Race and health

Race and health refers to how being identified with a specific race influences health. Race is a complex concept that has changed across chronological eras and depends on both self-identification and social recognition.[1] In the study of race and health, scientists organize people in racial categories depending on different factors such as: phenotype, ancestry, social identity, genetic makeup and lived experience. "Race" and ethnicity often remain undifferentiated in health research.[2][3]

Differences in health status, health outcomes, life expectancy, and many other indicators of health in different racial and ethnic groups are well documented.[4] Epidemiological data indicate that racial groups are unequally affected by diseases, in terms or morbidity and mortality.[5] Some individuals in certain racial groups receive less care, have less access to resources, and live shorter lives in general.[6] Overall, racial health disparities appear to be rooted in social disadvantages associated with race such as implicit stereotyping and average differences in socioeconomic status.[7][8][9]

Health disparities are defined as "preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations".[10] According to the U.S. Centers for Disease Control and Prevention, they are intrinsically related to the "historical and current unequal distribution of social, political, economic and environmental resources".[10][11]

The relationship between race and health has been studied from multidisciplinary perspectives, with increasing focus on how racism influences health disparities, and how environmental and physiological factors respond to one another and to genetics.[7][8] Research highlights a need for more race-conscious approaches in addressing social determinants, as current social needs interventions show limited adaptation to racial and ethnic disparities.[12][13]

  1. ^ Liebler CA, Porter SR, Fernandez LE, Noon JM, Ennis SR (February 2017). "America's Churning Races: Race and Ethnicity Response Changes Between Census 2000 and the 2010 Census". Demography. 54 (1): 259–284. doi:10.1007/s13524-016-0544-0. PMC 5514561. PMID 28105578.
  2. ^ Attina TM, Malits J, Naidu M, Trasande L (December 2018). "Racial/Ethnic Disparities in Disease Burden and Costs Related to Exposure to Endocrine Disrupting Chemicals in the US: an Exploratory Analysis". Journal of Clinical Epidemiology. 108: 34–43. doi:10.1016/j.jclinepi.2018.11.024. PMC 6455970. PMID 30529005.
  3. ^ Walker RJ, Strom Williams J, Egede LE (April 2016). "Influence of Race, Ethnicity and Social Determinants of Health on Diabetes Outcomes". The American Journal of the Medical Sciences. 351 (4): 366–73. doi:10.1016/j.amjms.2016.01.008. PMC 4834895. PMID 27079342.
  4. ^ Goodman AH, Moses YT, Jones JL (2012). Race: are we so different?. Chichester, West Sussex: Wiley-Blackwell. ISBN 978-1-118-23317-7. OCLC 822025003.
  5. ^ Rogers RG, Lawrence EM, Hummer RA, Tilstra AM (2017-07-03). "Racial/Ethnic Differences in Early-Life Mortality in the United States". Biodemography and Social Biology. 63 (3): 189–205. doi:10.1080/19485565.2017.1281100. PMC 5729754. PMID 29035105.
  6. ^ Spalter-Roth RM, Lowenthal TA, Rubio M (July 2005). "Race, Ethnicity, and the Health of Americans" (PDF). American Sociological Association.
  7. ^ a b Williams DR (July 1997). "Race and health: basic questions, emerging directions". Annals of Epidemiology. 7 (5): 322–33. doi:10.1016/S1047-2797(97)00051-3. PMID 9250627.
  8. ^ a b Penner LA, Hagiwara N, Eggly S, Gaertner SL, Albrecht TL, Dovidio JF (December 2013). "Racial Healthcare Disparities: A Social Psychological Analysis". European Review of Social Psychology. 24 (1): 70–122. doi:10.1080/10463283.2013.840973. PMC 4151477. PMID 25197206.
  9. ^ Hofrichter R, ed. (2003). Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of Disease. San Francisco: Jossey-Bass. pp. 105–106. ISBN 978-0-7879-6733-8.
  10. ^ a b "Disparities | Adolescent and School Health |". U.S. Centers for Disease Control. 2018-08-17. Retrieved 2018-12-14.
  11. ^ World Health Organization. The determinants of health. Geneva. Accessed 12 May 2011 (which are inter-related with all three, but mostly social factors).
  12. ^ Cite error: The named reference :4 was invoked but never defined (see the help page).
  13. ^ Cite error: The named reference :5 was invoked but never defined (see the help page).