Evidence map›Paper›PMID 21913047›Full record

ArticleInternational journal of behavioral medicine2012

Racial discrimination is associated with a measure of red blood cell oxidative stress: a potential pathway for racial health disparities.

Sarah L Szanton, Joseph M Rifkind, Joy G Mohanty, Edgar R Miller, Roland J Thorpe, Eneka Nagababu, Elissa S Epel, Alan B Zonderman, Michele K Evans

Abstract read
In one paragraph

Article in International journal of behavioral medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 4 pooled it
11.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 4 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Racial/Ethnic Discrimination and Cardiometabolic Diseases: A Systematic Review.Journal of racial and ethnic health disparities · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
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  5. Associations of weight stigma with cortisol and oxidative stress independent of adiposity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2014
    Trial
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  15. Persistent Effect of Redlining on Survival from Screenable Cancers in Washington State, 2000-2018.Journal of urban health : bulletin of the New York Academy of Medicine · 2025
    Article
  16. Article
  17. Oxidative Stress Early After Hematopoietic Stem Cell Transplant.Transplantation and cellular therapy · 2025
    Article
  18. Article
  19. Genome-wide transcriptome differences associated with perceived discrimination in an urban, community-dwelling middle-aged cohort.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  20. Review

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sarah L SzantonJohns Hopkins University, Baltimore, MD 21205, USA. sszanton@son.jhmi.edu
Joseph M Rifkind
Joy G Mohanty
Edgar R Miller
Roland J Thorpe
Eneka Nagababu
Elissa S Epel
Alan B Zonderman
Michele K Evans
Johns Hopkins University · USNational Institute on Aging · USNational Institutes of Health · USUniversity of California, San Francisco · US

Funding

Healthy Aging In Neighborhoods of Diversity Across the Life Span (HANDLS)ZIAAG000513 · NIA · NATIONAL INSTITUTE ON AGING · PI EVANS, MICHELE K · 2009 to 2025
$70.9M
The Underlying Biology of Health DisparitiesZIAAG000519 · NIA · NATIONAL INSTITUTE ON AGING · PI EVANS, MICHELE K · 2009 to 2025
$15.7M
Institute for Clinical and Translational Research (KL2)KL2RR025006 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$12.9M
Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HAO, LINGXIN · 2003 to 2017
$5.1M
Structure-function Relationships In Hemoglobin And ErythrocytesZIAAG000047 · NIA · NATIONAL INSTITUTE ON AGING · PI RIFKIND, JOSEPH · 2009 to 2013
$2.1M
Intramural NIH HHS ZIA AG000513NCRR NIH HHS 1KL2RR025006-01NCRR NIH HHS KL2 RR025006NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

backgroundThere are racial health disparities in many conditions for which oxidative stress is hypothesized to be a precursor. These include cardiovascular disease, diabetes, and premature aging. Small clinical studies suggest that psychological stress may increase oxidative stress. However, confirmation of this association in epidemiological studies has been limited by homogenous populations and unmeasured potential confounders. PURPOSE: We tested the cross-sectional association between self-reported racial discrimination and red blood cell (RBC) oxidative stress in a biracial, socioeconomically heterogeneous population with well-measured confounders.

methodsWe performed a cross-sectional analysis of a consecutive series of 629 participants enrolled in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. Conducted by the National Institute on Aging Intramural Research Program, HANDLS is a prospective epidemiological study of a socioeconomically diverse cohort of 3,721 Whites and African Americans aged 30-64 years. Racial discrimination was based on self-report. RBC oxidative stress was measured by fluorescent heme degradation products. Potential confounders were age, smoking status, obesity, and C-reactive protein.

resultsParticipants had a mean age of 49 years (SD = 9.27). In multivariable linear regression models, racial discrimination was significantly associated with RBC oxidative stress (Beta = 0.55, P < 0.05) after adjustment for age, smoking, C-reactive protein level, and obesity. When stratified by race, discrimination was not associated with RBC oxidative stress in Whites but was associated significantly for African Americans (Beta = 0.36, P < 0.05).

conclusionsThese findings suggest that there may be identifiable cellular pathways by which racial discrimination amplifies cardiovascular and other age-related disease risks.

Indexed as

RacismAdultAge FactorsBlack or African AmericanC-Reactive ProteinCross-Sectional StudiesErythrocytesFemaleHumansMaleMiddle AgedOxidative StressProspective StudiesSelf ReportSmokingStress, PsychologicalC-Reactive Protein

Identifiers

PMID21913047
PMCPMC3496810
OpenAlexW1973364333

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.