4.5 Article

Maternal experiences of ethnic discrimination and child cardiometabolic outcomes in the Study of Latino Youth

Journal

ANNALS OF EPIDEMIOLOGY
Volume 34, Issue -, Pages 52-57

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.annepidem.2019.03.011

Keywords

Study of Latino Youth; Discrimination; Children; Cardiometabolic health

Funding

  1. National Heart, Lung, and Blood Institute, United States [R01HL102130]
  2. National Heart, Lung, and Blood Institute (NHLBI) [N01-HC65233, N01-HC65234, N01-HC65235, N01-HC65236, N01-HC65237]
  3. Graduate School, University of Maryland, United States
  4. W. K. Kellogg Foundation [P3022586]
  5. NHLBI [R01HL120960]

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Purpose: Limited research has examined maternal experiences of racial/ethnic discrimination in relation to child cardiometabolic health. In this study, we investigated whether maternal experiences of ethnic discrimination were associated with cardiometabolic risk in Hispanic/Latino youth several years later. Methods: Our sample included 1146 youth (8-16 years) from the Study of Latino Youth (2012-2014), who were children of the Hispanic Community Health Study/Study of Latinos participants (2008-2011). We used regression models to examine the prospective associations between maternal report of ethnic discrimination in relation to her child's body mass index (BMI) z-score, metabolic syndrome score (MetS), and high sensitivity C-reactive protein (hsCRP) levels 2 years later. Results: Maternal ethnic discrimination was associated with youth hsCRP, but not BMI or MetS (P-values >.05). Adjusting for age, nativity, and national background, maternal ethnic discrimination was associated with higher (log) hsCRP levels (beta = 0.18, 95% CI = 0.04 to 0.32) in children. This association was robust to adjustment for maternal and household characteristics (beta = 0.17, 95% CI = 0.04 to 0.31), as well as maternal depression and maternal BMI. Conclusions: Maternal ethnic discrimination is associated with inflammation among Hispanic/Latino youth, and not BMI z-score or MetS. Studies are needed to address temporality and pathways. (C) 2019 Elsevier Inc. All rights reserved.

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