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OBJECTIVES 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. METHODS In 2003, a stratified random sample of Black adults ages > or =18 years was drawn from four high-density suburbs of the city of(More)
Accurate rates, though fundamental to epidemiology, are often very difficult to obtain. Incidence, prevalence, and mortality rates have traditionally been established through either passive reporting surveillance systems, through active surveillance systems, or by a combination of the two methods. Typically, when researchers employ these approaches they do(More)
The aim of this study was to evaluate factors related to the markedly increased risk of dying from diabetic renal disease in Japanese insulin-dependent diabetic patients compared to those in the USA. The study was based on two population-based cohorts consisting of 1374 cases from Japan and 995 cases from Allegheny County, Pennsylvania, USA, who were(More)
the excess frequency and complications from diabetes in minority populations in the United States. In 1986, a Task Force on Black and Minority Health called attention to limitations in knowledge about diabetes in minorities and the need for increased research and intervention to reduce the excess burden of diabetes in these groups. In this chapter, data on(More)
AIM It is hypothesized that a chronic defeat response to social or environmental stressors increases the likelihood of dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis with dysregulation of cortisol, accumulation of abdominal fat and development of glucose intolerance. Recent studies show that African-Caribbean women who have a high level of(More)
OBJECTIVE To report the annual incidence of type 1 and type 2 diabetes among youth and to describe characteristics of youth diagnosed with diabetes in the U.S. Virgin Islands (USVI). RESEARCH DESIGN AND METHODS All residents ≤19 years of age diagnosed with diabetes between January 2001 and December 2010 were identified from review of medical records of(More)
OBJECTIVE The epidemiology of insulin-dependent diabetes mellitus (IDDM) was evaluated in a predominantly black population in the U.S. Virgin Islands. RESEARCH DESIGN AND METHODS Primary ascertainment of diabetic subjects was by retrospective review of hospital and clinic records, and IDDM was defined by Diabetes Epidemiology Research International Group(More)
The current study examined the relationship of internalized racism to glucose intolerance in a population of Afro-Caribbean women aged 18 to 55. Also of interest was whether this relationship would be differentially influenced by the type of body fat distribution or confounded by the level of hostility. A total of 244 women were selected from a systematic(More)