Evidence map›Paper›PMID 36595402›Full record

ArticleThe American psychologist2022

Brain-body pathways linking racism and health.

Keely A Muscatell, Gabriella M Alvarez, Adrienne S Bonar, Megan N Cardenas, Manuel J Galvan, Carrington C Merritt, Maurryce D Starks

Abstract read
In one paragraph

Article in The American psychologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  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
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  10. Observational
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  14. Contemplative Practices as a Form of Stress Management for Patients with Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Review
  15. Article
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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.

Keely A MuscatellDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0002-7893-5565
Gabriella M AlvarezDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0002-6710-3501
Adrienne S BonarDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0002-4887-6867
Megan N CardenasDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0001-9406-6606
Manuel J GalvanDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0003-1879-3275
Carrington C MerrittDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0003-1450-2178
Maurryce D StarksDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill.ORCID 0000-0002-1573-9997

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Neural and Molecular Mechanisms Underlying Stress-Induced Inflammatory ResponsesR01HL157422 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MUSCATELL, KEELY ANN · 2021 to 2025
$3.0M
National Science FoundationNHLBI NIH HHS R01 HL157422NICHD NIH HHS P2C HD050924NIH HHS
6 · The paper itself

Abstract

Racial disparities in health are a major public health problem in the United States, especially when comparing chronic disease morbidity and mortality for Black versus White Americans. These health disparities are primarily due to insidious anti-Black racism that permeates American history, current culture and institutions, and interpersonal interactions. But how does racism get under the skull and the skin to influence brain and bodily processes that impact the health of Black Americans? In the present article, we present a model describing the possible neural and inflammatory mechanisms linking racism and health. We hypothesize that racism influences neural activity and connectivity in the salience and default mode networks of the brain and disrupts interactions between these networks and the executive control network. This pattern of neural functioning in turn leads to greater sympathetic nervous system signaling, hypothalamic-pituitary-adrenal axis activation, and increased expression of genes involved in inflammation, ultimately leading to higher levels of proinflammatory cytokines in the body and brain. Over time, these neural and physiological responses can lead to chronic physical and mental health conditions, disrupt well-being, and cause premature mortality. Given that research in this area is underdeveloped to date, we emphasize opportunities for future research that are needed to build a comprehensive mechanistic understanding of the brain-body pathways linking anti-Black racism and health. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

Black or African AmericanRacismChronic DiseaseHumansHypothalamo-Hypophyseal SystemInflammationPituitary-Adrenal SystemRacial GroupsUnited StatesWhite People

Identifiers

PMID36595402
PMCPMC9887645

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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.