Evidence map›Paper›PMID 34922345›Full record

ArticleThe Gerontologist2022

Early Life Racial Discrimination, Racial Centrality, and Allostatic Load Among African American Older Adults.

Courtney S Thomas Tobin, Ángela Gutiérrez, Caryn N Bell, Roland J Thorpe

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Discrimination, Racial Identity, and Hypertension Among Black Americans Across Young, Middle, and Older Adulthood.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Courtney S Thomas TobinDepartment of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, California, USA.ORCID 0000-0002-8018-0843
Ángela GutiérrezDepartment of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA.ORCID 0000-0003-4450-7439
Caryn N BellDepartment of Social, Behavioral, and Population Sciences, Tulane University School of Public Health & Tropical Medicine, New Orleans, Louisiana, USA.
Roland J ThorpeHopkins Center for Health Disparities Solutions, John Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Johns Hopkins University · USOhio University · USTulane University · USUCLA Health · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
USC/UCLA Center on Biodemography &Population HealthP30AG017265 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE · 1999 to 2026
$17.9M
Why Place MattersU54MD000214 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI GASKIN, DARRELL J. · 2017 to 2022
$8.8M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ · 2016 to 2026
$6.9M
Stress and Mortality Among Black MenK02AG059140 · NIA · JOHNS HOPKINS UNIVERSITY · PI THORPE, ROLAND J. · 2018 to 2022
$1.1M
NCATS NIH HHS UL1 TR001881NCATS NIH HHS UL1TR001881NIA NIH HHS K02 AG059140NIA NIH HHS P2CHD041022NIA NIH HHS P30 AG017265NIA NIH HHS P30 AG021684NICHD NIH HHS P2C HD041022NIH HHS P30-AG021684NIMHD NIH HHS U54 MD000214NIMHD NIH HHS U54MD000214
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPrior research documents accelerated physiological aging among African Americans due to their greater lifetime exposure to social and economic adversity. Yet, less is known about the mechanisms through which early life stressors, such as early life racial discrimination (ELRD), and later life psychosocial resources, such as racial centrality (i.e., importance of Black identity to one's sense of self), interact to shape allostatic load (AL) in adulthood. We evaluate the life course processes linking ELRD, adult racial centrality, and adult AL among older African Americans. RESEARCH DESIGN AND

methodsData from the Nashville Stress and Health Study included African Americans aged 50 and older (N = 260). Poisson regression models assessed the links between ELRD, adult centrality, and adult AL. Interactions determined whether ELRD conditions the centrality-AL association in adulthood.

resultsAdolescent ELRD conferred significantly higher levels of adult centrality and 32% increased risk of high adult AL. Greater adult centrality was linked to high adult AL, but the ELRD-adult AL association was not explained by centrality. However, ELRD and centrality interact to shape adult AL, such that racial centrality was protective against high adult AL for those who experienced racial discrimination as children or adolescents. DISCUSSION AND IMPLICATIONS: Findings highlight the multiple pathways through which racism-related stressors and psychosocial resources interact to shape physiological dysregulation in later life and underscore the health significance of racial identity for older African Americans. Clinicians and public health professionals should assess early life stressors and foster psychosocial resilience to promote healthy aging.

Indexed as

AllostasisRacismAdolescentAdultAgedAgingBlack or African AmericanBlack PeopleHumansMiddle AgedAfrican AmericansEarly life adversityLife coursePhysiological agingRacial identity

Identifiers

PMID34922345
PMCPMC9154246
OpenAlexW4200470288

What OpenQuestion holds

Textmetadata
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.