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Record W1221240696

Discrimination and Cardiovascular Disease in Blacks

2014· dissertation· en· W1221240696 on OpenAlexfundaboutno aff
Cynthia M. Dolezsar

Bibliographic record

VenueSpectrum Research Repository (Concordia University) · 2014
Typedissertation
Languageen
FieldSocial Sciences
TopicRacial and Ethnic Identity Research
Canadian institutionsnot available
FundersConcordia University
KeywordsModerationRacismDiseaseBlood pressurePsychologyPopulationClinical psychologyDemographyAfrican descentMedicineGerontologyInternal medicineSocial psychologyEnvironmental healthPolitical science
DOInot available

Abstract

fetched live from OpenAlex

This thesis is comprised of three studies conducted to further understand the role of racial discrimination in the increased risk of hypertension among individuals of African descent in North America. These studies extend previous research by testing the proposed link between racism and cardiovascular functioning in a laboratory setting and by quantitatively summarizing research findings. The pool of studies having estimated the association between perceived discrimination and blood pressure has yielded mixed results. As well, previous literature reviews have been qualitative and thus did not ascertain the magnitude of the relationship nor have they quantified the effect of moderator variables. To fill this gap in the literature, in the first study a meta-analysis of previous research examining the link between perceived racism and blood pressure was conducted. Results revealed a small relation between perceived racism and hypertension, but not with resting blood pressure. Blacks also experience a higher degree of stress than Whites due to racial discrimination and its consequences. Over time, sustained activation from stress has been posited to lead to structural changes in the vascular system resulting in disease. Exaggerated cardiovascular reactivity to stress has been found to be predictive of future cardiovascular disease (Chida & Steptoe, 2010). Several studies have demonstrated increased vascular reactivity to stress in Blacks as compared to Whites. This line of research, however, has exclusively been tested on American samples. The second study therefore sought to examine reactivity in a Canadian population, where the macro culture for Blacks differs from the U.S. in important ways. Black men were shown to exhibit greater vascular response to laboratory stress. A direct association between perceived racism and reactivity to stress was, however, not observed. Several researchers have proposed that other factors moderate the relation between discrimination and cardiovascular functioning. Anger has extensively been studied in relation to cardiovascular disease but few studies have looked at its relation to perceiving racism. The final study revealed that the influence of perceived racism on blood pressure reactivity depends on how anger is typically expressed. Taken together, these explain the increased risk of cardiovascular disease among Blacks.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.266
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0020.001
Science and technology studies0.0020.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.034
GPT teacher head0.320
Teacher spread0.286 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2014
Admission routes2
Has abstractyes

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