ArticleAnnals of epidemiology2019
Differential associations between everyday versus institution-specific racial discrimination, self-reported health, and allostatic load among black women: implications for clinical assessment and epidemiologic studies.
Article in Annals of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed.
- Attending an Historically Black College or University and all-cause mortality in US Black adults.American journal of epidemiology · 2026Article
- Disparities in Allostatic Load Among Different Races: A Comprehensive Scoping Review.Journal of racial and ethnic health disparities · 2025Review
- Allostatic load and cancer risk, progression, and mortality in epidemiologic studies.American journal of epidemiology · 2025Article
- Health Disparities at the Intersection of Racism, Social Determinants of Health, and Downstream Biological Pathways.International journal of environmental research and public health · 2025Review
- Measuring the Interrelationships Between Cognitive Performance, Race/Ethnicity, Discrimination, Health Behaviors, and Physiological Dysregulation: A Path Analysis of the Multi-Ethnic Study of Atherosclerosis.Journal of aging and health · 2025Article
- Racial Discrimination as a Traumatic Bedrock of Healthcare Avoidance: A Pathway Through Healthcare Institutional Betrayal and Mistrust.Healthcare (Basel, Switzerland) · 2025Article
- Perceived everyday discrimination, socioeconomic status, and mammography behavior.Scientific reports · 2024Article
- Exploring Racial Discrimination, Disability Discrimination, and Perception of the Future Among Black-Identifying Emerging Adults with and without Autism in the United States: A Mixed-Methods Descriptive Study.Journal of child & adolescent trauma · 2024Article
- Article
- Allostatic load as a predictor of postoperative complications in patients with breast cancer.NPJ breast cancer · 2024Article
- The EMPOWER program: a history and guide for increasing diversity using integrated research and education.Advances in physiology education · 2024Article
- Association Between Neighborhood Opportunity, Allostatic Load, and All-Cause Mortality in Patients With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- Gendered Racial Microaggressions, Self-silencing, Substance Use, and HIV Outcomes Among Black Women Living with HIV: A Structural Equation Modeling Approach.AIDS and behavior · 2024Article
- The Role of Racism in Childhood Obesity.Current obesity reports · 2024Review
- The Implications of Racialized Economic Segregation and Allostatic Load on Mortality in Patients with Breast Cancer.Annals of surgical oncology · 2024Article
- The Water Surrounding the Iceberg: Cultural Racism and Health Inequities.The Milbank quarterly · 2023Article
- The impact of attending historically Black colleges and universities on cognitive decline in Black adults: A longitudinal analysis in the KHANDLE and STAR cohorts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Institutional Racism and Health: a Framework for Conceptualization, Measurement, and Analysis.Journal of racial and ethnic health disparities · 2023Review
- Incident racial discrimination predicts elevated C-Reactive protein in the Black Women's experiences Living with Lupus (BeWELL) study.Brain, behavior, and immunity · 2023Article
- Racial microaggressions and major discriminatory events explain ethnoracial differences in psychotic experiences.Schizophrenia research · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeBlack women have the highest estimated allostatic load (AL). AL and self-perceived health are strong health predictors and have been linked to racial discrimination. Research suggests that everyday and institution-specific racial discrimination may predict different AL and self-reported health (SRH) outcomes. Furthermore, discrepancies between AL and self-perceived health could widen disparities. We estimated associations between everyday versus institution-specific racial discrimination with AL and SRH.
methodsData are from a San Francisco Bay Area community sample of 208 black women aged 30-50 years. Participation involved a questionnaire, self-interview, blood draw, and anthropometric measurements. Adjusted generalized linear regression models estimated associations of racial discrimination with AL and SRH.
resultsAfter adjusting for age, socioeconomic position, and medication use, institution-specific discrimination was negatively associated with AL (i.e., better health), whereas everyday experiences showed no association. Those reporting very-high (vs. moderate) institution-specific discrimination had lower AL (β = -1.31 [95% CI: -2.41, -0.20]; AL range: 0-15). No racial discrimination-SRH association was found.
conclusionsFor black women, (1) institution-specific racial discrimination may be differentially embodied compared with everyday experiences and (2) institutional racism may contribute to physiologic stress-regulation regardless of self-perceived health status. Potential factors that may contribute to an inverse racial discrimination-AL association, and future research, are discussed.
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