This investigation studied the potential effects of societal moderniza
tion on Samoan children's blood pressure and heart rate reactivity to
a standardized television video game procedure. Ethnic Samoan children
were sampled from Western Samoa (N = 72), a relatively underdeveloped
country with a largely agricultural economy, and American Samoa (N =
70), a territory of the United States that has undergone substantial m
odernization due to recent economic aid. Results indicated that Wester
n Samoans demonstrated significantly greater systolic blood pressure,
diastolic blood pressure, and heart rate reactivity than American Samo
ans. These data, in conjunction with previous data, suggest that the h
emodynamic effects of an acute stressor are inversely associated with
societal modernization and an individual's adoption of a lifestyle ref
lecting integration into a modernized society. Further work is needed
to examine the implications of this hypothesis and the associations am
ong concrete measures of modernization and children's cardiovascular r
isk.