Race/ethnicity, gender and the SES gradient in BMI: The diminishing returns of SES for racial/ethnic minorities
Race/ethnicity, gender and the SES gradient in BMI: The diminishing returns of SES for racial/ethnic minorities
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DOI：
10.1111/1467-9566.13267
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发表时间：
2021-04-22
影响因子：
2.9
通讯作者：
Ciciurkaite, Gabriele
中科院分区：
文献类型：
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作者：
Ciciurkaite, Gabriele
利用2013-2016年国家健康和营养调查（NHANES）的数据，这项研究使用肥胖的案例来研究种族和少数民族是否以及在多大程度上从较高的SES中获得的好处相对于他们的白色同行较少。研究结果为健康收益递减假说提供了支持，并通过揭示BMI中明显的性别种族/民族差异为这一观点增加了一个交叉维度。具体来说，研究结果表明，较高的收入和教育与白色人的较低BMI相关，而不是黑人或墨西哥裔美国人。在白色女性中观察到与个体水平SES增加相关的BMI最大幅度的降低。总之，这项研究的经验证据强调，即使获得较高的社会地位（即教育程度或收入），也难以克服较低归因地位（即性别或种族/民族）对健康的不利影响，并为未来确定塑造人口健康结果的复杂层次结构的研究提供了有希望的途径。
Using the 2013-2016 data from the National Health and Nutrition Examination Survey (NHANES), this study uses the case of obesity to examine whether and to what extent racial and ethnic minorities experience fewer benefits from higher SES relative to their white counterparts. Study results provide support for the diminishing returns in health hypothesis and add an intersectional dimension to this perspective by uncovering stark gendered racial/ethnic disparities in BMI. Specifically, research findings demonstrate that higher income and education is associated with lower BMI among white but not black or Mexican American adults. The most substantial decrease in BMI associated with increase in individual-level SES was observed among white women. Taken together, empirical evidence from this study underscores difficulty in overcoming adverse health effects of lower ascribed status (i.e. gender or race/ethnicity) even with attainment of higher achieved social status (i.e. educational attainment or income) and offers promising avenues for future research on identifying complex hierarchies that shape population health outcomes.