Evidence map›Paper›PMID 30801427›Full record

ArticlePsychosomatic medicine2019

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

Tené T Lewis, Rachel Lampert, Domonique Charles, Stuart Katz

Open access · greenAbstract read
In one paragraph

Article in Psychosomatic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Racial/Ethnic Discrimination and Cardiometabolic Diseases: A Systematic Review.Journal of racial and ethnic health disparities · 2024
    Pooled it
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  10. Psychosocial stress and cardiovascular disease.American journal of preventive cardiology · 2025
    Review
  11. Review
  12. Review
  13. Stress and cardiovascular disease: an update.Nature reviews. Cardiology · 2024
    Review
  14. Review
  15. Article
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  18. Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  19. Investigating the Associations of Sexual Minority Stressors and Incident Hypertension in a Community Sample of Sexual Minority Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Article
  20. Anti-Racism Efforts in Healthcare: A Selective Review From a Social Cognitive Perspective.Policy insights from the behavioral and brain sciences · 2023
    Article
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

4 authors at 1 institution in 1 country.

Tené T LewisFrom the Department of Epidemiology (Lewis), Rollins School of Public Health - Emory University, Atlanta, Georgia; Section of Cardiology (Lampert), Yale University School of Medicine, New Haven, Connecticut; Department of Pediatrics (Charles), Navicent Health, Mercer University School of Medicine, Macon, Georgia; and Division of Cardiology (Katz), New York University School of Medicine, New York City.
Rachel Lampert
Domonique Charles
Stuart Katz
Emory University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Expectations of Discrimination and CVD Risk in Africian-American WomenR01HL130471 · NHLBI · EMORY UNIVERSITY · PI LEWIS, TENÉ T · 2016 to 2019
$3.7M
Everyday Discrimination and Cardiovascular Disease in African-American WomenK01HL092591 · NHLBI · YALE UNIVERSITY · PI LEWIS, TENÉ T · 2008 to 2012
$749k
NCATS NIH HHS UL1 TR001863NCRR NIH HHS UL1 RR024139NHLBI NIH HHS K01 HL092591NHLBI NIH HHS R01 HL130471
6 · The paper itself

Abstract

objectiveSeveral 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.

methodsParticipants 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.

resultsIn 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, hostility, or negative affect (depressive symptoms).

conclusionsIndependent of actual reports of racism, "expectations" of racism may be associated with increased cardiovascular risk in African American women. In addition, although experiences of discrimination were associated with depressive symptoms, expectations of racism were not, suggesting that other negative emotions likely play a role. Future studies are needed to replicate these results in larger samples and to explore the psychological and physiological pathways through which expectations of racism might affect cardiovascular disease risk across a range of populations.

Indexed as

Carotid Intima-Media ThicknessLife Change EventsRacismSocial Determinants of HealthAdultAnticipation, PsychologicalBlack or African AmericanBlood PressureBody Mass IndexCardiovascular DiseasesDepressionEducational StatusFemaleHostilityHumansMiddle Aged

Identifiers

PMID30801427
PMCPMC6722041
OpenAlexW2920638384

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.