How does race get “under the skin”?: Inflammation, weathering, and metabolic problems in late life
Using nationally representative data from the 2005–2006 U.S. National Social Life, Health, and Aging Project, this study queries the mechanisms underlying worse metabolic outcomes—blood-sugar control and cardiovascular health—among black than white men ages 57–85. Results indicate that contrary to much of the academic literature as well as media accounts—implicitly rooted in a “culture of irresponsibility” model—older black men's social isolation, poor health behaviors, or obesity may not play a major role in their worse metabolic problems. Instead, these outcomes seem to derive more consistently from a factor almost unexamined in the literature—chronic inflammation, arguably a biological “weathering” mechanism induced by these men's cumulative and multi-dimensional stress. These findings highlight the necessity of focusing attention not simply on proximal behavioral interventions, but on broader stress-inducing social inequalities, to reduce men's race disparities in health.
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Volume (Year): 77 (2013)
Issue (Month): C ()
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