Cited by 744Health disparities and outcomesRacial and Ethnic Identity ResearchPublic Health and Social Inequalities

Understanding Racial-ethnic Disparities in Health: Sociological Contributions

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Williams, David R., Sternthal, Michelle·2010·Journal of Health and Social Behavior

Abstract

This article provides an overview of the contribution of sociologists to the study of racial and ethnic inequalities in health in the United States. It argues that sociologists have made four principal contributions. First, they have challenged and problematized the biological understanding of race. Second, they have emphasized the primacy of social structure and context as determinants of racial differences in disease. Third, they have contributed to our understanding of the multiple ways in which racism affects health. Finally, sociologists have enhanced our understanding of the ways in which migration history and status can affect health. Sociological insights on racial disparities in health have important implications for the development of effective approaches to improve health and reduce health inequities.

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Crossref · 10.1177/0022146510383838

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  • Epidemiological and public health researchers have increasingly shifted their practices towards the study of social determinants of health, and in particular, the multiple ways racism affects health outcomes.

    “Epidemiological and public health researchers have increasingly shifted their practices towards the study of social determinants of health, and in particular, the multiple ways racism affects health outcomes [41, 61, 71, 117, 119, 120].”

    From Towards a critical race methodology in algorithmic fairness (2020) · cites this paper as [120]

    The “Racism and Health” section describes multiple ways racism contributes to health disparities, including discrimination and residential segregation. But the paper characterizes these as contributions of sociological research; it does not establish that epidemiological and public health researchers have increasingly shifted their practices toward studying them. (LLM, conf=0.86)

