Discrimination and unfair treatment: relationship to cardiovascular reactivity among African American and European American women
Abstract
This study examined the relationship of cardiovascular reactivity to both interpersonal mistreatment and discrimination in a community-based sample of African American and European American women (N=363) in midlife. Subtle mistreatment related positively to diastolic blood pressure (DBP) reactivity for African American participants but not their European American counterparts. Moreover, among the African American participants, those who attributed mistreatment to racial discrimination exhibited greater average DBP reactivity. In particular, these women demonstrated greater DBP reactivity to the speech task, which bore similarities to an encounter with racial prejudice but not to a nonsocial mirror tracing task. These findings are consistent with the hypothesis that racial discrimination is a chronic stressor that can negatively impact the cardiovascular health of African Americans through pathogenic processes associated with physiologic reactivity.
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In a study in which women described being unjustly accused of shoplifting, African American women who reported experiencing past discrimination had greater diastolic blood pressure than African American women who reported little experiences of prior discrimination.
“For example, in a study in which women described being unjustly accused of shoplifting, African American women who reported experiencing past discrimination had greater diastolic blood pressure than African American women who reported little experiences of prior discrimination in their lives (Guyll et al., 2001).”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Guyll et al., 2001
In the same paper, European American women completing the same "discrimination" task showed larger blood pressure reactivity than African American women.
“For example, in this same paper European American women completing the same “discrimination” task showed larger blood pressure reactivity than African American women.”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Guyll et al., 2001
This unique intersectional stress resulting from gendered racism has been associated with deleterious outcomes for African American women such as cardiovascular disease, hypertension, preterm birth, and low birth weight.
“This unique intersectional stress resulting from gendered racism has been associated with deleterious outcomes for African American women such as cardiovascular disease, hypertension, preterm birth, and low birth weight (Guyll et al., 2001;Jackson et al., 2001;Krieger, 1990).”
From Superwoman Schema and John Henryism among African American women: An intersectional perspective on coping with racism (2023) · cites this paper as Guyll et al., 2001
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- Authors
- Guyll, M., Matthews, K. A., & Bromberger, J. T.
- Affiliations
- University of Pittsburgh (US)
- Venue
- Health Psychology
- Published
- 2001-09
- Volume
- 20
- Issue
- 5
- Pages
- 315-325
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2031758901
- Cited by
- 369
- References
- 52
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 10 · 2023: 11 · 2022: 9 · 2021: 17 · 2020: 11 · 2019: 17 · 2018: 18 · 2017: 20 · 2016: 13 · 2015: 18 · 2014: 16 · 2013: 28 · 2012: 23
- FWCI
- 42.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (U01 AG12531, U01AG012531)
- National Institute of Nursing Research (U01-NR-04061, U01NR004061)
- 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, interpersonal mistreatment, cardiovascular reactivity, diastolic blood pressure, African American women, European American women, middle-aged women, racial prejudice, chronic stress, cardiovascular health, speaking tasks
- MeSH terms
- Adult, Arousal, Black or African American, Female, Heart Rate, Humans, Interpersonal Relations, Longitudinal Studies, Middle Aged, Prejudice, Risk Factors, White People
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