Evidence map›Paper›PMID 32686818›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021

Experiences of Discrimination Are Associated With Worse Metabolic Syndrome Severity Among African Americans in the Jackson Heart Study.

Michelle I Cardel, Xiaofei Chi, Yuan-I Min, Mario Sims, Solomon K Musani, Akilah Dulin, Clarence C Gravlee, Steven M Smith, Mark D DeBoer, Matthew J Gurka

Open access · greenAbstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Racial/Ethnic Discrimination and Cardiometabolic Diseases: A Systematic Review.Journal of racial and ethnic health disparities · 2024
    Pooled it
  2. Trial
  3. Article
  4. Weight discrimination and metabolic syndrome: Examining discrimination attributions and frequency across settings.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  5. Article
  6. High-intensity interval training andResearch in pharmaceutical sciences · 2026
    Article
  7. The Experience of Discrimination Impacts Technology Readiness and Psychosocial States of Minoritized Families Living With Type 1 Diabetes: Findings From the BEAD-T1D Pilot Study.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Discrimination, religious affiliation, and arterial stiffness in African American women and men.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Michelle I CardelDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Xiaofei ChiDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Yuan-I MinDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Mario SimsDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Solomon K MusaniDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Akilah DulinDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Clarence C GravleeDepartment of Anthropology, University of Florida, Turlington Hall, Gainesville, FL, USA.
Steven M SmithDepartment of Pharmacotherapy and Translational Research, University of Florida, Gainesville, FL, USA.
Mark D DeBoerDepartment of Pediatrics, University of Virginia Health System, Charlottesville, VA, USA.
Matthew J GurkaDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Jackson Memorial Hospital · USUniversity of Florida Health · USUniversity of Florida · USBrown University · USUniversity of Virginia Health System · US

Funding

Molecular and Soc. Determinants of Obesity and Metabolic Disorders in YouthU54MD008176 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N. · 2012 to 2016
$13.7M
Socioeconomic Status and Subjective Social Status as Modifiers of Stressors and Discrimination in their Relationship with MetS Severity Over TimeR01HL120960 · NHLBI · WEST VIRGINIA UNIVERSITY · PI DEBOER, MARK DANIEL, GURKA, MATTHEW JAMES · 2014 to 2018
$2.1M
NHLBI NIH HHS R01 HL120960NIMHD NIH HHS U54 MD008176
6 · The paper itself

Abstract

backgroundMetabolic syndrome (MetS) is a risk factor for the development of cardiovascular disease and type 2 diabetes. Although the development of MetS is attributed to known lifestyle factors, perceived discrimination may also contribute to MetS development and severity. PURPOSE: We examined the associations of perceived discrimination with MetS severity among African American adults at baseline and 8-year follow-up.

methodsThree thousand eight hundred and seventy participants (mean age 53.8 ± 13.0; 63.1% female) without diabetes and no missing MetS severity scores at baseline were included. Each self-reported measure of discrimination at baseline (everyday, lifetime, and burden of lifetime) was classified into tertiles (low, medium, high). After adjustment for demographics and MetS risk factors, associations of discrimination were examined with a sex- and race/ethnicity-specific MetS severity Z-score. We employed a mixed model approach that allowed for the assessment of an overall association between reported discrimination at baseline and MetS severity, and for the possible change over time.

resultsSex and age differences were observed in experiences with discrimination, such that men reported higher levels of all aspects of discrimination relative to women. Everyday discrimination decreased with age, whereas lifetime discrimination increased with age (p < .05). Independent of lifestyle and demographic factors, everyday and lifetime discrimination were significantly associated with MetS severity (p = .003 and p = .017, respectively) and the associations remained constant over the 8 years (i.e., no interaction with time).

conclusionsOur results suggest that, in a large community-based sample of African Americans, discrimination is a salient psychosocial risk factor for severity of MetS.

Indexed as

AdultAgedBlack or African AmericanFemaleHumansLongitudinal StudiesMaleMetabolic SyndromeMiddle AgedRacismRisk FactorsSeverity of Illness IndexAdultsAfrican AmericansDiscriminationMetabolic syndromePsychosocial

Identifiers

PMID32686818
PMCPMC7980767
OpenAlexW3044068650

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.