Are racial disparities in health conditional on socioeconomic status?
Are racial disparities in health conditional on socioeconomic status?
复制标题
DOI：
10.1016/j.socscimed.2004.04.026
复制
发表时间：
2005-01-01
影响因子：
5.4
通讯作者：
Ferraro, KF
中科院分区：
文献类型：
--
作者：
Farmer, MM;Ferraro, KF
种族健康不平等与社会经济地位（SES）有关，但对这种关系的性质存在争议。使用美国国家健康和营养检查调查I和随后的随访访谈，本研究探讨了白色和黑人成年人之间的健康差异，以及美国两组之间的SES/健康梯度是否不同。两个竞争机制的条件或种族和SES之间的互动关系对健康的研究在20年期间为黑人和白色美国人。结果显示，与白色成年人相比，黑人成年人在开始研究时患有更多严重疾病，自我评估的健康状况更差，这种差异持续了20年。种族和教育以及种族和就业状况之间的健康结果显着的相互作用。种族和教育的相互作用效应表明，在自我评价的健康的种族差异是最大的在较高水平的社会经济地位，提供了一些证据的“收益递减”假说;随着教育水平的提高，黑人成年人没有同样的改善自我评价的健康作为白色成年人。总的来说，研究结果为种族和SES在确定健康状况方面的持续重要性提供了证据。(C)2004爱思唯尔有限公司保留所有权利。
Racial health inequality is related to socioeconomic status (SES), but debate ensues on the nature of the relationship. Using the US National Health and Nutrition Examination Survey I and the subsequent follow-up interviews, this research examines health disparities between white and black adults and whether the SES/health gradient differs across the two groups in the USA. Two competing mechanisms for the conditional or interactive relationship between race and SES on health are examined during a 20-year period for black and white Americans. Results show that black adults began the study with more serious illnesses and poorer self-rated health than white adults and that the disparity continued over the 20 years. Significant interactions were found between race and education as well as race and employment status on health outcomes. The interaction effect of race and education showed that the racial disparity in self-rated health was largest at the higher levels of SES, providing some evidence for the "diminishing returns" hypothesis; as education levels increased, black adults did not have the same improvement in self-rated health as white adults. Overall, the findings provide evidence for the continuing significance of both race and SES in determining health status over time. (C) 2004 Elsevier Ltd. All rights reserved.