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Womack VY, Onyango L, Campbell PB, McGee R. "In the back of my mind": A Longitudinal Multiple Case Study Analysis of Successful Black Women Biomedical Graduate Students Navigating Gendered Racism. CBE Life Sci Educ 2023; 22:ar33. [PMID: 37368972 PMCID: PMC10424223 DOI: 10.1187/cbe.22-06-0130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 05/04/2023] [Accepted: 05/22/2023] [Indexed: 06/29/2023]
Abstract
Black women in graduate school can experience stress due to blatant and subtle acts of gendered racism. However, we do not know how such stressors are navigated over time among those who successfully complete their PhDs. The current study used a Black feminist thought framework and narrative analysis to conduct a longitudinal exploration of how three successful Black women biomedical graduate students make sense of and respond to gendered racism they experienced and the coping strategies they employ as they persist. When interacting with others, the women experienced low expectations and doubts about being legitimate scientists. These experiences contributed to feelings of isolation, impacted their networking opportunities, and dampened their view of the desirability of an academic career postgraduation. Over time, their coping strategies for dealing with negative racial and gendered racial stereotypes and biases shifted from opting to "prove others wrong" or working harder, to leaning on their social networks for camaraderie and advice as well as choosing to not exert energy to form a response. Implications for mentoring and mentoring programs at the graduate level and science, technology, engineering, and mathematics programming are discussed.
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Affiliation(s)
- Veronica Y. Womack
- Searle Center for Advancing Learning and Teaching, Northwestern University, Evanston, IL 60208
| | - Letitia Onyango
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611
| | | | - Richard McGee
- Faculty Affairs, Northwestern University Feinberg School of Medicine, Chicago, IL 60611
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Watson-Singleton NN, Womack VY, Holder-Dixon AR, Black AR. Racism's (un)worthiness trap: The mediating roles of self-compassion and self-coldness in the link between racism and distress in African Americans. Cultur Divers Ethnic Minor Psychol 2022; 28:557-566. [PMID: 34726424 DOI: 10.1037/cdp0000398] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVES Racism is a key determinant of mental health for African Americans. Although research has started to uncover moderators and mediators of the racism-health link, additional research in this area is warranted. Constructs that have yet to be examined in this link are self-compassion and self-coldness-two distinct ways of relating to oneself during adversity. METHOD Data from 133 African American college students were used to assess parallel mediation models in which the frequency and stress appraisal of racism were the predictor variables, psychological distress was the outcome variable, and dimensions of self-compassion and self-coldness were treated as mediators. RESULTS Neither frequency nor appraisal of racism were related to the three types of self-compassion (i.e., self-kindness, common humanity, and mindfulness); yet, both racism frequency and appraisal were related to the three types of self-coldness (i.e., self-judgment, isolation, and over-identification). However, only self-judgment emerged as a significant mediator in the links between both frequency and appraisal of racism and distress, respectively. CONCLUSIONS Reducing self-coldness in the face of racism can be a promising, individual-level wellness strategy for African Americans. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Castillo LG, González P, Merz EL, Nuñez A, Castañeda SF, Buelna C, Ojeda L, Giachello AL, Womack VY, Garcia KA, Penedo FJ, Talavera GA, Gallo LC. Factorial invariance of the Marianismo Beliefs Scale among Latinos in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. J Clin Psychol 2021; 77:312-328. [PMID: 32692458 PMCID: PMC8143788 DOI: 10.1002/jclp.23031] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Revised: 06/15/2020] [Accepted: 06/30/2020] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The Marianismo Beliefs Scale (MBS) assesses five components of marianismo, a cultural script of Latina gender role expectations. This study evaluated the MBS's psychometric properties across language, sex, and Latino subgroups (Mexican American, Central American, Cuban American, Dominican American, Puerto Rican, and South American). METHOD Study sample was derived from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study which consisted of a community sample of 4879 Latino adults aged 18-64 from four field centers (Miami, FL, USA; San Diego, CA, USA; Bronx, NY, USA; Chicago, IL, USA). RESULTS Confirmatory factor analyses supported five factors. English and Spanish versions demonstrated equivalence of factor loadings and error variances across Latino subgroups and sex. CONCLUSION Although the MBS English and Spanish versions are psychometrically sound measures for male and female Latino adults, future research is needed to determine whether direct scale scores are comparable.
