Education, income, and net worth explain more US racial/ethnic health disparities than health behaviors and insurance

2007 ◽  
Author(s):  
Thomas E. Fuller-Rowell ◽  
David S. Curtis ◽  
Adrienne M. Duke

Conceptual frameworks for racial/ethnic health disparities are abundant, but many have received insufficient empirical attention. As a result, there are substantial gaps in scientific knowledge and a range of untested hypotheses. Particularly lacking is specificity in behavioral and biological mechanisms for such disparities and their underlying social determinants. Alongside lack of political will and public investment, insufficient clarity in mechanisms has stymied efforts to address racial health disparities. Capitalizing on emergent findings from the Midlife in the United States (MIDUS) study and other longitudinal studies of aging, this chapter evaluates research on health disparities between black and white US adults. Attention is given to candidate behavioral and biological mechanisms as precursors to group differences in morbidity and mortality and to environmental and sociocultural factors that may underlie these mechanisms. Future research topics are discussed, emphasizing those that offer promise with respect to illuminating practical solutions to racial/ethnic health disparities.


2012 ◽  
Vol 18 (3) ◽  
pp. 227-243 ◽  
Author(s):  
Luisa N. Borrell ◽  
Catarina I. Kiefe ◽  
Ana V. Diez-Roux ◽  
David R. Williams ◽  
Penny Gordon-Larsen

2018 ◽  
Vol 28 (2) ◽  
pp. 123 ◽  
Author(s):  
Lauren Brown ◽  
Reginald Tucker-Seeley

<p>The recent trend of premature death among Whites in the United States has garnered attention in both the popular and academic literature. This attention has focused on the plight of low socioeconomic status Whites in non-urban areas. The population health lit­erature in general and the health disparities literature more specifically has struggled to describe differences in health when White groups present worse health outcomes or worsening trends compared with racial/ ethnic minority groups. There remain many open questions as population health/health disparities research attempts to explain the increasing mortality rates for low socioeco­nomic status Whites in non-urban areas in relationship to other racial/ethnic groups. As the conversation in the academic and popular literature continues to unfold, a key question for population health research and practice is how will the ‘deaths of despair’ phenomenon among Whites influence our measuring of, and reporting and interven­ing on, race/ethnic health disparities? <em></em></p><p><em>Ethn Dis. </em>2018;28(2):123-128; doi:10.18865/ ed.28.2.123.</p>


Author(s):  
Ruban Dhaliwal ◽  
Rocio I Pereira ◽  
Alicia M Diaz-Thomas ◽  
Camille E Powe ◽  
Licy L Yanes Cardozo ◽  
...  

Abstract The Endocrine Society recognizes racism as a root cause of the health disparities that affect racial/ethnic minority communities in the United States and throughout the world. In this policy perspective, we review the sources and impact of racism on endocrine health disparities and propose interventions aimed at promoting an equitable, diverse, and just healthcare system. Racism in the healthcare system perpetuates health disparities through unequal access and quality of health services, inadequate representation of health professionals from racial/ethnic minority groups, and the propagation of the erroneous belief that socially constructed racial/ethnic groups constitute genetically and biologically distinct populations. Unequal care, particularly for common endocrine diseases such as diabetes, obesity, osteoporosis, and thyroid disease, results in high morbidity and mortality for individuals from racial/ethnic minority groups, leading to a high socioeconomic burden on minority communities and all members of our society. As health professionals, researchers, educators, and leaders, we have a responsibility to take action to eradicate racism from the healthcare system. Achieving this goal would result in high-quality health care services that are accessible to all, diverse workforces that are representative of the communities we serve, inclusive and equitable workplaces and educational settings that foster collaborative teamwork, and research systems that ensure that scientific advancements benefit all members of our society. The Endocrine Society will continue to prioritize and invest resources in a multifaceted approach to eradicate racism, focused on educating and engaging current and future health professionals, teachers, researchers, policy makers, and leaders.


2008 ◽  
Vol 5 (1) ◽  
pp. 27-47 ◽  
Author(s):  
Jay A. Pearson

AbstractA basic tenet of public health is that there is a robust relationship between socioeconomic status and health. Researchers widely accept that persons at average or median levels of socioeconomic status have better health compared to those at lower levels—with a detectable, if diminishing, gradient at even higher levels of socioeconomic status. The research on which this tenet is based, however, focuses largely on Whites, especially on White men. Yet according to the full range of extant findings, the magnitude and in some cases the direction of this relationship vary considerably for other demographic groups.I argue that the failure to clearly qualify study conclusions when they are restricted to the study of Whites impedes our understanding of the varying relationship between socioeconomic status and health for different demographic groups. Such an impediment is particularly harmful when considering health inequalities among populations defined by race and ethnicity. Frameworks and models based on traditional socioeconomic measures may mask heterogeneity, overestimate the benefits of material resources, underestimate psychosocial and physical health costs of resource acquisition for some groups, and overlook the value of alternative sociocultural orientations. These missed opportunities have grave consequences: large racial/ethnic health disparities persist while the health disadvantages of Black Americans continue to grow in key aspects. A new knowledge base is needed if racial/ethnic health disparities are to be eliminated, including new guiding theoretical frameworks, reinterpretations of existing research, and new empirical research. This article aims to initiate discussion on all three dimensions.


2020 ◽  
Vol 14 (6) ◽  
Author(s):  
Tse‐Chuan Yang ◽  
Kiwoong Park ◽  
Stephen A. Matthews

2019 ◽  
Vol 13 (6) ◽  
pp. 155798831989448
Author(s):  
Jaewon Lee ◽  
Jisuk Seon

Although promoting health behaviors are important for sustaining physical and mental health, little is known about young adult men’s health behaviors or how they vary across race and ethnicity. This study examines the impact of educational attainment on health behaviors across young adult men, and differences in the association across race/ethnicity. This study used data from the National Longitudinal Survey of Youth 1979 Children and Young Adults. The final sample consists of 3,115 non-Hispanic White males, 1,617 African American males, and 1,144 Hispanic males. The average age of the participants was about 27 years old. Multiple linear regression and logistic regression analyses were conducted. Educational attainment was associated with both food intake and preventive health care visits. Those who received a higher education were less likely to eat fast food than those who did not (β = –.37, p < .001) and were more likely to eat fruits and vegetables (β = .77, OR = 2.15, p < .01; β = 6.44, OR = 1.91, p < .10). Higher education was also positively associated with routine eye exams and health check-ups (β = .50, OR = 1.64, p < .01); β = 1.84, OR = 6.29, p < .01). This study identified interaction effects between educational attainment and African Americans for predicting fast food intake (β = .57, p < .05). Education is one way to improve health behaviors and to lessen racial/ethnic disparities in health behaviors. Specifically, promoting health behaviors in education should target African American men to improve their perception toward the importance of healthy food intake.


2014 ◽  
Vol 39 (4) ◽  
pp. 792-799 ◽  
Author(s):  
James H. Price ◽  
Robert E. Braun ◽  
Jagdish Khubchandani ◽  
Erica Payton ◽  
Prasun Bhattacharjee

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