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Colorism and Health Inequities among Black Americans

A Biopsychosocial Perspective

Bibliographic Data

ID3439202
AuthorsA C Dennis (0000-0001-6366-9850, McGill University, Montreal, QC, Canada, corresponding author), Reed Deangelis (0000-0002-6471-9802, University of Michigan, Ann Arbor, MI, USA), T W Hargrove (0000-0002-8759-1944, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA), Jay A Pearson (0000-0003-4290-0229, Duke University, Durham, NC, USA)
Year2025
Pages221465251364373-221465251364373
Publication date2025-09-22
Open AccessYes
TypeARTICLE
VenueJournal of Health and Social Behavior (JOURNAL)
Journal identifiersISSN: 0022-1465 • E-ISSN: 2150-6000
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/00221465251364373
PMID40981000
OpenAlexW4414409284
LanguageEN
Citations received1
References cited60

The mechanisms generating skin-tone-based health inequities among ethnic Black Americans remain poorly understood. To address this gap, our study advances a novel biopsychosocial model of embodied colorism-related distress. We test this model with survey and biomarker data from a community sample of working-age Black adults from Nashville, Tennessee (2011-2014; N = 627). Relying on self-rated, interviewer-rated, and discordant skin tone measures, our analyses reveal that Black adults who perceive themselves as dark-skinned tend to have a lower sense of mattering and shorter telomeres, a biomarker of accelerated cellular degradation and aging, relative to their peers who perceive their skin to be lighter. These patterns hold across various social contexts and regardless of interviewer-rated skin tone, indicating that subjective skin tone may be a particularly robust gauge of colorism-related stress processes. Our study reveals critical and previously unexplored biopsychosocial mechanisms linking colorism to health inequity

Biopsychosocial model · Embodied cognition · Ethnic group · Health psychology · National Health Interview Survey · Perspective (graphical) · Racism · Social determinants of health · Socioeconomic status · Climate Change and Health Impacts · Evolutionary Psychology and Human Behavior · Gender Roles and Identity Studies

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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