Significance
The United States is increasingly diverse, especially among youth. At the same time, racial and ethnic gaps persist in many domains, including risk for cardiovascular disease. Here, we use a diverse sample of adolescents in a mostly urban setting to show that when schools emphasize the value of diversity, students of color are healthier. Thus, schools’ climates around diversity may have a role to play in reducing health disparities.Abstract
As the United States becomes more diverse, the ways in which mainstream institutions recognize and address race and ethnicity will be increasingly important. Here, we show that one novel and salient characteristic of an institutional environment, that is, whether a school emphasizes the value of racial and ethnic diversity, predicts better cardiometabolic health among adolescents of color. Using a diverse sample of adolescents who attend more than 100 different schools in predominantly urban locations, we find that when schools emphasize the value of diversity (operationalized as mentioning diversity in their mission statements), students of color, but not white students, have lower values on a composite of five biomarkers of inflammation, have less insulin resistance and compensatory β-cell activity, and have fewer metabolic syndrome signs and score lower on a continuous metabolic syndrome composite. These results suggest that institutions that emphasize diversity may play an unacknowledged role in protecting the health of people of color and, thus, may be a site for future interventions to reduce health disparities.