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Affiliation(s)
- Linda G Castillo
- Department of Educational Psychology, Texas A&M University, College Station, Texas, USA
| | - Patricia González
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Erin L Merz
- Department of Psychology, California State University Dominguez Hills, Carson, California, USA
| | - Alicia Nuñez
- Department of Psychology, San Diego State University, San Diego, California, USA
- Department of Psychology, University of Nevada, Reno, Nevada, USA
| | - Sheila F Castañeda
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Christina Buelna
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Lizette Ojeda
- Department of Educational Psychology, Texas A&M University, College Station, Texas, USA
| | - Aida L Giachello
- Department of Preventive Medicine, Northwestern University, Chicago, Illinois, USA
| | - Veronica Y Womack
- Searle Center for Advancing Teaching and Learning, Northwestern University, Evanston, Illinois, USA
| | - Karin A Garcia
- Department of Psychology, University of Miami, Coral Gables, Florida, USA
| | - Frank J Penedo
- Searle Center for Advancing Teaching and Learning, Northwestern University, Evanston, Illinois, USA
| | - Gregory A Talavera
- Department of Psychology, San Diego State University, San Diego, California, USA
| | - Linda C Gallo
- Department of Psychology, San Diego State University, San Diego, California, USA
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Womack VY, Thakore BK, Wood CV, Jewett DC, Jones RF, Ingram SL, Clark JA, Fry CL, Wecker L, McGee R. The ASPET Mentoring Network: Enhancing Diversity and Inclusion through Career Coaching Groups within a Scientific Society. CBE Life Sci Educ 2020; 19:ar29. [PMID: 32643998 PMCID: PMC8711805 DOI: 10.1187/cbe.19-10-0195] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Over the past decades, two persisting priorities in science, technology, engineering, and mathematics (STEM) training have been: 1) increasing the knowledge of and access to careers beyond academic scientist; and 2) increasing the diversity of the STEM workforce. Previous studies show that a uniquely constructed career coaching group provides strong support and progress for both priorities. This report extends this design into a more sustainable model that is positioned within the professional context of rising young scientists. This new model is based in the American Society for Pharmacology and Experimental Therapeutics (ASPET)-the ASPET Mentoring Network. Groups of PhD students and postdocs were assigned to an ASPET professional (academic or other career) member (the coach) with an initial meeting held the day before the society's annual meeting. The coaching groups interacted during the meeting and then virtually for a year. Extensive survey and interview evaluation data gathered from the first three cohorts (12 coaching groups) in 2016- 2018 provided strong evidence of the perceived and real benefits of the network. This new version of career coaching groups is both feasible and linked to career success due to its close association with a scientific society, peers, and coaches who share scientific identities and aspirations.
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Affiliation(s)
- Veronica Y. Womack
- Searle Center for Advancing Teaching and Learning, Northwestern University, Evanston, IL 60602
| | - Bhoomi K. Thakore
- Department of Sociology, University of Central Florida, Orlando, FL 32816
| | | | - David C. Jewett
- Neuroscience Program, Department of Psychology, University of Wisconsin–Eau Claire, Eau Claire, WI 54702
| | - Remi F. Jones
- Faculty Affairs, Northwestern University Feinberg School of Medicine, Chicago, IL 60611
| | - Susan L. Ingram
- Department of Neurological Surgery, Oregon Health & Science University, Portland OR 97239
| | - Janet A. Clark
- National Institute of Mental Health Intramural Research Program, National Institutes of Health, Bethesda, MD 20892
| | - Catherine L. Fry
- American Society for Pharmacology and Experimental Therapeutics, Rockville, MD 20852
| | - Lynn Wecker
- Department of Psychiatry and Neurosciences, University of South Florida Morsani College of Medicine, Tampa, FL 33612
| | - Richard McGee
- Faculty Affairs, Northwestern University Feinberg School of Medicine, Chicago, IL 60611
- *Address correspondence to: Richard McGee ()
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Womack VY, Wood CV, House SC, Quinn SC, Thomas SB, McGee R, Byars-Winston A. Culturally aware mentorship: Lasting impacts of a novel intervention on academic administrators and faculty. PLoS One 2020; 15:e0236983. [PMID: 32764768 PMCID: PMC7413486 DOI: 10.1371/journal.pone.0236983] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 07/18/2020] [Indexed: 11/19/2022] Open
Abstract
