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Angry in America: Psychophysiological Responses to Unfair Treatment
Julian F Thayer1, Luca Carnevali2, Andrea Sgiofo2
1Department of Psychological Science, University of California, Irvine, CA, USA.
Insights
Racism and discrimination contribute to higher hypertension rates in African Americans. A unique "cardiovascular conundrum" pattern of physiological response to unfair treatment was identified, impacting cardiovascular health.
Area of Science:
- Cardiovascular Health
- Health Disparities
- Psychosocial Factors
Background:
- African Americans experience the highest rates of hypertension-related diseases in the USA.
- Racism and discrimination are linked to increased morbidity and mortality in this population.
- The negative impacts of discrimination extend to families and even those perpetrating bias.
Purpose of the Study:
- Identify a unique physiological response pattern to unfair treatment, termed the "cardiovascular conundrum."
- Characterize this pattern by examining heart rate variability and total peripheral resistance differences between ethnic groups.
Main Methods:
- Review existing evidence supporting the existence of the "cardiovascular conundrum."
- Propose potential physiological and psychological factors underlying this pattern.
- Suggest mitigation strategies for the adverse effects of discrimination.
Main Results:
- The "cardiovascular conundrum" is characterized by greater heart rate variability and total peripheral resistance in African Americans compared to European Americans.
- Evidence supporting this unique physiological response pattern is reviewed.
Conclusions:
- The proposed framework on "cardiovascular conundrum" may extend beyond Black/White disparities to other groups facing unfair treatment.
- Addressing systemic factors perpetuating inequalities is crucial for mitigating health disparities.
- Acknowledging and confronting challenges are necessary steps toward reducing wealth and health disparities.
Background:
African Americans have the highest rates of hypertension-related disease of any ethnic group in the USA. Importantly, racism and discrimination have been linked to these higher rates of morbidity and mortality. Discrimination is deleterious not only to those that are the recipients of this unfair treatment but also to the partners and family members of those affected as well to those that perpetrate this bias.
Purpose:
In this paper, we identify a unique pattern of physiological response to unfair treatment, we have called the "cardiovascular conundrum." This pattern is characterized by greater heart rate variability and greater total peripheral resistance in African Americans compared to their European American counterparts.
Methods And Results:
We review the evidence supporting the existence of this pattern and propose several physiological and psychological factors that might underpin it. We also propose a number of factors that might help to mitigate the deleterious effects associated with it.
Conclusions:
Whereas the context of the current review is on Black/White disparities the framework we propose may be relevant to others exposed to unfair treatment. Ultimately, the systemic factors that perpetuate these inequalities will require that we first acknowledge and then face the challenges they present if we are to address the wealth and health disparities in our country.
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