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The association between perceived discrimination in midlife and peripheral neuropathy in a population-based cohort of women: the Study of Women’s Health Across the Nation
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9 2019
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Source: Ann Epidemiol. 37:10-16
[PDF-353.94 KB]
Details:
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Alternative Title:Ann Epidemiol
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Personal Author:
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Description:Purpose
Peripheral neuropathy (PN) is highly prevalent condition with serious sequelae. However, many studies of the condition have been restricted to populations with diabetes, limiting evidence of potential contributing risk factors including salient psychosocial risk factors such as discrimination.
Methods
The longitudinal Study of Women’s Health Across the Nation was used to assess the relationship between perceived discrimination and prevalent peripheral neuropathy in 1,718 racially/ethnically diverse midlife women. We used multivariable logistic regression to determine the association between perceived discrimination (Detroit Area Study Everyday Discrimination Scale) and PN (symptom questionnaire and monofilament testing) and conducted a formal assessment of the mediating effects of body mass index (BMI).
Results
The overall prevalence of PN was 26.1% in the total sample and 40.9% among women with diabetes. Women who reported perceived discrimination had 29% higher odds of PN as compared to women who did not report perceived discrimination (95% confidence interval (CI): 1.01, 1.66). Approximately 30% of the total effect of discrimination on PN was mediated indirectly by BMI.
Conclusions
More research is needed to determine the contributing factors to non-diabetic PN. Additionally findings re-affirm the impact of financial strain, BMI and diabetes as significant correlates of PN and highlight discrimination as an important risk factor.
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Pubmed ID:31447292
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Pubmed Central ID:PMC6755046
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Volume:37
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