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Experiences of Racism Associated with Self-Reported Hypertension Among African American/Black Individuals
Jacquelyn V Coats1, Kia L Davis2, Erin L Linnenbringer2
1Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA. jacquelyn.coats@duke.edu.
Journal of Racial and Ethnic Health Disparities
|September 16, 2025
Summary
Experiences of racism, particularly job discrimination, are linked to higher hypertension odds in African American adults. Findings reveal sex-based differences in racism
Area of Science:
- Public Health
- Sociology
- Health Disparities
Background:
- Racism is a significant social determinant of health impacting African Americans.
- Understanding the multifaceted nature of racism experiences is crucial for health outcomes.
- Hypertension prevalence is a critical concern within the African American community.
Purpose of the Study:
- To examine the association between various racism experiences and hypertension odds in African American adults.
- To investigate how sex influences the relationship between racism experiences and hypertension.
- To explore geographical and domain-specific variations in racism experiences.
Main Methods:
- Utilized data from the African American Identity, Socialization, Discrimination, and Outcomes Project (n=1177).
- Assessed perceived racism experiences across six domains: personal, education, employment, housing, law, and police interaction.
- Employed logistic regression to analyze the impact of discrimination on hypertension odds, stratified by sex.
Main Results:
- Job discrimination was significantly associated with increased hypertension odds (OR=1.44).
- Having a usual source of care was linked to higher hypertension odds (OR=1.73).
- Among females, higher education (college/graduate degree) was associated with lower hypertension odds (OR=0.52).
Conclusions:
- Racism experiences differ across domains and vary by age and sex.
- Sex-based differences exist in the association between racism experiences and hypertension.
- Identifying salient racism experiences is key to understanding their health impacts.
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