National efforts to address the diversity dilemma in Science, Technology, Engineering, and Math (STEM) often emphasize increasing numbers of historically underrepresented (HU) students and faculty, but fall short in instituting concrete changes for inclusion and belonging. Therefore, increasing the pool of senior faculty who wish to become guides and advocates for emerging scientists from HU populations is an essential step toward creating new pathways for their career advancement. As a step toward achieving this goal, we created a novel eight-hour intervention on Culturally Aware Mentoring (CAM), a program of the National Research Mentoring Network (NRMN) targeted to faculty and administrators. A previous report of surveys at the end of the CAM sessions revealed substantial awareness and knowledge gains, with participants expressing intentions to use and implement new skills they had learned. In this paper, we provide the results of our thematic analysis of qualitative interviews with academic administrators and faculty, 18-24 months after participation in CAM. Interviews were designed to determine: 1) What changes in self-perceptions and interactions occurred as a result of participation in CAM? 2) What specific components of CAM are associated with changes in individual beliefs and practices? 3) How did participants actively make changes after the CAM workshop? 4) What barriers or challenges do participants encounter after the CAM intervention? The results demonstrate the lasting influences of CAM on participants' awareness of cultural differences, their assumptions about and approaches toward interactions with colleagues and students, and their efforts to change their behaviors to promote inclusive practices in their mentoring and teaching of HU students in STEM. Our findings provide evidence that CAM can be incorporated into existing mentor training programs designed to improve the confidence and capacity of senior research faculty mentors to make culturally-informed, scholar-centered decisions to more deliberately recognize and respond to cultural differences within their mentoring and collegial relationships.
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Affiliation(s)
- Veronica Y. Womack
- Searle Center for Advancing Teaching and Learning, Northwestern University, Evanston, IL, United States of America
- * E-mail:
| | - Christine V. Wood
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America
| | - Stephanie C. House
- Institute for Clinical and Translational Research, University of Wisconsin–Madison, Madison, WI, United States of America
| | - Sandra C. Quinn
- Department of Family Science and Maryland Center for Health Equity, School of Public Health, University of Maryland, College Park, MD, United States of America
| | - Stephen B. Thomas
- Department of Health Policy and Management and Maryland Center for Health Equity, School of Public Health, University of Maryland, College Park, MD, United States of America
| | - Richard McGee
- Faculty Affairs, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America
| | - Angela Byars-Winston
- Department of Medicine, Center for Women’s Health Research, University of Wisconsin–Madison, Madison, WI, United States of America
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Dickens DD, Womack VY, Dimes T. Managing hypervisibility: An exploration of theory and research on identity shifting strategies in the workplace among Black women. Journal of Vocational Behavior 2019. [DOI: 10.1016/j.jvb.2018.10.008] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kershaw KN, Klikuszowian E, Schrader L, Siddique J, Van Horn L, Womack VY, Zenk SN. Assessment of the influence of food attributes on meal choice selection by socioeconomic status and race/ethnicity among women living in Chicago, USA: A discrete choice experiment. Appetite 2019; 139:19-25. [PMID: 30974181 DOI: 10.1016/j.appet.2019.04.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 03/04/2019] [Accepted: 04/02/2019] [Indexed: 10/27/2022]
Abstract
Large and persistent obesity disparities exist in the US by socioeconomic status (SES) and race/ethnicity, and weight loss interventions have traditionally been less effective in these populations. Thus, a better understanding is needed of the behavioral, economic, and geographic factors that influence obesity risk factors such as eating behaviors. We used a discrete choice experiment to evaluate the impact of different meal attributes on meal choice and to test whether the relative importance of these attributes varied by SES and race/ethnicity. Study participants (n = 228) were given a series of 10 choice tasks and asked to choose among 4 meals, each rated based on the following attributes: taste; healthfulness; preparation time; travel time to food outlet for meal/ingredients; and price. SES was measured using education and self-reported difficulty paying for basics. Race/ethnicity was categorized as Hispanic/Latina, non-Hispanic black, non-Hispanic white, and non-Hispanic other. Data were analyzed using mixed logit regression models with interaction terms to determine whether meal attributes influenced meal choices differentially by SES and race/ethnicity. Healthfulness and taste were the most important attributes for all participants. Price was a more important attribute among those in the lowest SES group compared with those in the higher SES groups. Travel was the least important attribute for low SES participants, and it was not significantly related to meal choice in these groups. Discrete choice experiments as illustrated here may help pinpoint the most salient targets for interventions to improve eating behaviors and reduce obesity disparities. Specifically, our findings suggest interventions should incorporate strategies to target the pricing of healthy and unhealthy food options.
