Do experiences of racial discrimination predict cardiovascular disease among African American men? The moderating role of internalized negative racial group attitudes
Open accessAbstract
Studies examining associations between racial discrimination and cardiovascular health outcomes have been inconsistent, with some studies finding the highest risk of hypertension among African Americans who report no discrimination. A potential explanation of the latter is that hypertension and other cardiovascular problems are fostered by internalization and denial of racial discrimination. To explore this hypothesis, the current study examines the role of internalized negative racial group attitudes in linking experiences of racial discrimination and history of cardiovascular disease among African American men. We predicted a significant interaction between reported discrimination and internalized negative racial group attitudes in predicting cardiovascular disease. Weighted logistic regression analyses were conducted among 1216 African American men from the National Survey of American Life (NSAL; 2001-2003). We found no main effect of racial discrimination in predicting history of cardiovascular disease. However, agreeing with negative beliefs about Blacks was positively associated with cardiovascular disease history, and also moderated the effect of racial discrimination. Reporting racial discrimination was associated with higher risk of cardiovascular disease among African American men who disagreed with negative beliefs about Blacks. However, among African American men who endorsed negative beliefs about Blacks, the risk of cardiovascular disease was greatest among those reporting no discrimination. Findings suggest that racial discrimination and the internalization of negative racial group attitudes are both risk factors for cardiovascular disease among African American men. Furthermore, the combination of internalizing negative beliefs about Blacks and the absence of reported racial discrimination appear to be associated with particularly poor cardiovascular health. Steps to address racial discrimination as well as programs aimed at developing a positive racial group identity may help to improve cardiovascular health among African American men.
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The possibility that the relationship between racism and blood pressure may be curvilinear was not explored in the current meta-analysis due to limitations in the statistical analysis program used.
“Although some research has suggested the relationship between racism and blood pressure may be curvilinear [121, 281, 304, 402–403], this possibility was not explored in the current meta-analysis due to limitations in the statistical analysis program we utilized.”
From Racism as a Determinant of Health: A Systematic Review and Meta-Analysis (2015) · cites this paper as [121]
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References 84 · Cited by 143
Research works printed but not linked: 1
- Pettigrew TF Levine D 1967 Social evaluation theory: Convergences and applications Nebraska symposium on motivation 241 304 Lincoln University of Nebraska Press
- Authors
- Chae, D. H., Lincoln, K. D., Adler, N. E., & Syme, S. L.
- Affiliations
- Emory University (US)
- University of Southern California (US)
- University of California, San Francisco (US)
- University of California, Berkeley (US)
- Corresponding author
- Chae, David H.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 71
- Issue
- 6
- Pages
- 1182-1188
- ISSN
- 0277-9536 (ISSN-L)
- PMC
- PMC2922401
- OpenAlex
- W2042232595
- Cited by
- 143
- References
- 84
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 28 · 2020: 10 · 2019: 11 · 2018: 8 · 2017: 9 · 2016: 13 · 2015: 11 · 2014: 10 · 2013: 6 · 2012: 12
- FWCI
- 24.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute of Mental Health (K01MH069923, U01MH057716)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
- Keywords
- racial discrimination, cardiovascular disease, African American men, hypertension, moderating effect
- MeSH terms
- Adult, Black or African American, Cardiovascular Diseases, Denial, Psychological, Humans, Male, Middle Aged, Prejudice, Risk Factors, Social Identification, Logistic Models
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