Chronic Work Discrimination, Allostatic Load, and HbA1c in Older Workers.
Gerontologist
; 64(10)2024 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-39086193
ABSTRACT
BACKGROUND AND OBJECTIVE:
Work discrimination is an important public health problem with consequences for health. This study examined the effect of chronic work discrimination on 4-year changes in HbA1c, as a reflection of glucose control and type 2 diabetes risk in older workers and assessed whether allostatic load (AL) affected the strength of this association. RESEARCH DESIGN ANDMETHODS:
We used Health and Retirement Study data (2010-2016, nâ =â 3,246). Conditional change multinomial logistic regression examined the association between chronic work discrimination, high AL (4 or more out of 8 high-risk biomarkers), and HbA1c, while accounting for relevant covariates.RESULTS:
Black participants had the highest rates of baseline (22.7%) and follow-up (28%) HbA1c levels, AL (38%), and chronic work discrimination (39%; pâ <â .01). Severe chronic work discrimination was associated with elevated HbA1c (relative risk ratio [RRR]â =â 1.61, 95% confidence interval [CI]â =â 1.07, 2.43). AL was associated with elevated HbA1c (RRRâ =â 1.49, 95% CIâ =â 1.04, 2.14). Relative to White participants, Hispanic (RRRâ =â 1.52, 95% CIâ =â 1.07, 2.16, RRRâ =â 1.81, 95% CIâ =â 1.051, 3.12), and Black (RRRâ =â 2.42, 95% CIâ =â 1.82, 3.23; RRRâ =â 3.00, 95% CIâ =â 1.97, 4.56) participants had an increased risk of intermediate and elevated HbA1c, respectively. Among those with long job tenure (≥5 years), both moderate (RRRâ =â 1.81, 95% CIâ =â 1.11, 2.96) and severe (RRRâ =â 1.90, 95% CIâ =â 1.15, 3.12) chronic work discrimination was associated with elevated HbA1c. DISCUSSION AND IMPLICATIONS Chronic work discrimination was associated with HbA1c; however, no moderating effects of AL were observed. Findings underscore a need for organizational and public health measures to establish strong anti-discrimination laws in the workplace to improve the work environment of older workers and reduce diabetes risk.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hemoglobinas Glicadas
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Diabetes Mellitus Tipo 2
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Alostase
Limite:
Aged
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Gerontologist
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos