Expectations of Racism and Carotid Intima-Media Thickness in African American Women

Psychosomatic Medicine
Tené T LewisStuart Katz

Abstract

Several researchers have argued that racism-related stressors play an important role in adverse cardiovascular outcomes among African American women. However, studies have primarily focused on experiences of racism; thus, the role of expectations of racism is insufficiently understood. The current proof-of-concept study was designed to examine associations among expectations of racism, self-reported experiences of racism, and carotid intima-media thickness (IMT), a marker of cardiovascular risk, in African American women. Participants were 52 healthy African American women, aged 30 to 50 years (M (SD) = 40.8 (4.3)). Expectations of racism were assessed with a modified version of the Race-Based Rejection Sensitivity Questionnaire, experiences of racism were assessed with the Schedule of Racist Events, and carotid IMT was measured using B-mode ultrasound. In linear regression analyses adjusted for age, expectations of racism were associated with higher levels of carotid IMT (b = .04, SE = .014, p = .013), after adjusting for experiences of racism. Findings remained significant after additional adjustments for cardiovascular risk factors (b = .03, SE = .014, p = .032). Associations were not confounded by additional stressors, host...Continue Reading

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Citations

Feb 29, 2020·Psychosomatic Medicine·Miriam E Van DykeTené T Lewis
Jun 4, 2021·Psychosomatic Medicine·Izraelle I McKinnonTené T Lewis
Jun 28, 2021·Psychoneuroendocrinology·Kimberly Jacob ArriolaViola Vaccarino
Jul 30, 2021·Frontiers in Psychology·S Duke HanPatricia A Boyle

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