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A new conceptualization of ethnicity for social epidemiologic and health equity research
Open accessAbstract
Although social stratification persists in the US, differentially influencing the well-being of ethnically defined groups, ethnicity concepts and their implications for health disparities remain under-examined. Ethnicity is a complex social construct that influences personal identity and group social relations. Ethnic identity, ethnic classification systems, the groupings that compose each system and the implications of assignment to one or another ethnic category are place-, time- and context-specific. In the US, racial stratification uniquely shapes expressions of and understandings about ethnicity. Ethnicity is typically invoked via the term, 'race/ethnicity'; however, it is unclear whether this heralds a shift away from racialization or merely extends flawed racial taxonomies to populations whose cultural and phenotypic diversity challenge traditional racial classification. We propose that ethnicity be conceptualized as a two-dimensional, context-specific, social construct with an attributional dimension that describes group characteristics (e.g., culture, nativity) and a relational dimension that indexes a group's location within a social hierarchy (e.g., minority vs. majority status). This new conceptualization extends prior definitions in ways that facilitate research on ethnicization, social stratification and health inequities. While federal ethnic and racial categories are useful for administrative purposes such as monitoring the inclusion of minorities in research, and traditional ethnicity concepts (e.g., culture) are useful for developing culturally appropriate interventions, our relational dimension of ethnicity is useful for studying the relationships between societal factors and health inequities. We offer this new conceptualization of ethnicity and outline next steps for employing socially meaningful measures of ethnicity in empirical research. As ethnicity is both increasingly complex and increasingly central to social life, improving its conceptualization and measurement is crucial for advancing research on ethnic health inequities.
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“For instance, Ford and Hawara propose a methodology for the operationalization of race within health equity studies as a multidimensional, context-specific variable with a relational component to explicitly capture the effects of racial stratification on health outcomes [34].”
From Towards a critical race methodology in algorithmic fairness (2020) · cites this paper as [34]
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Metadata
- Authors
- Ford, C. L., & Harawa, N. T.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Ford, Chandra L.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 71
- Issue
- 2
- Pages
- 251-258
- ISSN
- 0277-9536 (ISSN-L)
- PMC
- PMC2908006
- OpenAlex
- W2112277490
- Cited by
- 263
- References
- 74
- Citations by year
- 2026: 14 · 2025: 20 · 2024: 37 · 2023: 29 · 2022: 30 · 2021: 24 · 2020: 20 · 2019: 11 · 2018: 9 · 2017: 5 · 2016: 9 · 2015: 12 · 2014: 9 · 2013: 12 · 2012: 14
- FWCI
- 35.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- W. K. Kellogg Foundation Kellogg Health Scholars Program (P0117943)
- Drew/UCLA Project EXPORT (5-P20-MD000182-05; 2 P20MD00182-06)
- Center for the Advancement of Health
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Anthropology › Race, Genetics, and Society
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- ethnicity, ethnic identity, racial stratification, racialization, health disparities, social stratification, minority status, nativity, culture
- MeSH terms
- Culture, Ethnicity, Hierarchy, Social, Humans, Minority Groups, Terminology as Topic, Social Identification, United States, Racial Groups, Health Status Disparities
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