Evidence map›Paper›PMID 30234347›Full record

ArticleDevelopmental psychology2018

Discrimination, segregation, and chronic inflammation: Testing the weathering explanation for the poor health of Black Americans.

Ronald L Simons, Man-Kit Lei, Steven R H Beach, Ashley B Barr, Leslie G Simons, Frederick X Gibbons, Robert A Philibert

Open access · hybridAbstract read
In one paragraph

Article in Developmental psychology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 1 pooled it
13.3field-weighted citation impact, top 1% 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

106 citing papers in PubMed, 1 synthesis or guideline pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Mood reactivity to daily social conflict in hostile adults: An experimental intervention.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Trial
  3. Review
  4. Adverse policing as a social exposome pathway: Implications for depression, cognition, and dementia risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Weathering the STORM and Forecasting Equity for Older Black Women: Expanding Social Determinants of Health.International journal of environmental research and public health · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Healthcare inequities and healthcare providers: we are part of the problem.International journal for equity in health · 2025
    Review
  20. Article

46 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

7 authors at 4 institutions in 1 country.

Ronald L SimonsDepartment of Sociology, University of Georgia.
Man-Kit LeiCenter for Family Research, University of Georgia.
Steven R H BeachDepartment of Psychology, University of Georgia.
Ashley B BarrDepartment of Sociology, State University of New York at Buffalo.
Leslie G SimonsDepartment of Sociology, University of Georgia.
Frederick X GibbonsDepartment of Psychological Sciences, University of Connecticut.
Robert A PhilibertDepartment of Psychiatry, University of Iowa.
University of Georgia · USUniversity at Buffalo, State University of New York · USUniversity of Connecticut · USUniversity of Iowa · US

Funding

Vulnerability and Resiliency in African American ParentsR01MH062666 · NIMH · IOWA STATE UNIVERSITY · PI CUTRONA, CAROLYN E · 2001 to 2010
$5.6M
Psychosocial Context and the Biological Clock: Changes in Weathering during Middle-AgeR01AG055393 · NIA · UNIVERSITY OF GEORGIA · PI SIMONS, RONALD L · 2017 to 2021
$3.4M
Biomarkers of Health Risk Among African American CouplesR01HD080749 · NICHD · UNIVERSITY OF GEORGIA · PI BEACH, STEVEN R, SIMONS, RONALD L · 2015 to 2019
$2.9M
Social Determinants of Inflammation and Metabolic Syndrom among African AmericansR01HL118045 · NHLBI · UNIVERSITY OF GEORGIA · PI SIMONS, RONALD L · 2014 to 2017
$2.3M
The Effects of Smoking on DNA Methylation in Primary Human Lymphocytes.R21DA034457 · NIDA · UNIVERSITY OF IOWA · PI PHILIBERT, ROBERT A · 2012 to 2013
$370k
National Heart, Lung, Blood InstituteNational Institute on Child Health and Human DevleopmentNHLBI NIH HHS R01 HL118045NIA NIH HHS R01 AG055393NICHD NIH HHS R01 HD080749NIDA NIH HHS R21 DA034457NIMH NIH HHS R01 MH062666
6 · The paper itself

Abstract

Several studies have reported a relation between race-related stressors and the poor health of Black Americans. Such findings raise questions regarding the mediating biological mechanisms that might account for this link. The present study investigated elevated systemic inflammation, a factor shown to be a strong predictor of chronic illness and mortality in all ethnic populations, as a possible factor. Using 7 waves of data from the Family and Community Health Study, collected over a 20-year period from over 400 Black Americans, we investigated the extent to which exposure to discrimination and segregation at various points in the life course predicted adult inflammation at age 28. Our analyses examined whether cumulative stress, stress generation, or predictive adaptive response (PAR) models best accounted for any associations that existed between these race-related stressors and adult inflammation. At every wave of data collection, assessments of discrimination and segregation were related to adult inflammation. However, multivariate analyses using structure equation modeling indicated that the PAR model best explained the effect of these race-related stressors on inflammation. Exposure to discrimination and segregation during the juvenile years predicted adult inflammation and amplified the inflammatory effect of adult exposure to these race-related stressors. These effects were considerably more robust than that of traditional health risk factors such as diet, exercise, smoking, and low SES. Implications of these findings are discussed, including the limitations of the widely accepted risk factor approach to increasing the health of Black Americans. (PsycINFO Database Record

Indexed as

Health Status DisparitiesAdolescentAdultBlack or African AmericanChildChronic DiseaseFemaleHumansInflammationLongitudinal StudiesMaleModels, TheoreticalRacismStress, PsychologicalYoung Adult

Identifiers

PMID30234347
PMCPMC7685230
OpenAlexW2890792344

What OpenQuestion holds

Textmetadata
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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.