Racism and hypertension among African Americans
Open accessAbstract
The purpose of this study was to examine the relationship of racism and blood pressure (BP). Participants were 162 urban African American adults. Measurements included the Racism and Life Experiences Scale, Krieger Racial Discrimination Questionnaire, State-Trait Personality Inventory (anxiety and depression), State-Trait Anger Expression Inventory, and automated measures of BP. Correlational and multiple regression analyses were done to examine relationships among key variables, t tests and ANOVA tested group differences by age, gender, and racism category. There was a high prevalence of perceived racism, which was not associated with higher BP. The racism/BP relationship was moderated by age with significant age related differences noted. Older participants (40 years or older) experienced more distress from racism, more anger suppression, and higher BP but lower levels of stress emotions. The highest levels of BP were noted in older adults reporting the lowest level of perceived racism, raising the issue of "internalized oppression."
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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 [281]
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Perceived discrimination and health: A meta-analytic review.
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Racism as a Determinant of Health: A Systematic Review and Meta-Analysis
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“Some evidence has linked self-reported racism to hypertension and a more consistent body of evidence has linked racism to risk factors for hypertension and/or coronary heart disease (Brondolo et al. 2003, 2008; Harrell et al. 2003; Lewis et al. 2006; Peters 2004; Steffen and Bowden 2006).”
BackgroundRacism and hypertension: a review of the empirical evidence and implications for clinical practice
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- Authors
- Peters, R. M.
- Affiliations
- Wayne State University (US)
- Corresponding author
- Peters, Rosalind M.
- ORCID
- Peters, Rosalind M.
- Venue
- Western Journal of Nursing Research
- Publisher
- SAGE Publications
- Published
- 2004-10
- Volume
- 26
- Issue
- 6
- Pages
- 612-631
- ISSN
- 0193-9459 (ISSN-L)
- 1552-8456
- OpenAlex
- W2106000465
- Cited by
- 124
- References
- 37
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 7 · 2013: 5 · 2012: 19
- FWCI
- 29.02
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Western Journal of Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- University Libraries (University of Maryland) (submittedVersion)
- Digital Repository at the University of Maryland (University of Maryland College Park)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- racism, hypertension, blood pressure, African Americans, perceived racism, racial discrimination, anger suppression, age differences, internalized oppression, urban adults
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Analysis of Variance, Anger, Anxiety, Attitude to Health, Black or African American, Cross-Sectional Studies, Depression, Female, Humans, Hypertension, Male, Middle Aged, Prejudice, Surveys and Questionnaires, Race Relations, Regression Analysis, United States, Urban Health, Prevalence
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