cultural appropriateness: a critical literature review of definitions, fit, and practice in Black interventions, support, and care.","authors":"Blessing Ugochi Ojembe, Augustine Chukwuebuka Okoh, Karamat Kelani, Michael Kalu","doi":"10.1080/13557858.2026.2729320","DOIUrl":"10.1080/13557858.2026.2729320","url":null,"abstract":"<p><strong>Objective: </strong>Culturally appropriate (CA) interventions have been linked to improved health and social outcomes among minoritized groups. However, there remains no clear consensus on what constitutes 'appropriateness' in a culture, particularly within Black culture. This critical literature review examines the conceptualization of cultural appropriateness in research, interventions, care and support designed for Black communities.</p><p><strong>Design: </strong>We searched several databases (including PubMed, PsycINFO, CINAHL, Scopus, Web of Science, Black Thought and Culture and Google Scholar) and used a combination of keywords (cultural appropriateness, interventions, and Black) to identify articles that described cultural appropriateness and its related terms such as cultural competence, cultural humility, cultural safety, cultural tailoring, and cultural relevance as it relates to Black-focused interventions, including social, clinical and policy.</p><p><strong>Findings: </strong>The review clarifies the meaning of cultural appropriateness and its relationship to terms such as cultural competence, cultural humility, cultural safety, cultural tailoring and cultural relevance. Culturally appropriate interventions incorporate salient cultural features, experiences and values of the target population and involve cultural elements like language and local context to enhance credibility, legitimacy, and access. Yet, despite widespread use of the label 'culturally appropriate,' existing evaluation tools often measure providers' competence rather than the appropriateness of the intervention itself for specific groups. Also, the often single 'Black culture' lens applied in the literature disregards the heterogeneity and distinct identities, histories, and needs within the Black population and foregrounds an awareness of Black diversity and tailoring programs to specific Black groups.</p><p><strong>Conclusion: </strong>Overall, cultural appropriateness remains a contested and fluid concept. The interchangeable use of related terms contributes to conceptual ambiguity and hinders the development of effective, community-grounded interventions. Advancing intersubjective understanding and conceptual clarity is therefore warranted for improving research, policy, and practice in culturally responsive care for Black communities.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-15"},"PeriodicalIF":2.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racialized incorporation, migration timing, and cardiometabolic risk among Afro-Caribbean immigrants in the United States.","authors":"Janella Melius, Colin Cannonier","doi":"10.1080/13557858.2026.2729318","DOIUrl":"https://doi.org/10.1080/13557858.2026.2729318","url":null,"abstract":"<p><p>Black populations in the United States are increasingly diverse due to immigration, yet population health research frequently aggregates U.S.-born and foreign-born Black adults, obscuring important intraracial heterogeneity. This study examines whether migration timing, duration of U.S. residence, ethnic origin, and regional settlement are associated with obesity as an indicator of cardiometabolic risk among Afro-Caribbean immigrants. We analyzed data from the National Survey of American Life (N = 976), a nationally representative survey of Black adults in the United States. Guided by a racialized incorporation framework, migration characteristics were conceptualized as indicators of differential exposure to racialized institutional contexts across the life course rather than proxies for cultural assimilation. Weighted logistic regression models estimated associations between obesity (BMI ≥30 kg/m²), migration characteristics, and socioeconomic and demographic factors. Modified Poisson regression models were estimated as sensitivity analyses. Earlier age at migration, residence in the Northeast, lower household income, and female gender were associated with greater odds of obesity. Obesity also varied across Caribbean-origin groups, with respondents from Trinidad and Tobago exhibiting lower odds than Jamaican immigrants. Although shorter duration of U.S. residence generally corresponded with lower obesity prevalence, these associations were not consistently statistically significant. Sensitivity analyses produced substantively similar findings. These findings demonstrate substantial intraracial heterogeneity in cardiometabolic risk, as reflected by obesity, among Afro-Caribbean immigrants. Interpreted through a racialized incorporation framework, the results suggest that migration timing and settlement patterns may reflect differential exposure to racialized institutional contexts that shape cardiometabolic health over the life course. Disaggregating Black immigrant populations can advance understanding of structural processes contributing to cardiometabolic inequities within the increasingly diverse U.S. Black population.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}