Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities: The Intersecting Consequences of Race, Gender, SES, and Age.
Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities: The Intersecting Consequences of Race, Gender, SES, and Age.
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DOI：
10.1177/0022146516645165
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发表时间：
2016-06
影响因子：
5
通讯作者：
Thomas CS
中科院分区：
文献类型：
--
作者：
Brown TH;Richardson LJ;Hargrove TW;Thomas CS
本研究探讨了种族，性别，社会经济地位（SES）和年龄的交叉后果如何影响健康不平等。我们借鉴多层次分层和生命历程的观点来解决两个主要的研究问题。首先，种族-民族健康分层是否因性别和/或社会经济地位而异？更具体地说，种族-民族、性别和社会经济分层的联合健康后果是累加的还是倍增的？第二，这种综合的健康不平等在中年和老年之间是减少，保持稳定还是增加？我们使用健康和退休研究（N = 12，976）的面板数据来调查白人，黑人和墨西哥裔美国人自我评估健康状况的组间和组内差异。研究结果表明，种族，民族，性别和社会经济地位分层的影响是相互作用的，导致最大的种族，民族的不平等，在妇女和那些具有较高水平的社会经济地位的健康。此外，健康方面的种族-族裔/性别/社会经济地位不平等往往随着年龄的增长而减少。这些结果与交叉性和年龄均衡假说基本一致。
This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification additive or multiplicative? Second, does this combined inequality in health decrease, remain stable, or increase between middle and late life? We use panel data from the Health and Retirement Study (N = 12,976) to investigate between- and within-group differences in in self-rated health among whites, blacks, and Mexican Americans. Findings indicate that the effects of racial-ethnic, gender, and SES stratification are interactive, resulting in the greatest racial-ethnic inequalities in health among women and those with higher levels of SES. Furthermore, racial-ethnic/gender/SES inequalities in health tend to decline with age. These results are broadly consistent with intersectionality and aging-as-leveler hypotheses.