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.
Abstract

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