Perceived discrimination and health-related quality-of-life: gender differences among older African Americans

doi:10.1007/s11136-017-1663-9

. 2017 Dec;26(12):3449-3458.

doi: 10.1007/s11136-017-1663-9. Epub 2017 Jul 25.

Perceived discrimination and health-related quality-of-life: gender differences among older African Americans

Sheryl L Coley^{1

2}, Carlos F Mendes de Leon³, Earlise C Ward⁴, Lisa L Barnes⁵, Kimberly A Skarupski⁶, Elizabeth A Jacobs⁴

Affiliations

¹ University of Wisconsin Madison, Madison, WI, USA. slcoley28@gmail.com.
² School of Medicine and Public Health, University of Wisconsin Madison, WARF Building, 610 Walnut St, 9th Floor, Suite 957, Madison, WI, 53726, USA. slcoley28@gmail.com.
³ University of Michigan, Ann Arbor, MI, USA.
⁴ University of Wisconsin Madison, Madison, WI, USA.
⁵ Rush University Medical Center, Chicago, IL, USA.
⁶ Johns Hopkins University School of Medicine, Baltimore, MD, USA.

PMID: 28744665
PMCID: PMC5682191
DOI: 10.1007/s11136-017-1663-9

Perceived discrimination and health-related quality-of-life: gender differences among older African Americans

Sheryl L Coley et al. Qual Life Res. 2017 Dec.

. 2017 Dec;26(12):3449-3458.

doi: 10.1007/s11136-017-1663-9. Epub 2017 Jul 25.

Authors

Sheryl L Coley^{1

2}, Carlos F Mendes de Leon³, Earlise C Ward⁴, Lisa L Barnes⁵, Kimberly A Skarupski⁶, Elizabeth A Jacobs⁴

Affiliations

¹ University of Wisconsin Madison, Madison, WI, USA. slcoley28@gmail.com.
² School of Medicine and Public Health, University of Wisconsin Madison, WARF Building, 610 Walnut St, 9th Floor, Suite 957, Madison, WI, 53726, USA. slcoley28@gmail.com.
³ University of Michigan, Ann Arbor, MI, USA.
⁴ University of Wisconsin Madison, Madison, WI, USA.
⁵ Rush University Medical Center, Chicago, IL, USA.
⁶ Johns Hopkins University School of Medicine, Baltimore, MD, USA.

PMID: 28744665
PMCID: PMC5682191
DOI: 10.1007/s11136-017-1663-9

Abstract

Purpose: Emerging data suggest that African-American women may fare worse than African-American men in health-related quality-of-life (HRQOL). Perceived discrimination is an important contributor to poor health overall among African Americans, but few studies examined the intersecting effects of perceived discrimination and gender in explaining HRQOL disparities. We investigated gender differences in HRQOL and tested whether perceived discrimination accounted for these differences.

Methods: We examined data from the Chicago Health and Aging Project in which 5652 African-American adults aged 65 and older completed structured questionnaires about demographic and socioeconomic characteristics, HRQOL, perceived discrimination, and health-related variables. Logistic regression models were used to identify associations between perceived discrimination and gender differences in poor HRQOL outcomes (defined as 14+ unhealthy days in overall, physical, or mental health over the past 30 days) when controlling for the other variables.

Results: More women reported poor overall HRQOL than men (24 vs. 16% respectively). Higher perceived discrimination was significantly associated with worse overall HRQOL (OR 1.11; 95% CI 1.08, 1.15), with stronger effects for women in overall and mental HRQOL. These gender disparities remained significant until controlling for potentially confounding variables. Perceived discrimination did not account for gender differences in poor physical HRQOL.

Conclusions: Perceived discrimination is associated with poor HRQOL in older African Americans, with this association appearing stronger in women than men for mental HRQOL. These findings warrant further investigation of effects of perceived discrimination in gender disparities in overall health, and such research can inform and guide efforts for reducing these disparities.

Keywords: African American; Disparities; Gender differences; Quality-of-life; Sex differences; Women’s health.

