Discrimination is associated with C-reactive protein among young sexual minority men

被引:10
作者
Cook, Stephanie H. [1 ,2 ,13 ]
Slopen, Natalie [3 ]
Scarimbolo, Laura [1 ]
Mirin, Nicholas [1 ]
Wood, Erica P. [1 ]
Rosendale, Nicole [4 ,5 ]
Chunara, Rumi [2 ,6 ]
Burke, Colin W. [7 ]
Halkitis, Perry N. [8 ,9 ,10 ,11 ,12 ]
机构
[1] NYU, Sch Global Publ Hlth, Dept Social & Behav Sci, New York, NY 10012 USA
[2] NYU, Sch Global Publ Hlth, Dept Biostat, New York, NY 10012 USA
[3] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA
[4] Univ Calif San Francisco, Med Ctr, Dept Neurol, San Francisco, CA USA
[5] Univ Calif San Francisco, Weill Inst Neurosci, San Francisco, CA 94143 USA
[6] NYU Tandon Sch Engn, Dept Comp Sci & Engn, Brooklyn, NY USA
[7] Harvard Med Sch, Dept Psychiat, Boston, MA 02115 USA
[8] Rutgers State Univ, Ctr Hlth Ident Behav & Prevent Studies, Piscataway, NJ USA
[9] Rutgers State Univ, Sch Publ Hlth, Dept Biostat & Social & Behav Hlth Sci, Piscataway, NJ USA
[10] Rutgers State Univ, Rutgers Robert Wood Johnson Med Sch, Piscataway, NJ USA
[11] Rutgers State Univ, Grad Sch Appl & Profess Psychol, Piscataway, NJ USA
[12] Rutgers State Univ, Sch Publ Affairs & Adm, Piscataway, NJ USA
[13] NYU, Sch Global Publ Hlth, 708 Broadway,Room 757, New York, NY 10003 USA
关键词
Discrimination; C-reactive protein (CRP); Sexual minority men; Microaggressions; CORONARY-HEART-DISEASE; PERCEIVED DISCRIMINATION; CARDIOVASCULAR-DISEASE; STRESS; INFLAMMATION; HEALTH; GAY; MICROAGGRESSIONS; ORIENTATION; MARKERS;
D O I
10.1007/s10865-022-00307-4
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This report examines associations between everyday discrimination, microaggressions, and CRP to gain insight on potential mechanisms that may underlie increased CVD risk among sexual minority male young adults. The sample consisted of 60 participants taken from the P18 cohort between the ages of 24 and 28 years. Multinomial logistic regression models were used to examine the association between perceived everyday discrimination and LGBQ microaggressions with C-reactive protein cardiovascular risk categories of low-, average-, and high-risk, as defined by the American Heart Association and Centers for Disease Control. Adjustments were made for BMI. Individuals who experienced more everyday discrimination had a higher risk of being classified in the high-risk CRP group compared to the low-risk CRP group (RRR = 3.35, p = 0.02). Interpersonal LGBQ microaggressions were not associated with CRP risk category. Everyday discrimination, but not specific microaggressions based on sexual orientation, were associated with elevated levels of CRP among young sexual minority men (YSMM). Thus, to implement culturally and age-appropriate interventions, further researcher is needed to critically examine the specific types of discrimination and the resultant impact on YSMM's health.
引用
收藏
页码:649 / 657
页数:9
相关论文
共 44 条
[21]   A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM: The P18 Cohort Study [J].
Halkitis, Perry N. ;
Kapadia, Farzana ;
Bub, Kristen L. ;
Barton, Staci ;
Moreira, Alvaro D. ;
Stults, Christopher B. .
AIDS AND BEHAVIOR, 2015, 19 (06) :970-980
[22]   A multidimensional conceptualization of racism-related stress: Implications for the well-being of people of color [J].
Harrell, SP .
AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 2000, 70 (01) :42-57
[23]   Sexual Orientation Disparities in Cardiovascular Biomarkers Among Young Adults [J].
Hatzenbuehler, Mark L. ;
McLaughlin, Katie A. ;
Slopen, Natalie .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2013, 44 (06) :612-621
[24]   Examining the Role of Ethnic Microaggressions and Ethnicity on Cortisol Responses to an Acute Stressor Among Young Adults [J].
Majeno, Angelina ;
Urizar, Guido G., Jr. ;
Halim, May Ling D. ;
Nguyen-Rodriguez, Selena T. ;
Gonzalez, Araceli .
CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY, 2021, 27 (01) :135-144
[25]   Protection and damage from acute and chronic stress - Allostasis and allostatic overload and relevance to the pathophysiology of psychiatric disorders [J].
McEwen, BS .
BIOBEHAVIORAL STRESS RESPONSE: PROTECTIVE AND DAMAGING EFFECTS, 2004, 1032 :1-7
[26]   Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence [J].
Meyer, IH .
PSYCHOLOGICAL BULLETIN, 2003, 129 (05) :674-697
[27]   Chronic psychological stress and the regulation of pro-inflammatory cytokines: A glucocorticoid-resistance model [J].
Miller, GE ;
Cohen, S ;
Ritchey, AK .
HEALTH PSYCHOLOGY, 2002, 21 (06) :531-541
[28]   Plasma C-reactive protein is lower among marijuana using HIV-negative individuals but not among persons living with HIV [J].
Morgan, Ethan ;
Hudson, Hannah ;
D'Aquila, Richard ;
Mustanski, Brian .
SCIENTIFIC REPORTS, 2021, 11 (01)
[29]   Systemic inflammation is elevated among both HIV-uninfected and HIV-infected young MSM [J].
Morgan, Ethan ;
Taylor, Harry E. ;
Ryan, Daniel Timothy ;
D'Aquila, Richard ;
Mustanski, Brian .
AIDS, 2019, 33 (04) :757-759
[30]   Sexual Orientation Microaggressions: Processes and Coping Mechanisms for Lesbian, Gay, and Bisexual Individuals [J].
Nadal, Kevin L. ;
Wong, Yinglee ;
Issa, Marie-Anne ;
Meterko, Vanessa ;
Leon, Jayleen ;
Wideman, Michelle .
JOURNAL OF LGBT ISSUES IN COUNSELING, 2011, 5 (01) :21-46