Articlegreen2007

Racism and Ambulatory Blood Pressure in a Community Sample

Elizabeth N. Brondolo · Daniel J. Libby · Ellen-ge D. Denton · Shola Thompson · Danielle L. Beatty Moody · Joseph E. Schwartz +5 more

163 citations0/0 files storedPsychosomatic Medicine

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Racial and Ethnic Identity Research Blood Pressure and Hypertension Studies Health disparities and outcomes

Abstract

Objective: Racism has been identified as a psychosocial stressor that may contribute to disparities in the prevalence of cardiovascular disease. The goal of the present article was to investigate the relationship of perceived racism to ambulatory blood pressure (ABP) in a sample of American-born Blacks and Latinos. Methods: Participants included English-speaking Black or Latino(a) adults between the ages of 24 and 65. They completed daily mood diaries and measures of perceived racism, socioeconomic status, and hostility. Participants were outfitted with ABP monitors; 357 provided data on waking hours only, and 245 provided data on both waking and nocturnal ABP. Results: Perceived racism was positively associated with nocturnal ABP even when controlling for personality factors and socioeconomic status. Conclusions: The results suggest that racism may influence cardiovascular disease risk through its effects on nocturnal BP recovery. ABP = ambulatory blood pressure; SBP = systolic blood pressure; DBP = diastolic blood pressure; CVD = cardiovascular disease; SES = socioeconomic status; HTN = hypertension; AHA = American Heart Association; GHI = gross household income; BMI = body mass index; PEDQ-CV = Perceived Ethnic Discrimination Questionnaire-Community Version.

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References

1999Racism as a stressor for African Americans: A biopsychosocial model.1999The Prevalence, Distribution, and Mental Health Correlates of Perceived Discrimination in the United States 2006A systematic review of empirical research on self-reported racism and health 1999Race, Socioeconomic Status, and Health The Added Effects of Racism and Discrimination 1996Racial discrimination and blood pressure: the CARDIA Study of young black and white adults.1990Racial and gender discrimination: Risk factors for high blood pressure?1989The Cook-Medley hostility scale: item content and ability to predict survival.1998Strategies for analyzing ecological momentary assessment data.

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