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Affiliation(s)
- Kiarri N Kershaw
- Northwestern University Feinberg School of Medicine, Department of Preventive Medicine, Chicago, IL, USA.
| | - Elizabeth Klikuszowian
- University of Illinois at Chicago College of Applied Health Sciences, Department of Kinesiology and Nutrition, Chicago, IL, USA.
| | - Lauren Schrader
- University of Wisconsin School of Medicine and Public Health, Physiology Graduate Training Program, Madison, WI, USA.
| | - Juned Siddique
- Northwestern University Feinberg School of Medicine, Department of Preventive Medicine, Chicago, IL, USA.
| | - Linda Van Horn
- Northwestern University Feinberg School of Medicine, Department of Preventive Medicine, Chicago, IL, USA.
| | - Veronica Y Womack
- Northwestern University Feinberg School of Medicine, Division of Faculty Affairs, Chicago, IL, USA.
| | - Shannon N Zenk
- University of Illinois at Chicago College of Nursing, Department of Health Systems Science, Chicago, IL, USA.
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Abstract
BACKGROUND More than half of prisoners in the United States are estimated to suffer from a substance use disorder. Mindfulness involves attention to the present moment, and nonjudgmental acceptance of sensations, thoughts, and emotional states. Mindfulness-based relapse prevention (MBRP) following substance use disorder treatment has been shown to reduce substance use. OBJECTIVE We sought to adapt and test MBRP for a jail substance use disorder treatment setting. METHODS We enrolled successive cohorts of incarcerated men participating in a drug treatment program in a large urban jail (n = 189) into six weekly sessions of either MBRP or an comparison communication skills intervention, between 2013 and 2015. MBRP was delivered by a culturally competent African-American trainer. Pre- and post-test measures included mindfulness, anxiety, posttraumatic stress disorder (PTSD), and drug craving. RESULTS At baseline, measures of mindfulness were significantly inversely correlated with anxiety, PTSD symptoms and drug cravings. Anxiety, PTSD symptoms and cravings declined significantly in both treatment arms, and mindfulness increased. Comparison of the two study arms using maximum likelihood estimation suggested a small but significantly greater increase in mindfulness in the treatment arm. Conclusions/Importance. An attention control trial of a mindfulness intervention, delivered by a culturally competent trainer, is feasible in a jail setting.
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Affiliation(s)
- Thomas Lyons
- a Illinois Circuit Court of Cook County , Chicago , Illinois , USA
| | - Veronica Y Womack
- b Northwestern University Feinberg School of Medicine , Chicago , Illinois , USA
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Byars-Winston A, Womack VY, Butz AR, McGee R, Quinn SC, Utzerath E, Saetermoe CL, Thomas SB. Pilot Study of an Intervention to Increase Cultural Awareness in Research Mentoring: Implications for Diversifying the Scientific Workforce. J Clin Transl Sci 2018; 2:86-94. [PMID: 30338131 PMCID: PMC6191051 DOI: 10.1017/cts.2018.25] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 03/05/2018] [Accepted: 03/12/2018] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION Innovative evidence-based-interventions are needed to equip research mentors with skills to address cultural diversity within research mentoring relationships. A pilot study assessed initial outcomes of a culturally tailored effort to create and disseminate a novel intervention titled Culturally Aware Mentoring (CAM) for research mentors. INTERVENTION Intervention development resulted in four products: a 6hr CAM training curriculum, a facilitator guide, an online pre-training module, and metrics to evaluate the effectiveness of CAM training. METHOD Participants were 64 research mentors from three US research-intensive universities. Quantitative pre and post-training evaluation survey data were collected. RESULTS Participants found high value and satisfaction with the CAM training, reported gains in personal cultural awareness and cultural skills, and increased intentions and confidence to address cultural diversity in their mentoring. CONCLUSIONS Study findings indicate that the CAM training holds promise to build research mentors' capacity and confidence to engage directly with racial/ethnic topics in research mentoring relationships.
