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Cited by 15Racial and Ethnic Identity ResearchHealth disparities and outcomesHeart Rate Variability and Autonomic Control

A Preliminary Study of the Relationship between Perceived Racism and Cardiovascular Reactivity and Recovery in Native Hawaiians

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Hermosura, Andrea Hepuapo‘okela, Haynes, Stephen N., Kaholokula, Joseph Keawe‘aimoku·2018·Journal of Racial and Ethnic Health Disparities
DOI 10.1007/s40615-018-0463-4PMC PMC6132570
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Abstract

Native Hawaiians, compared to other ethnic groups in Hawai'i, have significantly higher mortality rates and die at a younger average age from cardiovascular disease (CVD). This may be partially explained by elevated cardiovascular responses to racial stressors. Our study examined the degree to which blood pressure (BP) and heart rate (HR) reactivity and recovery, and ratings of subjective distress to racial stressors, differ as a function of Native Hawaiian college students' levels of perceived racism. This study had three phases. Phase 1 involved the development of a blatant and subtle racial stressor. Phase 2 involved assigning 132 students into high- or low-perceived racism groups based on scores on two perceived interpersonal racism measures. Phase 3 involved a psychophysiology laboratory experiment conducted with 35 of the 132 students. BP, HR, and subjective distress were measured during exposure to the blatant and subtle racial stressors. Systolic blood pressure (SBP) recovery following exposure to both stressors was significant for both groups. Although not significant, three trends were observed among the high-perceived racism group, which included: (1) greater reactivity to exposure to the subtle stressor than to the blatant stressor, (2) incomplete HR recovery following exposure to both stressors, and (3) incomplete SBP and diastolic blood pressure recovery following exposure to the subtle stressor. Participants also reported significantly greater subjective distress following exposure to the blatant than to the subtle stressor. Specific interventions, such as increased self-awareness of physiological responses to racial stressors, targeted at at-risk individuals are necessary to reduce a person's risk for CVD.

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Authors
Hermosura, A. H., Haynes, S. N., & Kaholokula, J. K.
Affiliations
University of Hawaiʻi at Mānoa (US)
Corresponding author
Hermosura, Andrea Hepuapo‘okela
ORCID
Venue
Journal of Racial and Ethnic Health Disparities
Publisher
Springer Science and Business Media LLC
Published
2018-03-06
Volume
5
Issue
5
Pages
1142-1154
ISSN
  • 2196-8837 (ISSN-L)
  • 2197-3792
DOI
10.1007/s40615-018-0463-4
PMC
PMC6132570
OpenAlex
W2791182106
Cited by
15
References
63
Citations by year
2026: 1 · 2024: 2 · 2023: 6 · 2022: 3 · 2020: 2 · 2019: 1
FWCI
1.71
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Racial and Ethnic Health Disparities (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Queen's Health Systems
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords
perceived racism, cardiovascular reactivity, blood pressure recovery, heart rate recovery, Native Hawaiians, cardiovascular disease, subjective distress, subtle racism, university students, cardiovascular risk
MeSH terms
Adolescent, Adult, Blood Pressure, Cardiovascular Diseases, Female, Heart Rate, Humans, Male, Stress, Psychological, Students, Native Hawaiian or Other Pacific Islander, Native Hawaiian or Pacific Islander, Young Adult, Racism

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