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      Are racial disparities in health conditional on socioeconomic status?

      1 ,
      Social science & medicine (1982)
      Elsevier BV

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          Abstract

          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.

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          Author and article information

          Journal
          Soc Sci Med
          Social science & medicine (1982)
          Elsevier BV
          0277-9536
          0277-9536
          Jan 2005
          : 60
          : 1
          Affiliations
          [1 ] VA Center for the Study of Healthcare Provider Behavior, VA Health Services Research and Development Center of Excellence, Sepulveda Ambulatory and Nursing Home Center, Sepulveda, CA 91343, USA. farmermm@ucla.edu
          Article
          S0277953604002072
          10.1016/j.socscimed.2004.04.026
          15482878
          14eb029c-e039-4395-829c-d58dcbfbeaf4
          History

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