Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to submit your manuscript to SPPS

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Journal of Black Psychology
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Hill, L. K.
Right arrow Articles by Hughes, J. W.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Perceived Racism and Ambulatory Blood Pressure in African American College Students

LaBarron K. Hill

The Ohio State University

Ihori Kobayashi

Kent State University

Joel W. Hughes

Kent State University, jhughes1{at}kent.edu

Experiences with racial discrimination may contribute to stress-induced blood pressure (BP) elevations among African Americans. It was reported that perceived racism was associated with ambulatory BP (ABP) during waking hours. This study examined perceived racism and ABP among 40 African American college students, who completed an ABP assessment from which daytime and nighttime averages were computed. Perceived frequency of experiences with racism and racial discrimination was measured using the Perceived Racism Scale. Controlling for gender and body mass index, perceived racism in academic settings was associated with higher diastolic BP (DBP) during waking hours and nighttime sleep. Systolic BP (SBP) was unrelated to perceived racism, and perceived racism in the public realm and in statements from Whites was unrelated to ABP. Perceived racism in academic settings predicted ambulatory DBP among college students. Previous laboratory research has found stronger effects of perceived racism for DBP than SBP. The hemodynamic regulation of BP may explain this phenomenon. Future laboratory and ambulatory studies should assess the contributions of vascular resistance and cardiac output to BP elevations associated with perceived racism.

