Attribution for everyday discrimination typologies and mortality risk among older black adults

TitleAttribution for everyday discrimination typologies and mortality risk among older black adults
Publication TypeJournal Article
Year of Publication2023
AuthorsCobb, RJ, Rodriguez, VJ, Brown, TH, Louie, P, Farmer, HR, Sheehan, CM, Mouzon, DM, Thorpe, RJ
JournalSocial Science & Medicine
Volume316
Pagination115166
ISSN Number0277-9536
KeywordsPsychosocial factors, Public Health, race, Racism
Abstract

The present study assessed how attributions of everyday discrimination typologies relate to all-cause mortality risk among older Black adults. Methods This study utilized data from a subsample of older Black adults from the 2006/2008 Health and Retirement Study (HRS). Attributions for everyday discrimination (i.e., ancestry, age, gender, race, physical appearance, physical disability, sexual orientation, weight, and other factors) were based on self-reports, while their vital statuses were obtained from the National Death Index and reports from key informants (spanning 2006–2019). We applied latent class analysis (LCA) to identify subgroups of older Black adults based on their attributions to everyday discrimination. Cox proportional hazards models were used to analyze time to death as a function of LCA group membership and other covariates. Results Based on fit statistics, we selected a four-class model that places respondents into one of the following classes: Class One (7%) attributed everyday discrimination to age, race, and physical disability; Class Two (72%) attributed everyday discrimination to few/no sources, Class Three (19%) attributed everyday discrimination to race and national origin; and Class Four (2%) attributed everyday discrimination to almost every reason. After adjusting for sociodemographic, behavioral, cardiometabolic, and socioeconomic characteristics, we found that the relative risk of death remained higher for the respondents in Class One (Hazard Ratio [H.R.]: 1.80, 95% Confidence Interval [C.I.]: (1.09–2.98) and Class Four (H.R.: 3.92, 95% C.I.: 1.62–9.49) compared to respondents in Class Two. Conclusions Our findings illustrate the utility of using attribution for everyday discrimination typologies in research on the psychosocial dimensions of mortality risk among older Black adults. Future research should assess the mechanisms that undergird the link between everyday discrimination classes and all-cause mortality risk among older Black adults.

DOI10.1016/j.socscimed.2022.115166
Citation KeyCOBB2022115166
PubMed ID36450613