Posttraumatic stress disorder (PTSD) is linked to a greater risk of chronic illness.
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Exposure to social inequities may lead to a greater susceptibility to PTSD sequelae.
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We evaluated moderation of the relationship between PTSD and chronic illness by race.
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PTSD was more strongly associated with diabetes among blacks versus whites.
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Social inequities and mental health may contribute synergistically to chronic illness.
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