ArticlePsychosomatic medicine2024
All Stressors Are Not Equal: The Salience of Racial Discrimination and Appraisal for Blood Pressure in African American Women.
Article in Psychosomatic medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Depression Among Black College Women: Mediating Effect of Coping Styles.Research in nursing & health · 2026Article
- The Buffer Effect of Social Identity on Psychological Stress in Different Competition Conditions.Behavioral sciences (Basel, Switzerland) · 2026Article
- Area deprivation, social vulnerability, and post-pregnancy blood pressure.medRxiv : the preprint server for health sciences · 2026Article
- Signaling Allyship Via EARS: An Investigation of a Novel Allyship Framework Among Black Women in Maternal Health Settings.Journal of racial and ethnic health disparities · 2025Article
- Major experiences of perceived discrimination across life and biological aging.Psychoneuroendocrinology · 2025Article
- Racial disparities in hypertension subtype prevalence over the lifecourse: evidence of accelerated arterial ageing in a population representative cross-sectional study.BMJ public health · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
objectivePsychosocial stress is a major predictor of chronic disease among African American (AA) women. Stress is a process involving exposure, appraisal of threat, coping, and psychobiologic adaptation. However, many studies focus on the frequency of stress events and/or coping; few explicitly study stress events and their appraisals; and AA women experience high levels of racial discrimination, a well-known form of social identity threat (i.e., negative experiences due to judgment based on identity). Stressors related to social identity threat may be differentially appraised and associated with divergent physiologic outcomes. This study examined the differences in the frequency and stressfulness associated with general stressors and racial discrimination in relation to blood pressure (BP) among AA women.
methodsMultivariable regression was used on cross-sectional data from 208 middle-aged AA women residing in the San Francisco Bay Area.
resultsAA women reported less frequency of racial discrimination compared with general stressors, but were more likely to appraise racial discrimination events as stressful. Racial discrimination stressfulness was more strongly associated with systolic BP (SBP) than the number of racial discrimination events. There was a U-shaped association between racial discrimination stress and SBP, with those reporting "none" and "high/very high" distress having the highest SBP ( b = 12.2 [2.7 to 21.8] and b = 15.7 [1.5-29.8], respectively, versus moderate stress). Conversely, those reporting "very low" general stressfulness had the lowest SBP ( b = -7.9 [-15.8 to -0.1], versus moderate stress). Diastolic BP followed a similar pattern, although results were nonsignificant.
conclusionsThis study highlights the importance of stress appraisal measures and adds to the body of evidence documenting racial discrimination as a salient psychosocial stressor for AA women.
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