Minority Health Archive

Race, Socioeconomic Status, and Health The Added Effects of Racism and Discrimination

WILLIAMS, DAVID R. (1999) Race, Socioeconomic Status, and Health The Added Effects of Racism and Discrimination. ANNALS NEW YORK ACADEMY OF SCIENCES, 896. pp. 173-188.

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Higher disease rates for blacks (or African Americans) compared to whites are pervasive and persistent over time, with the racial gap in mortality widening in recent years for multiple causes of death. Other racial/ethnic minority populations also have elevated disease risk for some health conditions. This paper considers the complex ways in which race and socioeconomic status (SES) combine to affect health. SES accounts for much of the observed racial disparities in health. Nonetheless, racial differences often persist even at “equivalent” levels of SES. Racism is an added burden for nondominant populations. Individual and institutional discrimination, along with the stigma of inferiority, can adversely affect health by restricting socioeconomic opportunities and mobility. Racism can also directly affect health in multiple ways. Residence in poor neighborhoods, racial bias in medical care, the stress of experiences of discrimination and the acceptance of the societal stigma of inferiority can have deleterious consequences for health.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: African Americans; race; socioeconomic status; racial disparities in health; Racism; institutional discrimination; discrimination
Subjects: Health > Health Equity
Health > Public Health > Health Risk Factors > Stress
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 16 Oct 2007
Last Modified: 15 Jul 2011 09:13
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/783

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