Journal of Behavioral Medicine

, Volume 23, Issue 4, pp 329–338 | Cite as

Is Skin Color a Marker for Racial Discrimination? Explaining the Skin Color–Hypertension Relationship

  • Elizabeth A. Klonoff
  • Hope Landrine
Article

Abstract

It is widely assumed that dark-skinned Blacks have higher rates of hypertension than their lighter-skinned cohorts because the former experience greater racial discrimination. However, there is no empirical evidence linking skin color to discrimination. This study tested the extent to which skin color is associated with differential exposure to discrimination for a sample of 300 Black adults. Results revealed that dark-skinned Blacks were 11 times more likely to experience frequent racial discrimination than their light-skinned counterparts; 67% of subjects reporting high discrimination were dark-skinned and only 8.5% were light-skinned. These preliminary findings suggest that skin color indeed may be a marker for racial discrimination and highlight the need to assess discrimination in studies of the skin color–hypertension relationship.

skin color Blacks racial discrimination hypertension 

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REFERENCES

  1. Anderberg, M. R. (1973). Cluster Analysis for Applications, Academic Press, New York.Google Scholar
  2. Cohen, S. (1986). Contrasting the Hassles scale and the Perceived Stress Scale: Who's really measuring appraised stress? Am. Psychol. 41: 716-718.Google Scholar
  3. Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. J. Health Soc. Behav. 24: 385-396.Google Scholar
  4. Coresh, J., Klag, M. J., Whelton, P. K., and Kuller, L. H. (1991). Left ventricular hypertrophy and skin color among American Blacks. Am. J. Epidemiol. 134: 129-136.Google Scholar
  5. Dohrenwend, B. S., Krasnoff, L., Askenasy, A., and Dohrenwend, B. P. (1978). Exemplification of a method for scaling life events. J. Health Soc. Behav. 19: 205-229.Google Scholar
  6. Gleiberman, L., Harburg, E., Frone, M. R., Russel, M., and Cooper, M. L. (1995). Skin color, measures of socioeconomic status, and blood pressure among Blacks in Erie County, New York. Ann. Hum. Biol. 22: 69-73.Google Scholar
  7. Harburg, E., Erfrut, J. C., Hauenstein, L. S., Chape, C., Schull, W. J., and Schork, M. A. (1973). Socio-ecological stress, suppressed hostility, skin color, and Black-White male blood pressure. Psychosom. Med. 35: 276-295.Google Scholar
  8. Harburg, E., Gleiberman, L., Roeper, P., Schork, M. A., and Schull, E. J. (1978). Skin color, ethnicity, and blood pressure. Am. J. Public Health 68: 1177-1183.Google Scholar
  9. Kanner, A. D., Coyne, J. C., Schaeffer, C., and Lazarus, R. S. (1981). Comparison of two modes of stress measurement. J. Behav. Med. 4: 1-39.Google Scholar
  10. Keil, J. E., Tyroler, H. A., Sandifer, S. H., and Boyle, E., Jr. (1977). Hypertension: effects of social class and racial admixture: The results of a cohort study of the Black population ofCharleston, South Carolina. Am. J. Public Health 67: 634-639.Google Scholar
  11. Keil, J. E., Sandifer, S. H., Loadholt, C. B., and Boyle, E., Jr. (1981). Skin color and educaiton effects on blood pressure. Am. J. Public Health 71: 532-534.Google Scholar
  12. Klag, M. J., Whelton, P. K., Coresh, J., Grim, C. E., and Kuller, L. H. (1991). The association of skin color with blood pressure in U.S. Blacks with low socioeconomic status. JAMA 265: 599-602.Google Scholar
  13. Klonoff E. A., and Landrine, H. (1999). Cross-validation of the Schedule of Racist Events. J. Black Psychol. 25: 231-254.Google Scholar
  14. Klonoff, E. A., Landrine, H., and Ullman, J. B. (1999). Racial discrimination and psychiatric symptoms among Blacks. Cult. Divers. Ethnic Minor. Psychol. 5(4): 329-339.Google Scholar
  15. Krieger, N. (1990). Racial and gender discrimination: risk factors for high blood pressure? Soc. Sci. Med. 30: 1273-1281.Google Scholar
  16. Krieger N., and Sidney, S. (1996). Racial discrimination and blood pressure:TheCARDIAstudy. Am. J. Public Health 86: 1370-1378.Google Scholar
  17. Krieger N., Sidney, S., and Coakley, E. (1998). Racial discrimination and skin color in the CARDIA study: Implications for public health research. Am. J. Public Health 88: 1308-1313.Google Scholar
  18. Landrine, H., and Klonoff, E. A. (1996). The Schedule of Racist Events: A measure of racial discrimination and a study of its negative physical and mental health consequences. J. Black Psychol. 22(2): 144-168.Google Scholar
  19. Russel, K., Wilson, M., and Hall, R. (1992). The Color Complex: The Politics of Skin Color Among African Americans, Harcourt Brace Jovanovich, New York.Google Scholar

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Elizabeth A. Klonoff
    • 1
  • Hope Landrine
    • 1
  1. 1.Department of PsychologySan Diego State UniversitySan Diego

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