Developmental timing of initial racial discrimination exposure is associated with cardiovascular health conditions in adulthood

Cuevas, Adolfo G.; Ho, Thao; Rodgers, Justin; DeNufrio, Danielle; Alley, Lindsey; Allen, Jennifer D.; Williams, David R.

doi:10.1080/13557858.2019.1613517

Cited by 22 publications

(19 citation statements)

References 26 publications

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“…Timing of initial exposure to racial/ethnic discrimination may also impact its developmental consequences. One study found that earlier age of initial exposure to racial discrimination was associated with greater cardiovascular problems, though no gender difference was reported in this relation (Cuevas et al 2019). Thus, multi-generational and longitudinal studies are further warranted to examine the prospective relation between racial/ethnic discrimination and risk for suicidal thoughts among men and women across the lifespan and across generations.…”

Section: Discussionmentioning

confidence: 99%

Racial/Ethnic Discrimination and Suicidal Ideation in Emerging Adults: The Role of Traumatic Stress and Depressive Symptoms Varies by Gender not Race/Ethnicity

Polanco-Roman

Anglin

Miranda

et al. 2019

J Youth Adolescence

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Drawing from Race-Based Traumatic Stress theory, the present study examined whether traumatic stress and depressive symptoms differentially help explain the relation between racial/ethnic discrimination and suicidal ideation across gender and racial/ethnic groups. A racially/ethnically diverse group of emerging adults (N = 1344; M age = 19.88, SD = 2.25; 72% female; 46% Hispanic) completed a battery of self-report measures. A cross-sectional design was employed with a series of hierarchical linear regression models and bootstrapping procedures to examine the direct and indirect relation between racial/ethnic discrimination and suicidal ideation through traumatic stress and depressive symptoms across gender and race/ethnicity. The findings suggest an indirect relation through depressive symptoms, but not traumatic stress, and a serial indirect relation through traumatic stress to depressive symptoms in young women and young men, the latter of which was stronger in young women. The indirect relations did not vary by racial/ethnic group. Cumulative experiences of racial/ethnic discrimination may impact suicide-related risk via increases in psychiatric symptomology (i.e., traumatic stress and depressive symptoms), particularly in young women. Racial/ethnic discrimination experiences should be accounted for as a potential source of psychological distress in the assessment, diagnosis, and treatment of suicidal thoughts and behavior, especially among young women endorsing traumatic stress and depressive

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Section: Discussionmentioning

confidence: 99%

Racial/Ethnic Discrimination and Suicidal Ideation in Emerging Adults: The Role of Traumatic Stress and Depressive Symptoms Varies by Gender not Race/Ethnicity

Polanco-Roman

Anglin

Miranda

et al. 2019

J Youth Adolescence

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“…17,24 In addition to the risk factors traditionally involved in CVD pathogenesis, it is well known that the racial-ethnic segment investigated by this study faces institutional and personal racism, which constitutes a traumatic event that causes low self-esteem and stress that in turn affect the cardiovascular and hemodynamic conditions and may increase exposure to unhealthy behaviors. [25][26][27][28] Incidentally, a previous study with this population showed a high prevalence (65.3%) of common mental disorders. 29 In the non-quilombola population of Alagoas, this prevalence was 47.9%.…”

Section: Discussionmentioning

confidence: 67%

Accuracy of the Simplified Version of the Global Risk Score in Detecting Cardiovascular Risk in Women from Quilombola Communities in the State of Alagoas, Brazil

Cavalcante¹,

Ferreira²

2021

International Journal of Cardiovascular Sciences

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Cardiovascular diseases (CVD) are currently the leading cause of death in Brazil and worldwide, justifying the implementation of prevention measures against this public health problem. In this sense, cardiovascular risk (CVR) monitoring allows the establishment of priorities among activities that focus on the CVD problem, assisting in the definition of practices and prognostic analyses. Several algorithms and scores are used to assess CVR, but none have been validated for the Brazilian population, even less so for the country's black population. 1,2 Therefore, there is no consensus on which procedure would be the most appropriate for this purpose.

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“…The prevailing theory of the association between AccA and health outcomes is the weathering hypothesis, which posits that stressors such as discrimination, racism, segregation, and poor economic circumstances “weathers” the health of minorities so that they show age-related declines in health earlier than Whites [24] . These minority specific stressors are also associated with the risk factors for AF such as diabetes, hypertension, and heart attack [ 25 , 26 ]. Although we were unable to fully test this theory here, previous research has shown that higher levels of perceived stress were associated with the prevalence of AF in the REGARDS study [27] .…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional analysis of racial differences in accelerated aging and cognitive function among patients with atrial fibrillation: The SAGE-AF study

et al. 2021

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Background Non-Whites are more likely to suffer from cognitive impairment and complications of atrial fibrillation (AF) than Whites, though Whites are more likely to be diagnosed with AF. We examined whether non-Whites with AF are biologically older than Whites with AF and whether accelerated biological aging is associated with cognitive functioning. Methods We used baseline data from the ongoing Systematic Assessment of Geriatric Elements in Atrial Fibrillation prospective cohort study, collected 2016–2020 across ambulatory care practices in Massachusetts and Georgia. Of 1244 enrolled, 974 participants with full biological data were included in the present analysis. Accelerated aging (AccA) was calculated based on a combination of biomarkers associated with age and physiological “wear and tear.” Findings The main outcome was score on Montreal Cognitive Assessment (MoCA). Non-Whites had 2.9 years more AccA than Whites and higher AccA was associated with a lower MoCA score among both Whites (-0.06, 95% CI: -0.10, -0.03) and non-Whites (-0.14, 95% CI: -0.27, 0.02). This association was significantly greater among non-whites (-0.11, 95% CI: -0.20, -0.01). Interpretation Non-White AF patients are functionally “older” than their White counterparts and experience a stronger deleterious association between AccA and cognition. These findings underscore the importance of taking functional age into account when treating patients with AF, particularly non-White patients, to enhance treatment and improve AF outcomes.

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Developmental timing of initial racial discrimination exposure is associated with cardiovascular health conditions in adulthood

Cited by 22 publications

References 26 publications

Racial/Ethnic Discrimination and Suicidal Ideation in Emerging Adults: The Role of Traumatic Stress and Depressive Symptoms Varies by Gender not Race/Ethnicity

Racial/Ethnic Discrimination and Suicidal Ideation in Emerging Adults: The Role of Traumatic Stress and Depressive Symptoms Varies by Gender not Race/Ethnicity

Accuracy of the Simplified Version of the Global Risk Score in Detecting Cardiovascular Risk in Women from Quilombola Communities in the State of Alagoas, Brazil

A cross-sectional analysis of racial differences in accelerated aging and cognitive function among patients with atrial fibrillation: The SAGE-AF study

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