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Affiliation(s)
- Angela Byars-Winston
- Department of Medicine, Center for Women’s Health Research, University of Wisconsin – Madison, Madison, WI, USA
| | | | - Amanda R. Butz
- Department of Kinesiology, University of Wisconsin – Madison, Madison, WI, USA
| | - Richard McGee
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Sandra C. Quinn
- Department of Family Science, Maryland Center for Health Equity, University of Maryland, College Park, MD, USA
| | - Emily Utzerath
- Institute for Clinical and Translational Research, University of Wisconsin – Madison, Madison, WI, USA
| | - Carrie L. Saetermoe
- Department of Psychology, California State University, Northridge, Los Angeles, CA, USA
| | - Stephen B. Thomas
- Health Services Administration, Maryland Center for Health Equity, University of Maryland, College Park, MD, USA
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Nuñez A, González P, Talavera GA, Sanchez-Johnsen L, Roesch SC, Davis SM, Arguelles W, Womack VY, Ostrovsky NW, Ojeda L, Penedo FJ, Gallo LC. Machismo, Marianismo, and Negative Cognitive-Emotional Factors: Findings From the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. J Lat Psychol 2016; 4:202-217. [PMID: 27840779 PMCID: PMC5102330 DOI: 10.1037/lat0000050] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
There is limited research on the traditional Hispanic male and female gender roles of machismo and marianismo, respectively, in relation to negative cognitions and emotions. Given the vulnerability of Hispanics to negative cognitions and emotions, it is important to examine sociocultural correlates of emotional distress. Therefore, we examined associations of machismo and marianismo with negative cognitive-emotional factors (i.e., depression symptoms; cynical hostility; and trait anxiety and anger) in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study, a cross-sectional cohort study of sociocultural and psychosocial correlates of cardiometabolic health. Participants were aged 18-74 years and self-identified as Hispanic of Central American, Cuban, Dominican, Mexican, Puerto Rican, South American, and other Hispanic background (N = 4,426). Results revealed that specific components of machismo (traditional machismo) and marianismo (family and spiritual pillar dimensions) were associated with higher levels of negative cognitions and emotions after adjusting for socio-demographic factors (p < .05); these associations remained consistent across sex, Hispanic background group, and acculturation. Findings can inform mental health interventions and contribute to our understanding of the importance of gender role socialization in the context of self-reported negative cognitive-emotional factors in Hispanics.
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Affiliation(s)
- Alicia Nuñez
- Institute for Behavioral and Community Health, Graduate School of
Public Health, San Diego State University
| | - Patricia González
- Institute for Behavioral and Community Health, Graduate School of
Public Health, San Diego State University
- Department of Psychology, San Diego State University
| | - Gregory A. Talavera
- Institute for Behavioral and Community Health, Graduate School of
Public Health, San Diego State University
| | | | | | - Sonia. M. Davis
- Gillings School of Global Public Health, University of North
Carolina
| | | | | | - Natania W. Ostrovsky
- Department of Epidemiology and Population Health, Albert Einstein
College of Medicine
| | - Lizette Ojeda
- Department of Educational Psychology, Texas A&M University
| | | | - Linda C. Gallo
- Institute for Behavioral and Community Health, Graduate School of
Public Health, San Diego State University
- Department of Psychology, San Diego State University
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Womack VY, De Chavez PJ, Albrecht SS, Durant N, Loucks EB, Puterman E, Redmond N, Siddique J, Williams DR, Carnethon MR. A Longitudinal Relationship Between Depressive Symptoms and Development of Metabolic Syndrome: The Coronary Artery Risk Development in Young Adults Study. Psychosom Med 2016; 78:867-73. [PMID: 27490849 PMCID: PMC5003718 DOI: 10.1097/psy.0000000000000347] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Despite variability in the burden of elevated depressive symptoms by sex and race and differences in the incidence of metabolic syndrome, few prior studies describe the longitudinal association of depressive symptoms with metabolic syndrome in a diverse cohort. We tested whether baseline and time-varying depressive symptoms were associated with metabolic syndrome incidence in black and white men and women from the Coronary Artery Risk Development in Young Adults study. METHODS Participants reported depressive symptoms using the Center for Epidemiologic Studies Depression Scale at four examinations between 1995 and 2010. At those same examinations, metabolic syndrome was determined. Cox proportional hazards models were used to examine the associations of depressive symptoms on the development of metabolic syndrome in 3208 participants without metabolic syndrome at baseline. RESULTS For 15 years, the incidence rate of metabolic syndrome (per 10,000 person-years) varied by race and sex, with the highest rate in black women (279.2), followed by white men (241.9), black men (204.4), and white women (125.3). Depressive symptoms (per standard deviation higher) were associated with incident metabolic syndrome in white men (hazard ratio = 1.25, 95% confidence interval = 1.08-1.45) and white women (hazard ratio = 1.17, 95% confidence interval = 1.00-1.37) after adjustment for demographic characteristics and health behaviors. There was no significant association between depression and metabolic syndrome among black men or black women. CONCLUSIONS Higher depressive symptoms contribute modestly to the onset of metabolic syndrome among white adults.
