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Educational Status, Anger, and Inflammation in the MIDUS National Sample: Does Race Matter?

Jennifer Morozink Boylan¹, Tené T Lewis, Christopher L Coe

¹Department of Psychiatry, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA, boylanja@upmc.edu.

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine

|February 27, 2015

Abstract

Background:

Racial differences in anger frequency and expression styles have been found. Further, African Americans receive fewer health benefits from higher education than Whites.

Purpose:

This study seeks to investigate racial differences in how anger moderates the association between education and inflammation.

Methods:

Midlife in the US participants (n = 1,200; 43.0 % male; 18.5 % African American) provided education and anger data via survey assessments. Interleukin-6 (IL-6) and fibrinogen were determined from a fasting blood sample following an overnight clinic visit.

Results:

African Americans reported higher anger-out, IL-6, and fibrinogen and lower anger-control than Whites. Anger-out predicted higher IL-6 and fibrinogen among African Americans with higher education; whereas, trait anger and anger-out predicted lower fibrinogen among Whites with higher education. Anger-out marginally predicted higher IL-6 in less educated Whites.

Conclusions:

Findings underscore racial differences in the benefits and consequences of educational attainment, and how social inequities and anger are manifested in inflammatory physiology.

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