title: The health consequences of racial discrimination: a study of African Americans.
abstract: This investigation focuses on the relationship between racial discrimination and health. Many studies have shown a link between race and differential health outcomes, but few have actually measured racial discrimination. Such studies leave unanswered the question of exactly how the experience of racial discrimination might affect health. Racial discrimination is argued to act in the same fashion as other chronic stressors by increasing blood pressure. However, racial discrimination may also give rise to the sense of thwarted aspirations, itself a stressor, and make the active coping style of "John Henryism" more likely. In these data, we measure perceived racial discrimination for a sample of African Americans and find that experiencing racially-based discriminatory treatment does not impact health. There is no relationship between doctor-diagnosed hypertension and cardiovascular disease, and being the victim of racially biased treatment. We discuss possible reasons for this, and argue that greater conceptualization about the postulated link between discrimination and health is necessary, as well as explicitly designed studies for the purpose of examining this postulated relationship.
authors.affiliation: Department of Sociology, Michigan State University East Lansing 48824-1111, USA.
authors.forename: C L
authors.initials: CL
authors.lastname: Broman
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000208:ethnology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D016015:Logistic Models; D008297:Male; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D011287:Prejudice; D011897:Random Allocation; D012938:Social Perception