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  1. Acevedo-Garcia Dolores Lochner KA Osypuk TL Subramanian SV Future directions in residential segregation and health research: a multilevel approach. American Journal of Public Health 2003 93 215 221 12554572 PMC1447719
  2. Akresh Ilana R. Frank Reanne Health selection among new immigrants. American Journal of Public Health 2008 98 2058 64 18309141 PMC2636435
  3. Angel Jacqueline L. Angel Ronald J. Minority group status and healthful aging: social structure still matters. American Journal of Public Health 2006 96 1152 9 16735614 PMC1483874
  4. Bierman Alex Does religion buffer the effects of discrimination on mental health? Differing effects by race. Journal for the Scientific Study of Religion 2006 45 551 565
  5. Bonilla-Silva E Rethinking racism: Toward a structural interpretation. American Sociological Review 1997 465 480
  6. Bullard Robert Dumping in Dixie: Race, class, and environmental quality 2000 Westview Press Bolder, CO
  7. Bullard Robert D Johnson GS Environmental justice: Grassroots activism and its impact on public policy decision making. Journal of Social Issues 2000 56 555 78
  8. Conley Dalton Being black, living in the red: Race, wealth, and social policy in America 1999 University of California Press Berkeley, CA
  9. Cooper Richard S. Kaufman Jay S. Ward Ryk Race and genomics. New England Journal of Medicine 2003 348 1166 70 12646675
  10. Ellison Christopher G. Musick Marc A. Henderson Andrea K. Balm in Gilead: Racism, Religious Involvement, and Psychological Distress Among African-American Adults. Journal for the Scientific Study of Religion 2008 47 291 309
  11. Farmer Melissa M. Ferraro Kenneth F. Are racial disparities in health conditional on socioeconomic status? Social Science and Medicine 2005 60 191 204 15482878
  12. Ferraro Kenneth F. Farmer Melissa M. Double Jeopardy to Health Hypothesis for African Americans: Analysis and Critique. Journal of Health and Social Behavior 1996 37 27 43 8820309
  13. Finch Brain K. Frank Reanne Vega William A. Aculturation and Acculturation Stress: A Social-Epidemiological Approach to Mexican Migrant Farmworkers’ Health. International Migration Review 2004 38 236 262
  14. Frank Reanne International migration and infant health in Mexico. Journal of Immigrant Health 2005 7 11 22 15744473
  15. Frank Reanne “Functional or futile?: the (in)utility of methodological critiques of genetic research on racial disparities in health. A commentary on Kaufman's “Epidemiologic analysis of racial/ethnic disparities: some fundamental issues and a cautionary example”. Social Science and Medicine 2008 66 1670 4 18194830
  16. Frazier E. Franklin Sociological theory and race relations. American Sociological Review 1947 12 265 271
  17. Frisbie W. Parker Forbes Doulgas Hummer Robert A. Hispanic pregnancy outcomes: additional evidence. Social Science Quarterly 1998 79 149 169
  18. Guo Guang Roettger Michael E. The Integration of Genetic Propensities into Social-Control Models of Delinquency and Violence among Male Youths. American Sociological Review 2008 73 543 568
  19. Hauser Robert M. Measuring socioeconomic status in studies of child development. Child Development 1994 1541 1545 7859541
  20. Hayward Mark D. Miles Toni P. Crimmins Eileen M. Yang Yu The significance of socioeconomic status in explaining the racial gap in chronic health conditions. American Sociological Review 2000 910 930
  21. Heron Melonie Hoyert Donna L. Murphy Sherry L. Xu Jiaquan Kochanek Kenneth D. Tejada-Vera Betzaida Deaths: Final Data for 2006. National Vital Statistics Reports 2009 57 1 135 19788058
  22. Hummer Robert A. Black-white differences in health and mortality: A review and conceptual model. Sociological Quarterly 1996 105 125
  23. Hummer Robert A. Rogers Richard G. Nam Charles B. LeClere Felicia B. Race/ethnicity, nativity, and U.S. adult mortality. Social Science Quarterly 1999 80 136 153
  24. Jaynes GD Williams RM A common destiny: Blacks and American society 1989 Natl Academy Press Washington, DC
  25. Krieger Nancy Shades of difference: Theoretical underpinnings of the medical controversy on black/white differences in the United States, 1830-1870. International Journal of Health Services 1987 17 259 278 3294621
  26. Kuzawa Christopher W. Sweet Elizabeth Epigenetics and the embodiment of race: developmental origins of US racial disparities in cardiovascular health. American Journal of Human Biology 2009 21 2 15 18925573
  27. Markides Kyriakos S. Coreil J The health of Hispanics in the southwestern United States: an epidemiologic paradox. Public Health Reports 1986 101 253 3086917 PMC1477704
  28. Markides Kyriakos S. Eschbach Karl Aging, Migration, and Mortality: Current Status of Research on the Hispanic Paradox. Journals of Gerontology: Series B 2005 60B 68 75 16251594
  29. Massey Douglas S. Segregation and stratification: a biosocial perspective. Du Bois Review: Social Science Research on Race 2004 1 7 25
  30. Massey Douglas S. Denton Nancy A. American Apartheid: Segregation and the Making of the Underclass 1993 Harvard University Press Cambridge, Massachusetts
  31. Mechanic David Disadvantage, inequality, and social policy. Health Affairs 2002 21 48 59 11900186
  32. Miranda Jeanne McGuire Thomas G. Williams David R. Wang Philip Mental health in the context of health disparities. American Journal of Psychiatry 2008 165 1102 8 18765491
  33. Morenoff Jeffrey D. Neighborhood Mechanisms and the Spatial Dynamics of Birth Weight. American Journal of Sociology 2003 108 976 1017 14560732
  34. Mossakowski Krysia N. Coping with Perceived Discrimination: Does Ethnic Identity Protect Mental Health? Journal of Health and Social Behavior 2003 44 318 331 14582311
  35. Murphy Sherry L. Deaths: Final Data for 1998. National Vital Statistics Reports 2000 56 4 26 10934859
  36. Navarro Vincente Race or class versus race and class: mortality differentials in the United States. Lancet 1990 336 1238 1240 1978083
  37. Oliver Melvin L. Shapiro Thomas M. Black wealth, white wealth: A new perspective on racial inequality 2006 Routledge New York NY
  38. Omi Michael Winant Howard Racial Formation in the United States: From the 1960s to the 1990s 1994 Routledge New York City, NY
  39. Risch Niel Burchard Esteban Ziv Elad Tang Hua Categorization of humans in biomedical research: genes, race and disease. Genome Biology 2002 3 1 12 PMC139378 12184798
  40. Sampson Robert J. Morenoff Jeffrey D. Earls Fearls Beyond social capital: Spatial dynamics of collective efficacy for children. American Sociological Review 1999 633 660
  41. Schulz Amy J. Williams David R. Israel Barbara A. Lempert Lora B. Racial and spatial relations as fundamental determinants of health in Detroit. Milbank Quarterly 2002 80 677 12532644 PMC2690127
  42. Serre David Paabo Svante Evidence for gradients of human genetic diversity within and among continents. Genome Research 2004 14 1679 85 15342553 PMC515312
  43. Shields Alexandra E. Fullerton Stephanie M. Olden Kenneth Koh Howard K. Genes, Environment, and Cancer Disparities. Toward the Elimination of Cancer Disparities 2009 49 82 Springer Publishing New York, NY
  44. Singh Gopal K. Miller Barry A. Health, life expectancy, and mortality patterns among immigrant populations in the United States. Canadian Journal of Public Health 2004 95 I14 I21 PMC6975697 15191127
  45. Singh Gopal K. Yu Stella M. Adverse pregnancy outcomes: differences between US-and foreign-born women in major US racial and ethnic groups. American Journal of Public Health 1996 86 837 843 8659659 PMC1380404
  46. Singh Gopal K. Miller Barry A. Health, life expectancy, and mortality patterns among immigrant populations in the United States. Canadian Journal of Public Health 2004 95 I14 I21 PMC6975697 15191127
  47. Smedley Brian. D. Stith Adrienne Y. Nelson Alan R. Unequal treatment: confronting racial and ethnic disparities in health care 2002 Natl Acadamy Pr. Washington, DC 25032386
  48. Takeuchi David T. Zane Nolan Hong Seunghye Chae David H. Gong Fang Gee Gilbert C. Walton Emily Sue Stanley Alegria Margarita Immigration-related factors and mental disorders among Asian Americans. American Journal of Public Health 2007 97 84 90 17138908 PMC1716230
  49. Wilkinson Doris Y. King Gary Conceptual and Methodological Issues in the Use of Race as a Variable: Policy Implications. The Milbank Quarterly 1987 65 56 71 3327009
  50. Williams David R. Collins Chiquita U.S. socioeconomic and racial differences in health: patterns and explanations. Annual Review of Sociology 1995 21 349 386
  51. Williams David R. Collins Chiquita. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Reports 2001 116 404 16 12042604 PMC1497358
  52. Williams David R. Gonzalez Hector M. Neighbors Harold Nesse Randolph Abelson Jamie M. Sweetman Julie Jackson James S. Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and Non-Hispanic Whites: Results from the national survey of american life. Archives of General Psychiatry 2007 64 305 315 17339519
  53. Williams David R. Haile Rahwa Gonzalez Hector M. Neighbors Harold Baser Raymond Jackson James S. The mental health of Black Caribbean immigrants: results from the National Survey of American Life. American Journal of Public Health 2007 97 52 9 17138909 PMC1716238
  54. Williams David R. Mohammed Selina A. Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine 2009 32 20 47 19030981 PMC2821669
  55. Williams David R Mohammed Selina A. Leavell Jacinta Collins Chiquita Race, Socioeconomic Status and Health: Complexities, Ongoing Challenges and Research Opportunities. Annals of the New York Academy of Sciences 2010 1186 69 101 20201869 PMC3442603
  56. Wilson William J. The truly disadvantaged: The inner city, the underclass, and public policy 1990 University of Chicago Press Chicago, IL