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Affiliation(s)
- Veronica Y. Womack
- Division of Faculty Affairs, Northwestern University
Feinberg School of Medicine
| | - Peter John De Chavez
- Department of Preventive Medicine, Northwestern University
Feinberg School of Medicine
| | - Sandra S. Albrecht
- Department of Nutrition, Gillings School of Public Health,
University of North Carolina at Chapel Hill
| | - Nefertiti Durant
- Department of Pediatrics, University of Alabama at
Birmingham School of Medicine
| | - Eric B. Loucks
- Department of Epidemiology, Brown University School of
Public Health
| | - Eli Puterman
- Department of Psychiatry University of California-San
Francisco School of Medicine
| | - Nicole Redmond
- Division of Preventive Medicine, University of Alabama
School of Medicine
| | - Juned Siddique
- Department of Preventive Medicine, Northwestern University
Feinberg School of Medicine
| | - David R. Williams
- Department of Social and Behavioral Sciences, Harvard
University School of Public Health
| | - Mercedes R. Carnethon
- Department of Preventive Medicine, Northwestern University
Feinberg School of Medicine
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12
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Womack VY, Carnethon MR. Comment on Tovote et al. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes care 2014;37:2427-2434. Diabetes Care 2015; 38:e49-50. [PMID: 25715430 DOI: 10.2337/dc14-2509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Veronica Y Womack
- Faculty Affairs, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Mercedes R Carnethon
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL
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Womack VY, Ning H, Lewis CE, Loucks EB, Puterman E, Reis J, Siddique J, Sternfeld B, Van Horn L, Carnethon MR. Relationship between perceived discrimination and sedentary behavior in adults. Am J Health Behav 2014; 38:641-9. [PMID: 24933133 PMCID: PMC4229242 DOI: 10.5993/ajhb.38.5.1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To identify psychosocial factors associated with sedentary behavior, we tested whether perceived discrimination is associated with sedentary behavior. METHODS Black and white men and women (N = 3270) from the Coronary Artery Risk Development in Young Adults (CARDIA) Study reported experiences of discrimination and time engaged in total and screen time sedentary behaviors in 2010-11. RESULTS There were no associations of discriminatory experiences with total sedentary behavior time. However, discriminatory experiences were positively associated with screen time for black men (OR 1.81, 95% CI: 1.14, 2.86) and white women (OR 1.51, 95% CI: 1.14, 2.00) after adjusting for demographic and traditional cardiovascular disease risk factors. CONCLUSION Among black men and white women, discriminatory experiences were correlated with more screen time sedentary behavior.
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Affiliation(s)
- Veronica Y Womack
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
| | - Hongyan Ning
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Cora E Lewis
- Department of Medicine, University of Alabama School of Medicine, Birmingham, AL, USA
| | - Eric B Loucks
- Department of Epidemiology, Brown University, Providence, RI, USA
| | - Eli Puterman
- Psychiatry Department, University of California-San Francisco, San Francisco, CA, USA
| | - Jared Reis
- Division of Prevention and Population Sciences, National Heart Lung and Blood Institute, Bethesda, MD, USA
| | - Juned Siddique
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | | | - Linda Van Horn
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Mercedes R Carnethon
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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