Race, race-based discrimination, and health outcomes among African Americans
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Abstract Persistent and vexing health disadvantages accrue to African Americans despite decades of work to erase the effects of race discrimination in this country. Participating in these efforts, psychologists and other social scientists have hypothesized that African Americans' continuing experiences with racism and discrimination may lie at the root of the many well-documented race-based physical health disparities that affect this population. With newly emerging methodologies in both measurement of contextual factors and functional neuroscience, an opportunity now exists to cleave together a comprehensive understanding of the ways in which discrimination has harmful effects on health. In this article, we review emerging work that locates the cause of race-based health disparities in the external effects of the contextual social space on the internal world of brain functioning and physiologic response. These approaches reflect the growing interdisciplinary nature of psychology in general, and the field of race relations in particular.
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Chronic socioeconomic strain and racism cause high sympathetic nervous system activation and physiological exhaustion, making a person more sensitive to painful stimuli.
“Chronic socioeconomic strain and racism lead to high levels of sympathetic nervous system activation and physiological exhaustion making the individual more sensitive to painful stimuli 251.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [251]
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- Authors
- Mays, V. M., Cochran, S. D., & Barnes, N. W.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Annual Review of Psychology
- Publisher
- Annual Reviews
- Published
- 2007-01-01
- Volume
- 58
- Issue
- 1
- Pages
- 201-225
- ISSN
- 0066-4308 (ISSN-L)
- 1545-2085
- PMC
- PMC4181672
- OpenAlex
- W2155845082
- Cited by
- 889
- References
- 208
- Citations by year
- 2026: 10 · 2025: 38 · 2024: 32 · 2023: 31 · 2022: 68 · 2021: 74 · 2020: 57 · 2019: 55 · 2018: 52 · 2017: 54 · 2016: 54 · 2015: 51 · 2014: 61 · 2013: 51 · 2012: 61
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (DA15539, R01DA015539)
- National Institute on Minority Health and Health Disparities (MD P60-000508, P60MD000508)
- 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, health disparities, African Americans, racism, physiological responses, brain function, race relations, health outcomes
- MeSH terms
- Amygdala, Arousal, Black or African American, Brain, Chronic Disease, Gyrus Cinguli, Humans, Prejudice, Psychophysiologic Disorders, Psychosocial Deprivation, Risk Factors, Black People, Allostasis
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