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Authors
Williams, D. R., & Sternthal, M.
Affiliations
Harvard University (US)
Venue
Journal of Health and Social Behavior
Published
2010-03
Volume
51
Issue
1_suppl
Pages
S15-S27
ISSN
  • 0022-1465 (ISSN-L)
  • 2150-6000
OpenAlex
W2131401975
Cited by
744
References
6
Citations by year
2026: 20 · 2025: 33 · 2024: 52 · 2023: 64 · 2022: 77 · 2021: 90 · 2020: 59 · 2019: 62 · 2018: 44 · 2017: 52 · 2016: 41 · 2015: 41 · 2014: 36 · 2013: 36 · 2012: 16
FWCI
4.15
Type
journal article
Language
en
Open access
Locations
  • Journal of Health and Social Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • University Libraries (University of Maryland) (submittedVersion)
  • Digital Repository at the University of Maryland (University of Maryland College Park)
Funders
  • National Institute on Aging (P01AG020166)
  • National Institute of Environmental Health Sciences (T32ES007069, T32-ES07069-29)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Health › Public Health and Social Inequalities
Keywords
racial and ethnic health disparities, sociology of race, racism and health, migration history, migration status, health disparities, social determinants of health
MeSH terms
Emigration and Immigration, Health Policy, Humans, Prejudice, Social Change, Sociology, Medical, United States, Racial Groups, Health Status Disparities, Healthcare Disparities

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