{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T01:11:02Z","timestamp":1778202662358,"version":"3.51.4"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Michigan Integrative Well-Being and Inequality"},{"name":"National Center for Complementary and Integrated Health","award":["R25-AT010664"],"award-info":[{"award-number":["R25-AT010664"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Black Americans have the highest rates of hypertension worldwide, yet the social and psychological mechanisms driving this disparity in older adulthood are not well established. Discrimination is theorized as a salient chronic stressor with implications for cardiovascular health, though findings linking discrimination to hypertension remain mixed. This study examined the role of positive reappraisal, a coping strategy, as a moderator of the association between discrimination and hypertension among older Black adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>Data were drawn from the Nashville Stress and Health Study, a population-based sample in Davidson County, TN. Analyses focused on 273 Black respondents aged 50 and older. Modified Poisson regression models with robust standard errors were used to estimate direct associations between discrimination and positive reappraisal with physician-diagnosed hypertension, adjusting for sociodemographic covariates. We then included a discrimination \u00d7 positive reappraisal interaction to this model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Greater discrimination was associated with lower hypertension risk (RR\u2009=\u20090.89, 95% CI: 0.79\u20130.99). Positive reappraisal was not directly associated with hypertension, but the discrimination x positive reappraisal interaction was significant (RR\u2009=\u20091.07, 95% CI: 1.02\u20131.12), indicating that the association between discrimination and hypertension varied by levels of positive reappraisal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Findings highlight the complex, context-dependent ways that older Black adults cope with racism-related stress. While positive reappraisal may buffer hypertension risk when discrimination is low, alternative strategies may be more protective when discrimination is high. These results underscore the need for culturally grounded interventions that address both exposure and coping in promoting cardiovascular health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gnag001","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T12:43:19Z","timestamp":1768999399000},"source":"Crossref","is-referenced-by-count":0,"title":["Discrimination, positive reappraisal, and hypertension among older Black adults"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3889-548X","authenticated-orcid":false,"given":"Heather R","family":"Farmer","sequence":"first","affiliation":[{"name":"Department of Human Development and Family Sciences, University of Delaware , Newark, Delaware,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4450-7439","authenticated-orcid":false,"given":"\u00c1ngela","family":"Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Western University of Health Sciences , Pomona, California,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8018-0843","authenticated-orcid":false,"given":"Courtney S","family":"Thomas Tobin","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles , Los Angeles, California,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"2026050720544034100_gnag001-B1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.3389\/fpubh.2016.00100","article-title":"Race and urbanity alter the protective effect of education but not income on mortality","volume":"4","author":"Assari","year":"2016","journal-title":"Frontiers in Public Health"},{"key":"2026050720544034100_gnag001-B2","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1177\/0898264304264202","article-title":"Racial differences in perceived discrimination in a community population of older blacks and whites","volume":"16","author":"Barnes","year":"2004","journal-title":"Journal of Aging and Health"},{"key":"2026050720544034100_gnag001-B3","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1093\/abm\/kay069","article-title":"Everyday discrimination prospectively predicts blood pressure across 10 years in racially\/ethnically diverse midlife women: Study of women\u2019s health across the nation","volume":"53","author":"Beatty Moody","year":"2019","journal-title":"Annals of Behavioral Medicine"},{"key":"2026050720544034100_gnag001-B4","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1007\/s10865-008-9193-0","article-title":"Coping with racism: A selective review of the literature and a theoretical and methodological critique","volume":"32","author":"Brondolo","year":"2009","journal-title":"Journal of Behavioral Medicine"},{"key":"2026050720544034100_gnag001-B5","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1080\/14461242.2016.1184989","article-title":"The multidimensionality of health: Associations between allostatic load and self-report health measures in a community epidemiologic study","volume":"25","author":"Brown","year":"2016","journal-title":"Health Sociology Review"},{"key":"2026050720544034100_gnag001-B6","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1037\/0003-066X.54.10.805","article-title":"Racism as a stressor for African Americans: A biopsychosocial model","volume":"54","author":"Clark","year":"1999","journal-title":"The American Psychologist"},{"key":"2026050720544034100_gnag001-B7","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1016\/j.annepidem.2005.11.008","article-title":"Racial discrimination and the incidence of hypertension in US Black women","volume":"16","author":"Cozier","year":"2006","journal-title":"Annals of Epidemiology"},{"key":"2026050720544034100_gnag001-B8","first-page":"422","article-title":"Exploring the association between reported discrimination and hypertension among African Americans: A systematic review","volume":"22","author":"Cuffee","year":"2012","journal-title":"Ethnicity & Disease"},{"key":"2026050720544034100_gnag001-B9","first-page":"585","article-title":"Stress-related racial discrimination and hypertension likelihood in a population-based sample of African Americans","volume":"15","author":"Davis","year":"2005","journal-title":"Ethnicity & Disease"},{"key":"2026050720544034100_gnag001-B10","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1016\/S0277-9536","article-title":"Perceived stress following race-based discrimination at work is associated with hypertension in African\u2013Americans. 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