PubMed Disclaimer

Cited by

Racial discrimination and 12-month and lifetime anxiety disorders among African American men and women: Findings from the National Survey of American Life.
Nguyen AW, Qin W, Wei W, Keith VM, Mitchell UA. Nguyen AW, et al. J Affect Disord. 2023 Jun 1;330:180-187. doi: 10.1016/j.jad.2023.03.004. Epub 2023 Mar 11. J Affect Disord. 2023. PMID: 36907462
Perceived racial/ethnic discrimination and cigarette smoking behaviors among a sample of people with HIV.
Agterberg S, Weinberger AH, Stanton CA, Shuter J. Agterberg S, et al. J Behav Med. 2023 Oct;46(5):801-811. doi: 10.1007/s10865-023-00401-1. Epub 2023 Mar 2. J Behav Med. 2023. PMID: 36864228
Evaluating interpersonal discrimination and depressive symptoms as partial mediators of the effects of education on cognition: Evidence from the Study of Healthy Aging in African Americans (STAR).
Cintron DW, Calmasini C, Barnes LL, Mungas DM, Whitmer RA, Eng CW, Gilsanz P, George KM, Peterson RL, Glymour MM. Cintron DW, et al. Alzheimers Dement. 2023 Jul;19(7):3138-3147. doi: 10.1002/alz.12957. Epub 2023 Feb 1. Alzheimers Dement. 2023. PMID: 36724372
Impact of Racial/Ethnic Discrimination on Quality of Life Among Breast Cancer Survivors.
Shariff-Marco S, Sangaramoorthy M, Ellis L, Thomsen C, Roh JM, Kroenke C, Valice E, Kwan ML, Ambrosone C, Kushi L, Gomez SL. Shariff-Marco S, et al. Am J Epidemiol. 2023 Feb 24;192(3):367-376. doi: 10.1093/aje/kwac208. Am J Epidemiol. 2023. PMID: 36458447 Free PMC article.
Are cultural or psychosocial factors associated with patient-reported outcomes at the conclusion of kidney transplant evaluation?
Swift SL, Leyva Y, Wang S, Chang CH, Dew MA, Shapiro R, Unruh M, Kendall K, Croswell E, Peipert JD, Myaskovsky L. Swift SL, et al. Clin Transplant. 2022 Nov;36(11):e14796. doi: 10.1111/ctr.14796. Epub 2022 Aug 31. Clin Transplant. 2022. PMID: 35988025 Free PMC article.

See all "Cited by" articles

References

1. Centers for Disease Control and Prevention. Measuring healthy days: Population assessment of health-related quality of life. Atlanta, GA: Centers for Disease Control and Prevention; 2000.
1. Zack MM. Health-related quality of life—United States, 2006 and 2010. MMWR Surveillance Summaries. 2013;62(Suppl 3):105–111. - PubMed
1. Slabaugh SL, Shah M, Zack M, Happe L, Cordier T, Havens E, et al. Leveraging health-related quality of life in population health management: The case for healthy days. Population Health Management. 2016;20(1):13–22. - PMC - PubMed
1. Cherepanov D, Palta M, Fryback DG, Robert SA. Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: Evidence from four US nationally representative data sets. Quality of Life Research. 2010;19(8):1115–1124. - PMC - PubMed
1. Zahran HS, Kobau R, Moriarty DG, Zack MM, Holt J, Donehoo R. Health-related quality of life surveillance: United States, 1993–2002. MMWR Surveillance Summaries. 2005;54(SS04):1–35. - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Grants and funding

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Miscellaneous
- NCI CPTAC Assay Portal

[1] Centers for Disease Control and Prevention. Measuring healthy days: Population assessment of health-related quality of life. Atlanta, GA: Centers for Disease Control and Prevention; 2000.

[2] Centers for Disease Control and Prevention. Measuring healthy days: Population assessment of health-related quality of life. Atlanta, GA: Centers for Disease Control and Prevention; 2000.

[3] Zack MM. Health-related quality of life—United States, 2006 and 2010. MMWR Surveillance Summaries. 2013;62(Suppl 3):105–111. - PubMed

[4] Zack MM. Health-related quality of life—United States, 2006 and 2010. MMWR Surveillance Summaries. 2013;62(Suppl 3):105–111. - PubMed

[5] Slabaugh SL, Shah M, Zack M, Happe L, Cordier T, Havens E, et al. Leveraging health-related quality of life in population health management: The case for healthy days. Population Health Management. 2016;20(1):13–22. - PMC - PubMed

[6] Slabaugh SL, Shah M, Zack M, Happe L, Cordier T, Havens E, et al. Leveraging health-related quality of life in population health management: The case for healthy days. Population Health Management. 2016;20(1):13–22. - PMC - PubMed

[7] Cherepanov D, Palta M, Fryback DG, Robert SA. Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: Evidence from four US nationally representative data sets. Quality of Life Research. 2010;19(8):1115–1124. - PMC - PubMed

[8] Cherepanov D, Palta M, Fryback DG, Robert SA. Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: Evidence from four US nationally representative data sets. Quality of Life Research. 2010;19(8):1115–1124. - PMC - PubMed

[9] Zahran HS, Kobau R, Moriarty DG, Zack MM, Holt J, Donehoo R. Health-related quality of life surveillance: United States, 1993–2002. MMWR Surveillance Summaries. 2005;54(SS04):1–35. - PubMed

[10] Zahran HS, Kobau R, Moriarty DG, Zack MM, Holt J, Donehoo R. Health-related quality of life surveillance: United States, 1993–2002. MMWR Surveillance Summaries. 2005;54(SS04):1–35. - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Perceived discrimination and health-related quality-of-life: gender differences among older African Americans

Affiliations

Perceived discrimination and health-related quality-of-life: gender differences among older African Americans

Authors

Affiliations

Abstract

Similar articles

Cited by

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Miscellaneous