Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities
Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities
复制标题
DOI：
10.1111/j.1749-6632.2009.05339.x
复制
发表时间：
2010-01-01
期刊：
影响因子：
--
通讯作者：
Collins, Chiquita
中科院分区：
文献类型：
--
作者：
Williams, David R.;Mohammed, Selina A.;Collins, Chiquita
本文概述了健康方面的种族差异，并表明不同种族群体的社会经济地位（SES）差异是造成健康方面种族差异的主要原因。然而，种族反映了社会不平等的多个维度，个人和家庭的社会经济地位指标反映了这一现象的相关但有限的方面。需要进行研究来全面描述社会环境的关键致病特征，并确定它们如何相互结合以影响生命历程中的健康。移民历史和身份也是健康的重要预测因素，需要进行研究来加深对种族、社会经济地位和移民身份共同影响健康的复杂方式的理解。充分了解种族在健康中的作用还需要严格检查医疗保健和遗传因素在哪些条件下会导致种族和社会经济地位的健康差异。该论文确定了所有这些领域的研究重点。
This paper provides an overview of racial variations in health and shows that differences in socioeconomic status (SES) across racial groups are a major contributor to racial disparities in health. However, race reflects multiple dimensions of social inequality and individual and household indicators of SES capture relevant but limited aspects of this phenomenon. Research is needed that will comprehensively characterize the critical pathogenic features of social environments and identify how they combine with each other to affect health over the life course. Migration history and status are also important predictors of health and research is needed that will enhance understanding of the complex ways in which race, SES, and immigrant status combine to affect health. Fully capturing the role of race in health also requires rigorous examination of the conditions under which medical care and genetic factors can contribute to racial and SES differences in health. The paper identifies research priorities in all of these areas.