Discrimination and anger control as pathways linking socioeconomic disadvantage to allostatic load in midlife

被引:20
|
作者
Zilioli, Samuele [1 ,4 ]
Imami, Ledina [1 ]
Ong, Anthony D. [2 ,5 ]
Lumley, Mark A. [1 ]
Gruenewald, Tara [3 ]
机构
[1] Wayne State Univ, Dept Psychol, 5057 Woodward Ave, Detroit, MI 48202 USA
[2] Cornell Univ, Dept Human Dev, Ithaca, NY 14853 USA
[3] Chapman Univ, Dept Psychol, Orange, CA USA
[4] Wayne State Univ, Dept Family Med & Publ Hlth Sci, Detroit, MI 48202 USA
[5] Weill Cornell Med Coll, Div Geriatr & Palliat Med, New York, NY USA
关键词
Allostatic load; Discrimination; Anger; SES; CUMULATIVE BIOLOGICAL RISK; AMBULATORY BLOOD-PRESSURE; PERCEIVED DISCRIMINATION; AFRICAN-AMERICAN; EVERYDAY DISCRIMINATION; PSYCHOLOGICAL STRESS; SOCIAL RELATIONSHIPS; HEALTH INEQUALITIES; MEDIATING ROLE; MENTAL-HEALTH;
D O I
10.1016/j.jpsychores.2017.10.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: Recent evidence suggests that experiences of discrimination contribute to socioeconomic status health disparities. The current study examined if the experience and regulation of anger an expected emotional response to discrimination serves as an explanatory factor for the previously documented links between socioeconomic disadvantage (SED), discrimination, and allostatic load. Methods: Data were drawn from the second wave of the Midlife in the United States (MIDUS) study and included 909 adults who participated in the biomarkers subproject. Results: Results revealed that perceived discrimination was associated with higher levels of allostatic load. Furthermore, we found evidence that perceived discrimination and anger control sequentially explained the relationship between SED and allostatic load, such that greater discrimination was associated with lower levels of anger control, which, in turn accounted for the effects of discrimination on allostatic load. These results remained significant after controlling for negative affect, positive affect, other forms of anger expression, as well as demographic covariates. Conclusions: Our findings suggest that low anger control may be an important psychological pathway through which experiences of discrimination influence health.
引用
收藏
页码:83 / 90
页数:8
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