Key Words: racism • discrimination • blood pressure • ambulatory monitoring

References

  • Adams, J.H., Aubert, R.E., & Clark, V.R. (1999). The relationship among John Henryism, hostility, perceived stress, social support, and blood pressure in African-American college students. Ethnicity & Disease, 9, 359-368.[Medline] [Order article via Infotrieve]
  • American Heart Association. (2005). Heart disease and stroke statistics—2005 update. Dallas, TX: Author.
  • Anderson, N.B. (1989). Racial differences in stress-induced cardiovascular reactivity and hypertension: Current status and substantive issues. Psychological Bulletin, 105, 89-105.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Anderson, N.B., McNeilly, M.D., & Myers, H.F. (1992). Toward understanding race difference in autonomic reactivity: A proposed contextual model. In P. M. McCabe, N. Schneiderman, T. Field, & A. R. Wellens (Eds.), Stress, coping, and cardiovascular disease (pp. 125-143). Hillsdale, NJ: Lawrence Erlbaum.
  • Arriola, K.R.J. (2002). Suffering in silence: Racial discrimination and blood pressure among African Americans. University Microfilms International.
  • Brondolo, E., Rieppi, R., Kelly, K.P., & Gerin, W. (2003). Perceived racism and blood pressure: A review of the literature and conceptual and methodological critique. Annals of Behavioral Medicine, 25, 55-65.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Clark, R. (2000). Perceptions of interethnic group racism predict increased vascular reactivity to a laboratory challenge in college women. Annals of Behavioral Medicine, 22, 214-222.[Web of Science][Medline] [Order article via Infotrieve]
  • Clark, R. (2003a). Self-reported racism and social support predict blood pressure reactivity in Blacks. Annals of Behavioral Medicine, 25, 127-136.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Clark, R. (2003b). Subjective stress and coping resources interact to predict blood pressure reactivity in black college students. Journal of Black Psychology, 29, 445-462.[Abstract]
  • Clark, R., & Adams, J.H. (2004). Moderating effects of perceived racism on John Henryism and blood pressure reactivity in Black female college students. Annals of Behavioral Medicine, 28, 126-131.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Clark, R., Anderson, N.B., Clark, V.R., & Williams, D.R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. American Psychologist, 54, 805-816.[CrossRef][Medline] [Order article via Infotrieve]
  • Dolan, E., Stanton, A., Thijs, L., Hinedi, K., Atkins, N., McClory, S., et al. (2005). Superiority of ambulatory over clinic blood pressure measurement in predicting mortality: The Dublin Outcome Study. Hypertension, 46, 156-161.[Abstract/Free Full Text]
  • Fagard, R.H., Staessen, J.A., & Thijs, L. (1997). Relationships between changes in left ventricular mass and in clinic and ambulatory blood pressure in response to antihypertensive therapy. Journal of Hypertension, 15, 1493-1502.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Fang, C.Y., & Myers, H.F. (2001). The effects of racial stressors and hostility on cardiovascular reactivity in African American and Caucasian men. Health Psychology, 20, 64-70.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Ferdinand, K.C. (2003). Hypertension in Blacks. In J. L. Izzo & H. R. Black (Eds.), Hypertension primer: The essentials of high blood pressure (3rd ed., pp. 264-266). Dallas, TX: American Heart Association.
  • Framme, J., Dangardt, F., Marild, S., Osika, W., Wahrborg, P., & Friberg, P. (2006). 24-h systolic blood pressure and heart rate recordings in lean and obese adolescents. Clinical Physiology and Functional Imaging, 26, 235-239.[CrossRef][Medline] [Order article via Infotrieve]
  • Gump, B.B., & Matthews, K.A. (1999). Do background stressors influence reactivity to and recovery from acute stressors? Journal of Applied Social Psychology, 29, 469-494.[CrossRef]
  • Haas, D.C., Gerber, L.M., Shimbo, D., Warren, K., Pickering, T.G., & Schwartz, J.E. (2005). A comparison of morning blood pressure surge in African Americans and Whites. Journal of Clinical Hypertension, 7, 205-209.[CrossRef]
  • James, G.D., Sealey, J.E., Alderman, M., Ljungman, S., Mueller, F.B., Pecker, M.S., et al. (1988). A longitudinal study of urinary creatinine and creatinine clearance in normal subjects. Race, sex, and age differences. American Journal of Hypertension, 1, 124-131.
  • James, K., Lovato, C., & Khoo, G. (1994). Social identity correlates of minority workers' health. Academy of Management Journal, 37, 383-396.[Medline] [Order article via Infotrieve]
  • Kagan, A., Faibel, H., Ben-Arie, G., Granevitze, Z., & Rapoport, J. (2007). Gender differences in ambulatory blood pressure monitoring profile in obese, overweight and normal subjects. Journal of Human Hypertension, 21, 128-134.[CrossRef][Medline] [Order article via Infotrieve]
  • Krantz, D.S., & Manuck, S.B. (1984). Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique. Psychological Bulletin, 96, 435-464.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Krieger, N. (1990). Racial and gender discrimination: Risk factors for high blood pressure? Social Science & Medicine, 30, 1273-1281.[CrossRef][Medline] [Order article via Infotrieve]
  • Krieger, N., & Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA study of young Black and White adults. American Journal of Public Health, 86, 1370-1378.[Abstract/Free Full Text]
