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      Education and Income Predict Future Emotional Well-Being of Whites but Not Blacks: A Ten-Year Cohort

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          Abstract

          Background: The Minorities’ Diminished Return (MDR) theory is defined as systematically smaller effects of socioeconomic status (SES) on the health and well-being of minority groups when compared to Whites. To extend the existing literature on the MDR theory as applied to the change of mental well-being over time, we investigated Black-White differences in the effects of baseline education and income on subsequent changes in positive and negative affect over a ten-year period. Methods: The Midlife in the United States (MIDUS) is a 10-year longitudinal study of American adults. This analysis followed 3731 adults who were either Whites ( n = 3596) or Blacks ( n = 135) for 10 years. Education and income, as measured at baseline and 10 years later, were the independent variables. Negative and positive affect, measured at baseline and over ten years of follow up, were the dependent variables. Covariates were age, gender, and physical health (body mass index, self-rated health, and chronic medical conditions), measured at baseline. Race was the focal moderator. We ran multi-group structural equation modeling in the overall sample, with race defining the groups. Results: High education at baseline was associated with an increase in income over the 10-year follow up period for Whites but not Blacks. An increase in income during the follow up period was associated with an increase in the positive affect over time for Whites but not Blacks. Conclusion: The MDR theory is also relevant to the effects of baseline education attainment on subsequent changes in income and then in turn on positive affect over time. The relative disadvantage of Blacks in comparison to Whites in receiving mental health gains from SES may reflect structural racism and discrimination in the United States. There is a need for additional research on specific societal barriers that minimize Blacks’ mental health gains from their SES resources, such as education and income. There is also a need for policies and programs that help Blacks to leverage their SES resources.

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          Is Racism a Fundamental Cause of Inequalities in Health?

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            Race, socioeconomic status, and health: complexities, ongoing challenges, and research opportunities.

            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.
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              Life course epidemiology.

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                Author and article information

                Journal
                Brain Sci
                Brain Sci
                brainsci
                Brain Sciences
                MDPI
                2076-3425
                29 June 2018
                July 2018
                : 8
                : 7
                : 122
                Affiliations
                [1 ]Department of Psychology, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA
                [2 ]Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA; preisebj@ 123456med.umich.edu (B.P.); mbkelly@ 123456umich.edu (M.K.)
                [3 ]Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
                Author notes
                [* ]Correspondence: assari@ 123456umich.edu ; Tel.: +1-734-363-2678
                Author information
                https://orcid.org/0000-0002-5054-6250
                https://orcid.org/0000-0003-4558-5076
                https://orcid.org/0000-0002-7151-1938
                Article
                brainsci-08-00122
                10.3390/brainsci8070122
                6070982
                29966278
                ae5f0a77-12cb-4a8a-9846-d0289d5b5789
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 08 June 2018
                : 28 June 2018
                Categories
                Article

                race,social class,socioeconomic status,positive affect,negative affect

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