Evidence map›Paper›PMID 30474995›Full record

ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2019

Lifetime discrimination burden, racial discrimination, and subclinical cerebrovascular disease among African Americans.

Danielle L Beatty Moody, Antione D Taylor, Daniel K Leibel, Elias Al-Najjar, Leslie I Katzel, Christos Davatzikos, Rao P Gullapalli, Stephen L Seliger, Theresa Kouo, Guray Erus and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
11.3field-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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Racism and Older Black Americans' Health: a Systematic Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2022
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Do white matter hyperintensities account for the relationship between discrimination and memory?Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Pathways to Racial/Ethnic Inequalities in Dementia.Annual review of clinical psychology · 2025
    Review
  13. Article
  14. 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
  15. 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 · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

14 authors at 5 institutions in 1 country.

Danielle L Beatty MoodyDepartment of Psychology, University of Maryland, Baltimore County.
Antione D TaylorDepartment of Psychology, University of Maryland, Baltimore County.
Daniel K LeibelDepartment of Psychology, University of Maryland, Baltimore County.
Elias Al-NajjarDepartment of Mathematics and Statistics, University of Maryland, Baltimore County.
Leslie I KatzelDivision of Gerontology and Geriatric Medicine, Department of Medicine, University of Maryland School of Medicine.
Christos DavatzikosDepartment of Radiology, University of Pennsylvania.
Rao P GullapalliDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine.
Stephen L SeligerDivision of Nephrology, Department of Medicine, University of Maryland School of Medicine.
Theresa KouoDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine.
Guray ErusDepartment of Radiology, University of Pennsylvania.
William F RosenbergerDepartment of Statistics, George Mason University.
Michele K EvansLaboratory of Epidemiology and Population Sciences, National Institute on Aging.
Alan B ZondermanLaboratory of Epidemiology and Population Sciences, National Institute on Aging.
Shari R WaldsteinDepartment of Psychology, University of Maryland, Baltimore County.
University of Maryland, Baltimore County · USUniversity of Maryland, Baltimore · USInstitute on Aging · USUniversity of Pennsylvania · USGeorge Mason University · 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
University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
EXPAND PARTICIPATION BY MINORITIES IN BIOMEDICAL SCIENCER25GM055036 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI SUMMERS, MICHAEL FINLEY · 1996 to 2021
$16.9M
Behavioral epidemiology of healthy agingZIAAG000199 · NIA · NATIONAL INSTITUTE ON AGING · PI ZONDERMAN, ALAN B · 2013 to 2019
$7.8M
UPPER EXTREMITY TRAINING FOR CHRONIC STROKEP60AG012583 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI GOLDBERG, ANDREW P · 1994 to 2005
$7.8M
Machine Learning and Large-scale Imaging analytics for dimensional representations of brain trajectories in aging and preclinical Alzheimer's Disease: The brain aging chart and the iSTAGING consortiumRF1AG054409 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 2017 to 2023
$6.3M
HANDLS Scan Substudy: Race, Socioeconomic status, and the BrainR01AG034161 · NIA · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI WALDSTEIN, SHARI · 2009 to 2013
$2.8M
Race, Childhood Social Disadvantage, and the Adult Brain: HANDLS BRAINCHILD.K01AG043581 · NIA · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI BEATTY MOODY, DANIELLE LATHEL · 2014 to 2018
$650k
STATISTICAL METHODOLOGY FOR CANCER CLINICAL TRIALSR01CA087746 · NCI · UNIVERSITY OF MARYLAND BALT CO CAMPUS · PI ROSENBERGER, WILLIAM F. · 2000 to 2004
$631k
Claude D. Pepper Older Americans Independence CenterNCI NIH HHS R01 CA087746NIA NIH HHSNIA NIH HHS K01 AG043581NIA NIH HHS P30 AG028747NIA NIH HHS P60 AG012583NIA NIH HHS R01 AG034161NIA NIH HHS RF1 AG054409NIGMS NIH HHS R25 GM055036
6 · The paper itself

Abstract

objectiveExplore interactive relations of lifetime discrimination burden and racial discrimination-chronic stressors among African Americans (AAs)-and age with MRI-assessed white matter lesion volume (WMLV), a prognostic indicator of poor clinical brain health outcomes.

methodAAs (N = 71; 60.6% female, mean age = 50) participating in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) SCAN study underwent quantitative magnetic resonance imaging coded for WMLV. Participants self-reported lifetime discrimination burden and racial discrimination approximately 5 years earlier. Multivariable regression models assessed interactions of linear and quadratic effects of discrimination and age with WMLV adjusted for sex and socioeconomic status.

resultsFindings revealed significant interactive relations of age and (a) quadratic, lifetime discrimination burden, B = .05, p = .014, ηpartial2 = .092, and (b) quadratic, racial discrimination, B = .03, p = .001, ηpartial2 = .155, with WMLV. Among older AA, increases in lifetime discrimination burden and racial discrimination were associated with increases in WMLV (ps < .03); in younger AA, decreasing levels of racial discrimination were related to increases in WMLV (p = .006).

conclusionsAmong older AA, as lifetime discrimination burden and racial discrimination increased, so did WMLV. However, in younger AA, decreases in racial discrimination were associated with increased WMLV. Elucidation of complex mechanistic underpinnings, including potentially differential impacts of the acknowledgment versus suppression or underreporting of discriminatory experiences, among AA of different age cohorts, is critical to understanding the present pattern of findings. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Indexed as

AdultAgedBlack or African AmericanCerebrovascular DisordersFemaleHumansMaleMiddle AgedRacism

Identifiers

PMID30474995
PMCPMC6483094
OpenAlexW2903535639

What OpenQuestion holds

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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.