Stress, trauma, racial/ethnic group membership, and HPA function: Utility of hair cortisol

Am J Orthopsychiatry. 2020;90(2):193-200. doi: 10.1037/ort0000424. Epub 2019 Sep 30.

Abstract

Discrimination, poverty, and other aspects of the minority experience produce stress associated with health disparities. The hypothalamic-pituitary-adrenal (HPA) axis, a neuroendocrine subsystem usually monitored through assay of the hormone cortisol, is thought to play a key role in this relationship. Cortisol assay using hair specimens is a technology that promises to address important methodological problems in large-scale studies of health, well-being, and racial/ethnic status. The purpose of this study is to evaluate the potential of a hair cortisol assay-based method for studying trait-like HPA response to low to moderate levels of stress, associated with racial/ethnic discrimination and related social processes, among well-functioning young adults. The hair cortisol measure was shown to be highly reliable; it detected differences in gender and ethnic/racial identity and was correlated with a history of physical abuse and measures of experienced microaggression. The results support the promise of hair-based cortisol assay as a key methodology in health disparities research. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

MeSH terms

  • Adult
  • Biomarkers / metabolism
  • Ethnicity*
  • Female
  • Hair / metabolism
  • Humans
  • Hydrocortisone / metabolism*
  • Hypothalamo-Hypophyseal System* / metabolism
  • Male
  • Minority Groups*
  • Psychological Trauma* / diagnosis
  • Psychological Trauma* / ethnology
  • Psychological Trauma* / metabolism
  • Sex Factors
  • Social Discrimination*
  • Stress, Psychological* / diagnosis
  • Stress, Psychological* / ethnology
  • Stress, Psychological* / metabolism
  • Young Adult

Substances

  • Biomarkers
  • Hydrocortisone