ArticleMayo Clinic proceedings2017
Perceived Discrimination and Cardiovascular Outcomes in Older African Americans: Insights From the Jackson Heart Study.
Article in Mayo Clinic proceedings, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Racial/Ethnic Discrimination and Cardiometabolic Diseases: A Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Experiencing unfair treatment is associated with incident cardiovascular disease among older Black adults.American journal of epidemiology · 2026Article
- Multilevel Racism and Discrimination and Cardiovascular Disease and Related Biopsychosocial Mechanisms: An Integrated Scoping and Literature Review and Future Research Agenda.Current cardiology reports · 2025Article
- Association between perceived discrimination and pulse wave velocity: a scoping review.BMJ public health · 2024Article
- Discrimination, religious affiliation, and arterial stiffness in African American women and men.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- Subjective social status and socio-demographic correlates of perceived discrimination among older adults in India.BMC geriatrics · 2024Article
- Everyday Discrimination Is Associated With Higher Odds of Hospitalizations Among Older African Americans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Discrimination and Cardiovascular Health in Black Americans: Exploring Inflammation as a Mechanism and Perceived Control as a Protective Factor.Psychosomatic medicine · 2024Article
- The association of perceived discrimination with dementia risk in Black older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Attributions for Everyday Discrimination and All-Cause Mortality Risk Among Older Black Women: A Latent Class Analysis Approach.The Gerontologist · 2023Article
- Article
- The Identity Vitality-Pathology model: A novel theoretical framework proposing "identity state" as a modulator of the pathways from structural to health inequity.Social science & medicine (1982) · 2022Article
- Associations between perceived discrimination and immune cell composition in the Jackson Heart Study.Brain, behavior, and immunity · 2022Article
- Multiple Reasons for Perceived Everyday Discrimination and All-Cause Mortality Risk Among Older Black Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- The accelerated aging phenotype: The role of race and social determinants of health on aging.Ageing research reviews · 2022Review
- Psychosocial determinants of cardiovascular events among black Americans with chronic kidney disease or associated risk factors in the Jackson heart study.BMC nephrology · 2021Article
- What the Jackson Heart Study Has Taught Us About Diabetes and Cardiovascular Disease in the African American Community: a 20-year Appreciation.Current diabetes reports · 2021Review
- Assessing Perceived Discrimination as Reported by Black and White Women Diagnosed with Breast Cancer.Journal of racial and ethnic health disparities · 2021Article
- Experiences of Discrimination Are Associated With Worse Metabolic Syndrome Severity Among African Americans in the Jackson Heart Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Article
- The Mediating role of perceived discrimination and stress in the associations between neighborhood social environment and TV Viewing among Jackson Heart Study participants.SSM - population health · 2021Article
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Funding
Abstract
objectiveTo assess the associations of perceived discrimination and cardiovascular (CV) outcomes in African Americans (AAs) in the Jackson Heart Study. PATIENTS AND
methodsIn 5085 AAs free of clinical CV disease at baseline enrolled in the Jackson Heart Study from September 26, 2000, through March 31, 2004, and followed through 2012, associations of everyday discrimination (frequency of occurrences of perceived unfair treatment) and lifetime discrimination (perceived unfair treatment in 9 life domains) with CV outcomes (all-cause mortality, incident coronary heart disease [CHD], incident stroke, and heart failure [HF] hospitalization) were examined using Cox proportional hazards regression models.
resultsHigher levels of everyday and lifetime discrimination were more common in participants who were younger and male and had higher education and income, lower perceived standing in the community, worse perceived health care access, and fewer comorbidities. Before adjustment, higher levels of everyday and lifetime discrimination were associated with a lower risk of all-cause mortality, incident CHD, stroke, and HF hospitalization. After adjustment for potential confounders, we found no association of everyday and lifetime discrimination with incident CHD, incident stroke, or HF hospitalization; however, a decrease in all-cause mortality with progressively higher levels of everyday discrimination persisted (hazard ratio per point increase in discrimination measure, 0.90; 95% CI, 0.82-0.99; P=.02). The unexpected association of everyday discrimination and all-cause mortality was partially mediated by perceived stress.
conclusionWe found no independent association of perceived discrimination with risk of incident CV disease or HF hospitalization in this AA population. An observed paradoxical negative association of everyday discrimination and all-cause mortality was partially mediated by perceived stress.
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