Tull Eugene S, Cort Malcolm A, Gwebu Ephraim T, Gwebu Keratiloe
Minority International Research Training (MIRT) Program Consortium of the University of Pittsburgh, PA, USA.
Ethn Dis. 2007 Autumn;17(4):731-5.
Internalized racism (INR) is associated with metabolic abnormalities among African Caribbean women. The current study was conducted to determine if similar associations exist among Black women living in Africa.
In 2003, a stratified random sample of Black adults ages > or =18 years was drawn from four high-density suburbs of the city of Bulawayo, Zimbabwe. A total of 318 persons (90% of those recruited) participated. Face-to-face interviews were used to gather information on demographic variables, health history, internalized racism, anthropometric measurements and blood pressure. Internalized racism, the extent to which individuals agree with racist stereotypes about their race, was measured with a standardized questionnaire. A fasting blood sugar level was also measured for each participant. Persons with diagnosed diabetes or incomplete data (n=44) were excluded from analyses.
Women (n=188) and men (n=86) did not differ significantly by age, INR score, waist circumference or fasting glucose level. The mean body mass index of women (23.6 kg/m2) was higher (P<.05) than that of men (22.3 kg/m2). INR was significantly correlated with waist circumference, diastolic blood pressure and fasting glucose among women but not among men. In multiple logistic regression analyses using the data for women, a high INR remained independently associated with abnormal fasting glucose (odds ratio=2.74, P=.0085) after adjusting for potential confounders including adiposity.
These findings show the consistency of the association of high INR with metabolic abnormalities among Black women in the Diaspora.
内化种族主义（INR）与非洲加勒比裔女性的代谢异常有关。本研究旨在确定生活在非洲的黑人女性中是否存在类似的关联。
2003年，从津巴布韦布拉瓦约市的四个高密度郊区抽取了年龄≥18岁的黑人成年人分层随机样本。共有318人（占招募人数的90%）参与。通过面对面访谈收集有关人口统计学变量、健康史、内化种族主义、人体测量和血压的信息。内化种族主义通过一份标准化问卷进行测量，该问卷用于衡量个人对关于其种族的种族主义刻板印象的认同程度。还为每位参与者测量了空腹血糖水平。患有糖尿病或数据不完整的人（n = 44）被排除在分析之外。
女性（n = 188）和男性（n = 86）在年龄、INR得分、腰围或空腹血糖水平方面无显著差异。女性的平均体重指数（23.6 kg/m²）高于男性（22.3 kg/m²）（P <.05）。INR与女性的腰围、舒张压和空腹血糖显著相关，但与男性无关。在对女性数据进行的多因素逻辑回归分析中，在调整包括肥胖在内的潜在混杂因素后，高INR仍然与空腹血糖异常独立相关（优势比 = 2.74，P =.0085）。
这些发现表明，散居海外的黑人女性中，高INR与代谢异常之间的关联具有一致性。
