Blue circles represent white participants and red squares represent black participants. Vertical lines represent 95% confidence intervals. White participants with an albumin to creatinine ratio (ACR) < 10mg/g was the referent group. The multivariable model was adjusted for age, sex, geographic region of residence, income, education, health insurance coverage, waist circumference, systolic blood pressure, total and HDL-cholesterol, triglycerides, estimated glomerular filtration rate, C-reactive protein, diabetes, smoking status, physical activity, use of statins, use of any antihypertensive medications, use of angiotensin II receptor blockers or angiotensin converting enzyme inhibitors and regular aspirin use.