Gendered racism and subjective cognitive complaints among older black women: The role of depression and coping

Hill‐Jarrett, Tanisha G.; Jones, Mark S.

doi:10.1080/13854046.2021.1923804

Cited by 13 publications

(7 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies applied an intersectional lens to examine how interrelated systems of oppression confer risk for AD/ADRD and may lead to disparities that disproportionately disadvantage marginalized communities. For example, gendered racism 94,95 —the simultaneous experience of racism and sexism—was associated with a higher number of cognitive complaints in US women racialized as Black 96 . Another US‐based study revealed meaningful differences at the intersection of racism and sexism in biological aging, an emerging risk factor for AD/ADRD 97 .…”

Section: Results: a Globalized Macrosystemmentioning

confidence: 99%

“…For example, gendered racism 94,95 -the simultaneous experience of racism and sexism-was associated with a higher number of cognitive complaints in US women racialized as Black. 96 Another US-based study revealed meaningful differences at the intersection of racism and sexism in biological aging, an emerging risk factor for AD/ADRD. 97 A large-scale study in the UK saw significant intersectional effects of gender, socioeconomic status, and racialized group on biological markers of aging.…”

Section: Intersectionalitymentioning

confidence: 99%

See 1 more Smart Citation

The structural and social determinants of Alzheimer's disease related dementias

Adkins‐Jackson

George

Besser

et al. 2023

Alzheimer's & Dementia

View full text Add to dashboard Cite

Introduction The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD. Methods In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes. Results Bronfenbrenner defined the “macrosystem” as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities. These root causes have been discussed little to date in relation to AD/ADRD, and thus, macrosystem influences, such as racism, classism, sexism, and homophobia, are the emphasis in this paper. Discussion Under Bronfenbrenner's macrosystem framework, we highlight key quantitative and qualitative studies linking S/SDOH with AD/ADRD, identify scientific gaps in the literature, and propose guidance for future research. Highlights Ecological systems theory links structural/social determinants to AD/ADRD. Structural/social determinants accrue and interact over the life course to impact AD/ADRD. Macrosystem is made up of societal norms, beliefs, values, and practices (e.g., laws). Most macro‐level determinants have been understudied in the AD/ADRD literature.

show abstract

Section: Results: a Globalized Macrosystemmentioning

confidence: 99%

Section: Intersectionalitymentioning

confidence: 99%

The structural and social determinants of Alzheimer's disease related dementias

Adkins‐Jackson

George

Besser

et al. 2023

Alzheimer's & Dementia

View full text Add to dashboard Cite

show abstract

“…38 Experiences of discrimination occur on multiple intersecting domains, such that the combination of race, ethnicity, gender, sexual orientation, religion, social class and income level, physical appearance and ability, etc., may compound or mute the extent of discrimination experienced and corresponding health outcome. 16,39 We set out to assess whether age, race/ethnicity, gender, and education, respectively, modified the association of discrimination with risk for dementia. We did not observe differential associations between lifetime or everyday discrimination and dementia risk, though we may have had inadequate statistical power to detect differential associations.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12][13][14] Experiences of discrimination on the basis of race, ethnicity, and gender were associated with higher self-reported cognitive decline among older Black women. 15,16 It remains unclear whether experiences of discrimination are associated with incident dementia, an important clinical outcome not previously assessed in this research area and the incidence and prevalence of which are increasing globally. 17 It also remains unknown whether experiences of discrimination are associated with race/ethnic differences in dementia risk.…”

Section: Introductionmentioning

confidence: 98%

“…Discrimination is a social determinant of health that is associated with worse physical and mental health and impacts behavioral health and other social determinants 10–14 . Experiences of discrimination on the basis of race, ethnicity, and gender were associated with higher self‐reported cognitive decline among older Black women 15,16 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Self‐reported experiences of discrimination and incident dementia

Bancks

Byrd

Caban‐Holt

et al. 2023

Alzheimer's & Dementia

View full text Add to dashboard Cite

Introduction Discrimination negatively impacts health and may contribute to racial/ethnic disparities in dementia risk. Methods Experiences of lifetime and everyday discrimination were assessed among 6509 Multi‐Ethnic Study of Atherosclerosis (MESA) participants. We assessed the association of discrimination with incidence of dementia including adjustment for important risk factors, cohort attrition, and we assessed for effect modification by race/ethnicity. Results Prevalence of any lifetime discrimination in MESA was 42%, highest among Black adults (72%). Over a median 15.7 years of follow‐up, there were 466 incident cases of dementia. Lifetime discrimination, but not everyday discrimination, was associated with incident dementia (Wald p = 0.03). Individuals reporting lifetime discrimination in ≥2 domains (compared to none) had greater risk for dementia (hazard ratio: 1.40; 95%: 1.08, 1.82) after adjustment for sociodemographic, clinical, and behavioral risk factors. Associations did not differ by race/ethnicity. Conclusions These findings demonstrate an association of greater experiences of lifetime discrimination with incident dementia.

show abstract