  • Mancia, G., Santucciu, C., Ulian, L., Gelosa, M., Rivolta, M.R., & Sega, R. (1994). Clinical value of ambulatory blood pressure monitoring. Journal of Cardiovascular Pharmacology, 23(Suppl.), 1-4.[Web of Science][Medline] [Order article via Infotrieve]
  • Matthews, K.A., Gump, B.B., & Owens, J.F. (2001). Chronic stress influences cardiovascular and neuroendocrine responses during acute stress and recovery, especially in men. Health Psychology, 20, 403-410.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Matthews, K.A., Salomon, K., Kenyon, K., & Zhou, F. (2005). Unfair treatment, discrimination, and ambulatory blood pressure in Black and White adolescents. Health Psychology, 24, 258-265.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • McNeilly, M.D., Anderson, N.B., Armstead, C.A., Clark, R., Corbett, M., Robinson, E.L., et al. (1996). The perceived racism scale: A multidimensional assessment of the experience of White racism among African Americans. Ethnicity & Disease, 6, 154-166.[Medline] [Order article via Infotrieve]
  • National Center for Health Statistics. (2004 ). Health, United States, 2004. Hyattsville, MD: Author.
  • Ohkubo, T., Imai, Y., Tsuji, I., Nagai, K., Watanabe, N., Minami, N., et al. (1997). Relation between nocturnal decline in blood pressure and mortality. The Ohasama Study. American Journal of Hypertension, 10, 1201-1207.[CrossRef]
  • Palatini, P., Penzo, M., Racioppa, A., Zugno, E., Guzzardi, G., Anaclerio, M., et al. (1992). Clinical relevance of nighttime blood pressure and of daytime blood pressure variability. Archives of Internal Medicine, 152, 1855-1860.[CrossRef]
  • Perloff, D., Sokolow, M., & Cowan, R. (1983). The prognostic value of ambulatory blood pressures. JAMA, 249, 2792-2798.[Abstract/Free Full Text]
  • Peters, R.M. (2004). Racism and hypertension among African Americans. Western Journal of Nursing Research, 26, 612-631.[Abstract/Free Full Text]
  • Rizzoni, D., Muiesan, M.L., Montani, G., Zulli, R., Calebich, S., & Agabiti-Rosei, E. (1992). Relationship between initial cardiovascular structural changes and daytime and nighttime blood pressure monitoring. American Journal of Hypertension, 5, 180-186.[Web of Science][Medline] [Order article via Infotrieve]
  • Seaton, E.K. (2006). Examination of a measure of racial discrimination among African American adolescents. Journal of Applied Social Psychology, 36, 1414-1429.[CrossRef]
  • Sherwood, A., Hughes, J.W., & McFetridge, J.A. (2003). Ethnic differences in the hemodynamic mechanisms of ambulatory blood pressure regulation. American Journal of Hypertension, 16, 270-273.[CrossRef]
  • Sherwood, A., May, C.W., Siegel, W.C., & Blumenthal, J.A. (1995). Ethnic differences in hemodynamic responses to stress in hypertensive men and women. American Journal of Hypertension, 8, 552-557.[CrossRef]
  • Sherwood, A., & Turner, J.R. (1995). Hemodynamic responses during psychological stress: Implications for studying disease processes. International Journal of Behavioral Medicine, 2, 193-218.[CrossRef][Medline] [Order article via Infotrieve]
  • Staessen, J.A., Thijs, L., Fagard, R., O'Brien, E.T., Clement, D., de Leeuw, P.W., et al. (1999). Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension. Systolic Hypertension in Europe Trial Investigators. JAMA, 282, 539-546.[Abstract/Free Full Text]
  • Steffen, P.R., McNeilly, M., Anderson, N., & Sherwood, A. (2003). Effects of perceived racism and anger inhibition on ambulatory blood pressure in African Americans. Psychosomatic Medicine, 65, 746-750.[Abstract/Free Full Text]
  • Tobe, S.W., Soberman, H., Kiss, A., Perkins, N., & Baker, B. (2006). The effect of alcohol and gender on ambulatory blood pressure: Results from the Baseline Double Exposure study. American Journal of Hypertension, 19, 136-139.[CrossRef][Medline] [Order article via Infotrieve]
  • U.S. Department of Health and Human Services. ( 2000). Healthy People 2010: Understanding and improving health. Washington, DC: Author.
  • Utsey, S.O. (1999). Development and validation of a short form of the Index of Race-Related Stress (IRRS)—Brief Version. Measurement & Evaluation in Counseling & Development, 32, 149-167.
  • Utsey, S.O., & Ponterotto, J.G. (1996). Development and validation of the Index of Race-Related Stress (IRRS). Journal of Counseling Psychology, 43, 490-501.[CrossRef][Web of Science]
  • Williams, D.R., & Neighbors, H. (2001). Racism, discrimination and hypertension: Evidence and needed research. Ethnicity & Disease, 11, 800-816.[Medline] [Order article via Infotrieve]
  • Winnicki, M., Canali, C., Mormino, P., & Palatini, P. (1997). Ambulatory blood pressure monitoring editing criteria: Is standardization needed? Hypertension and Ambulatory Recording Venetia Study (HARVEST) Group, Italy. American Journal of Hypertension, 10, 419-427.[Web of Science][Medline] [Order article via Infotrieve]

Journal of Black Psychology, Vol. 33, No. 4, 404-421 (2007)
DOI: 10.1177/0095798407307042


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
Psychosom. Med.Home page
D. L. Beatty and K. A. Matthews
Unfair Treatment and Trait Anger in Relation to Nighttime Ambulatory Blood Pressure in African American and White Adolescents
Psychosom Med, October 1, 2009; 71(8): 813 - 820.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Hill, L. K.
Right arrow Articles by Hughes, J. W.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?