Cited by 507Racial and Ethnic Identity ResearchHealth disparities and outcomesPublic Health and Social Inequalities

The DOI matches its Crossref record, with a small difference in title or year; 100 of the 106 references it cites were found in a registry or an index, and 6 are not checked yet; none of the 175 sources its claims cite is checked for support yet.

Miles to Go before We Sleep: Racial Inequities in Health

Open access
Williams, David R.·2012·Journal of Health and Social Behavior

Abstract

Large, pervasive, and persistent racial inequalities exist in the onset, courses, and outcomes of illness. A comprehensive understanding of the patterning of racial disparities indicates that racism in both its institutional and individual forms remains an important determinant. There is an urgent need to build the science base that would identify how to trigger the conditions that would facilitate needed societal change and to identify the optimal interventions that would confront and dismantle the societal conditions that create and sustain health inequalities.

Checked 2026-10-09 · 6 references not checked yet

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review documents large, pervasive, and persistent racial inequities in U.S. health and argues that institutional and individual racism, alongside socioeconomic inequality, are key drivers. It calls for a science base to guide societal and health-care interventions to reduce these inequities.

Key findings

  • In 2007, blacks had an overall death rate 30% higher than whites and higher death rates than whites for 10 of the 15 leading causes of death; the 2007 life expectancy gap was almost five years (73.6 vs. 78.4 years).
  • Minorities experience earlier onset and faster progression of disease: incident heart failure before age 50 was 20 times more common in blacks than whites in CARDIA, with average onset at 39 years for African Americans; 28% of cardiovascular disease deaths among blacks occurred before age 65 versus 13% among whites.
  • Race captures more than SES: high-income blacks and whites lived 7.1 and 6.8 years longer, respectively, than low-income counterparts, with black-white differences at every income level; infant mortality for college-educated African American women was more than 2.5 times that of similarly educated whites and Hispanics.
  • Perceived discrimination is linked to poor health: audit studies found a white applicant with a criminal record was more likely to be offered a job than a black applicant with a clean record, and white-named resumes were 50% more likely to get callbacks; among 5,147 fifth graders, 7% of whites, 15% of Hispanics, and 20% of blacks reported racial discrimination, associated with increased risk of depression, ADHD, oppositional defiant disorder, and conduct disorder.

Methods

  • Narrative review/overview of current knowledge on racial inequities in health, drawing on national mortality and life-expectancy data, epidemiological studies, audit experiments, and policy/intervention evidence.
  • No new primary data collection or formal systematic review/meta-analysis is described; the paper synthesizes published evidence and outlines promising areas for future research and intervention.

Limitations

  • Stated: mortality statistics are more accurate for blacks and whites than for other racial populations due to numerator and denominator problems; misclassification of Asians, Hispanics, and especially American Indians as white on death certificates yields reported rates lower than actual rates.
  • Stated: age-adjusted death rates are not accurate measures of actual risk and can distort the magnitude of disparities; combining Pacific Islander data with Asian data obscures elevated risks, and there is important heterogeneity within OMB racial categories.
  • Stated: current knowledge is even more limited regarding the most effective strategies to reduce health inequities. Evident from the text: as a narrative overview, it does not report a systematic search strategy, inclusion criteria, or quantitative synthesis, so conclusions rely on selected evidence.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1177/0022146512455804

Cites

100 of 106 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

170 Not checked yet · 30 Own interpretation · 12 No basis given · 2 Own result

Verify all 175 references — free account

Show all 136 claims

  • It may state two separate claims as one. 67
  • Probably not a substantial claim. 17
78 of 78
  • The paper relies on this without support.

    Racial inequalities in health are unjust and warrant societal intervention.

    “there is an urgent need to develop a science base to guide societal interventions”
  • The paper relies on this without support.

    Societal interventions can effectively reduce racial health inequities.

    “identify the optimal interventions that would confront and dismantle the societal conditions that create and sustain health inequalities”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Show all 105 references

Research works printed but not linked: 10

  1. Almond Douglas, Chay Kenneth Y. 2006. “The Long-Run and Intergenerational Impact of Poor Infant Health: Evidence from Cohorts Born during the Civil Rights Era.” Working Paper: National Bureau of Economic Research, Cambridge, MA.
  2. American Sociological Association, 2003, The Importance of Collecting Data and Doing Scientific Research on Race
  3. Bramley Dale, 2004, New Zealand Medical Journal, 117, U1215
  4. Geronimus Arline T., 1992, Ethnicity and Disease, 2, 207
  5. Jackson James S., 1996, Ethnicity and Disease, 6, 132
  6. Malat Jennifer, 2011, Ethnicity and Disease, 21, 349
  7. Office of Management and Budget, 1997, Federal Register, 62, 58781
  8. Stinson Frederick S., 1996, U.S. Alcohol Epidemiologic Data Reference Manual
  9. Tucker Clyde, 1996, Bureau of Labor Statistical Notes, 40, 1
  10. Xu Jiaquan, 2010, National Vital Statistics Reports, 58, 1

Metadata

Authors
Williams, D. R.
Affiliations
Harvard University (US)
Corresponding author
Williams, David R.
Venue
Journal of Health and Social Behavior
Published
2012-08-31
Volume
53
Issue
3
Pages
279-295
ISSN
  • 0022-1465 (ISSN-L)
  • 2150-6000
OpenAlex
W2145131361
Cited by
507
References
105
Citations by year
2026: 9 · 2025: 47 · 2024: 40 · 2023: 39 · 2022: 63 · 2021: 73 · 2020: 38 · 2019: 28 · 2018: 33 · 2017: 39 · 2016: 32 · 2015: 26 · 2014: 26 · 2013: 12 · 2012: 2
FWCI
11.31
Type
journal article
Language
en
Open access
Locations
  • Journal of Health and Social Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (P50CA148596)
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Public Health and Social Inequalities
Keywords
racial disparities in health, health disparities, racism, institutional racism, individual racism, social determinants of health, health interventions, social change
MeSH terms
Age Factors, Awareness, Humans, Mortality, Politics, Risk Factors, Socioeconomic Factors, Sociology, Medical, Time Factors, Racial Groups, Health Status Disparities, Healthcare Disparities, Policy, Racism

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