Race or class versus race and class: mortality differentials in the United States

Navarro, Vicente

doi:10.1016/0140-6736(90)92846-a

Cited by 309 publications

(155 citation statements)

References 6 publications

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“…Consequently, the overlap between race and socioeconomic status complicates efforts to determine whether it is "race and class" or "race or class" that produces disparities in health status. 17,18,24,26,27 In a previous set of analysis, we have demonstrated that the typical approach to dealing with race/SES confounding may not be adequate. 22 That is, simply adjusting for socioeconomic status in multivariate models may not be sufficient to produce truly comparable samples across race groups.…”

Section: Introductionmentioning

confidence: 98%

Exploring Health Disparities in Integrated Communities: Overview of the EHDIC Study

et al. 2007

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Progress in understanding the nature of health disparities requires data that are race-comparative while overcoming confounding between race, socioeconomic status, and segregation. The Exploring Health Disparities in Integrated Communities (EHDIC) study is a multisite cohort study that will address these confounders by examining the nature of health disparities within racially integrated communities without racial disparities in socioeconomic status. Data consisted of a structured questionnaire and blood pressure measurements collected from a sample of the adult population (age 18 and older) of two racially integrated contiguous census tracts. This manuscript reports on baseline results from the first EHDIC site, a low-income urban community in southwest Baltimore, Maryland (EHDIC-SWB). In the adjusted models, African Americans had lower rates of smoking and fair or poor self-rated health than whites, but no race differences in obesity, drinking, or physical inactivity. Our findings indicate that accounting for race differences in exposure to social conditions reduces or eliminates some health-related disparities. Moreover, these findings suggest that solutions to the seemingly intractable health disparities problem that target social determinants may be effective, especially those factors that are confounded with racial segregation. Future research in the area of health disparities should seek ways to account for confounding from SES and segregation.

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Section: Introductionmentioning

confidence: 98%

Exploring Health Disparities in Integrated Communities: Overview of the EHDIC Study

et al. 2007

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“…Recent studies have similarly showed striking differences when comparing additive to multiplicative models (54). As public health scholars answer the call to move beyond asking "race or class" and instead ask how "race and class" pattern health inequities (92), further work will be needed to understand the strengths and limitations of various methodological approaches (8). Studies making explicit use of intersectionality conceptually and methodologically are rare in public health but are a promising way forward in understanding and ameliorating health inequities.…”

Section: Intersectionalitymentioning

confidence: 99%

Relative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation

Nuru-Jeter

Michaels

Thomas

et al. 2018

Annu. Rev. Public Health

110

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An abundance of research has documented health inequalities by race and socioeconomic position (SEP) in the United States. However, conceptual and methodological challenges complicate the interpretation of study findings, thereby limiting progress in understanding health inequalities and in achieving health equity. Fundamental to these challenges is a lack of clarity about what race is and the implications of that ambiguity for scientific inquiry. Additionally, there is wide variability in how SEP is conceptualized and measured, resulting in a lack of comparability across studies and significant misclassification of risk. The objectives of this review are to synthesize the literature regarding common approaches to examining race and SEP health inequalities and to discuss the conceptual and methodological challenges associated with how race and SEP have been employed in 169

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“…37 Race, SES, and Health SES accounts for much of the racial differences in health, yet it is frequently found that SES differences within each racial group are substantially larger than overall racial differences. 2,38,39 Table 2 illustrates the key role that SES plays in racial/ethnic differences in health with national data on activity limitation and self-rated health. The rate of activity limitation due to chronic conditions is higher for blacks than for whites, and blacks are more likely to report being in fair or poor health than whites.…”

Section: Consequences Of Segregation: Racial Differences In Sesmentioning

confidence: 99%

Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health

Williams

Collins

2001

Public Health Reports

1,305

1,015

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Race or class versus race and class: mortality differentials in the United States

Cited by 309 publications

References 6 publications

Exploring Health Disparities in Integrated Communities: Overview of the EHDIC Study

Exploring Health Disparities in Integrated Communities: Overview of the EHDIC Study

Relative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation

Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health

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