{"doi":"10.1037/hea0001300","title":"Race, cortisol, and subclinical cardiovascular disease in 9- to 11-year-old children.","abstract":"BACKGROUND: Non-Hispanic Black Americans have a greater risk for certain subtypes of cardiovascular disease (CVD; e.g., stroke and heart failure) relative to non-Hispanic White Americans. Moreover, Black relative to White adults consistently show elevated cortisol, a CVD risk. The impact of race, environmental stress, and cortisol on subclinical CVD has yet to be fully researched in children. METHOD: = 271; 54% female) with roughly half self-identifying as either Black (57%) or White (43%). Two subclinical CVD indicators were assessed: carotid-femoral pulse wave velocity (cfPWV) and carotid intima-media thickness (cIMT). We assessed numerous environmental stress indicators. RESULTS: After adjusting for covariates, we found that Black children had significantly flatter diurnal cortisol slopes, higher hair cortisol, and thicker IMT than White children. Significant pathways were found: race → salivary cortisol slope → cfPWV (effect = -0.059, 95% CI [-0.116, -0.002]) and race → hair cortisol → cIMT (effect = -0.008, [-0.016, -0.002]). Black children also experienced significantly more environmental stress than White children; however, only income inequality served as a significant indirect pathway from race to salivary cortisol (effect = 0.029, [0.003, 0.060]). CONCLUSIONS: Relative to White children, Black children had significantly greater hair cortisol and flatter diurnal slopes which, in turn, were associated with greater subclinical CVD. As suggested by a significant indirect pathway, income inequality might partially explain the race-cortisol association. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","journal":"Health Psychology","year":2023,"id":353986,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8201,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":361458,"name":"Bryce Hruska","orcid":"0000-0002-8651-5827","position":1,"is_corresponding":false},{"id":400022,"name":"Kevin S. Heffernan","orcid":"0000-0002-3499-1477","position":2,"is_corresponding":false},{"id":361461,"name":"Lynn S. Brann","orcid":"0000-0002-7326-6219","position":3,"is_corresponding":false},{"id":1100651,"name":"Margaret A. Voss","orcid":"0000-0002-7969-4871","position":4,"is_corresponding":false},{"id":554789,"name":"Charlotte Labrie‐Cleary","orcid":null,"position":5,"is_corresponding":false},{"id":1101069,"name":"Hana Cheng","orcid":null,"position":6,"is_corresponding":false},{"id":362861,"name":"James A. MacKenzie","orcid":null,"position":7,"is_corresponding":false},{"id":754947,"name":"Sarah E. Woolf‐King","orcid":"0000-0002-5612-1114","position":8,"is_corresponding":false},{"id":763359,"name":"Stephen A. Maisto","orcid":"0000-0001-5470-102X","position":9,"is_corresponding":false},{"id":361460,"name":"Kestutis Bendinskas","orcid":"0000-0002-0275-520X","position":10,"is_corresponding":false},{"id":361457,"name":"Brooks B. Gump","orcid":"0000-0001-5906-6651","position":0,"is_corresponding":true}],"reference_count":75,"raw_metadata":null,"created_at":"2026-07-19T01:13:02.680107Z","pmid":"37410422","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}