Table 4. Summary of evidence examining the links between discrimination and cardiovascular health among socially stigmatized groups.
Cardiovascular health risk factor Type of discrimination (N = 84 Studies) |
Cross-sectional (correlational) Total (+ studies) |
Experimental Total (+ studies) |
Longitudinal Total (+ studies) |
RCT Total (+ studies) |
---|---|---|---|---|
Blood Pressure (n = 45) | ||||
Race (n = 43) | 35 (24) | 4 (4) | 0 | 4 (4) |
Weight (n = 1) | 0 | 1 (1) | 0 | 0 |
Gender (n = 0) | 0 | 0 | 0 | 0 |
Sexual orientation (n = 0) | 0 | 0 | 0 | 0 |
Age (n = 0) | 0 | 0 | 0 | 0 |
Multiple types (n = 1) | 1 (1) | 0 | 0 | 0 |
Heart rate variability / heart rate (n = 6) | ||||
Race (n = 5) | 4 (4) | 1 (1) | 0 | 0 |
Weight (n = 1) | 0 | 1 (1) | 0 | 0 |
Gender (n = 0) | 0 | 0 | 0 | 0 |
Sexual orientation (n = 0) | 0 | 0 | 0 | 0 |
Age (n = 0) | 0 | 0 | 0 | 0 |
Blood/saliva cardiovascular biomarkers (n = 18) | ||||
Race (n = 9) | 6 (6) | 2 (2) | 1 (1) | 0 |
Weight (n = 6) | 3 (3) | 0 | 0 | 3 (3) |
Gender (n = 0) | 0 | 0 | 0 | 0 |
Sexual orientation (n = 2) | 2 (2) | 0 | 0 | 0 |
Age (n = 0) | 0 | 0 | 0 | 0 |
Multiple types (n = 1) | 1 (1) | 0 | 0 | 0 |
Other cardiovascular health risk factors (n = 15) | ||||
Race (n = 9) | 8 (8) | 0 | 1 (1) | 0 |
Weight (n = 3) | 0 | 0 | 3 (3) | 0 |
Gender (n = 0) | 0 | 0 | 0 | 0 |
Sexual orientation (n = 0) | 0 | 0 | 0 | 0 |
Age (n = 0) | 0 | 0 | 0 | 0 |
Multiple types (n = 3) | 1 (1) | 0 | 1 (1) | 1 (0) |
Totals | 61 (50) | 9 (9) | 6 (6) | 8 (7) |
+ studies denotes the number of studies that demonstrated significant findings linking stigma/discrimination and cardiovascular health; RCT = Randomized controlled trial