Publications
Peer-Reviewed Journal Articles
Gravlee, Clarence C., David P. Kennedy, Ricardo Godoy, and William R. Leonard. (2009). Methods for collecting panel data: What does cultural anthropology have to learn from other disciplines? Journal of Anthropological Research 65:in press.
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In this article, we argue for the increased use of panel data in cultural anthropology. Panel data, or repeated measures from the same units of observation at different times, have proliferated across the social sciences, with the exception of anthropology. The lack of panel data in anthropology is puzzling, since panel data are among the best for analyzing continuity and change—central concerns of anthropological theory. Panel data also establish temporal order in causal analysis and potentially improve the reliability and accuracy of measurement. We review how researchers in anthropology and neighboring disciplines have dealt with the unique challenges of collecting panel data and draw lessons for minimizing the adverse consequences of measurement error, for reducing attrition, and for ensuring continuity in management, archiving, documentation, financing, and leadership. We argue that increased use of panel data has the potential to advance empirical knowledge and contribute to anthropological theory.
Gravlee, Clarence C. and Elizabeth Sweet. (2008). Race, ethnicity, and racism in medical anthropology, 1977-2002. Medical Anthropology Quarterly 22(1):27-51.
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Researchers across the health sciences are engaged in a vigorous debate over the role that the concepts of “race” and “ethnicity” play in health research and clinical practice. Here we contribute to that debate by examining how the concepts of race, ethnicity, and racism are used in medical–anthropological research. We present a content analysis of Medical Anthropology and Medical Anthropology Quarterly, based on a systematic random sample of empirical research articles (n = 283) published in these journals from 1977 to 2002. We identify both differences and similarities in the use of race, ethnicity, and racism concepts in medical anthropology and neighboring disciplines, and we offer recommendations for ways that medical anthropologists can contribute to the broader debate over racial and ethnic inequalities in health.
Godoy, R., Goodman, E., Gravlee, C. C., Levins, R., Seyfried, C., Caram, M., et al. (2007). Blood pressure and hypertension in an American colony (Puerto Rico) and on the USA mainland compared, 1886-1930. Economics & Human Biology 5(2), 255-279.
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We compare blood pressure and hypertension between adult men on the USA mainland and in Puerto Rico born during 1886–1930 to test hypotheses about the link between cardiovascular health and large socioeconomic and political changes in society: (a) 8853 men surveyed in Puerto Rico in 1965 and (b) 1449 non-Hispanic White men surveyed on the mainland during 1971–1975. Systolic and diastolic blood pressure and hypertension were regressed separately on demographic and socioeconomic variables and cardiovascular risk factors. Mainland men not taking anti-hypertensive medication showed statistically significant improvements in systolic blood pressure and hypertension at the beginning of the century and men in Puerto Rico showed improvements in diastolic blood pressure but only during the last two quinquenniums. An average man born on the mainland during the last birth quinquennium (1926–1930) had 7.4–8.7 mmHg lower systolic blood pressure and was 61% less likely to have systolic hypertension than one born before 1901. On average Puerto Rican men born during 1921–1925 had not, vert, similar1.7 mmHg lower diastolic blood pressure than men born before 1901. Analyses of secular trends in cardiovascular health complements analyses of secular trends in anthropometric indicators and together provide a fuller view of the changing health status of a population.
Zenk, S. N., A. J. Schulz, G. Mentz, J. S. House, C. C. Gravlee, P. Y. Miranda, P. Miller, and S. Kannan. (2007). Inter-rater and test-retest reliability: Methods and results for the neighborhood observational checklist. Health & Place 13:452-465.
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The popularity of direct or systematic social observation as a method to evaluate the mechanisms by which neighborhood environments impact health and contribute to health disparities is growing. The development of measures with adequate inter-rater and test–retest reliability is essential for this research. In this paper, based on our experiences conducting direct observation of neighborhoods in Detroit, MI, we describe strategies to promote high inter-rater and test–retest reliability and methods to evaluate reliability. We then present the results and discuss implications for future research efforts using direct observation in four areas: methods to evaluate reliability, instrument content and design, observer training, and data collection.
Gravlee, Clarence C., Shannon N. Zenk, Sachiko Woods, Zachary Rowe, and Amy J. Schulz. (2006). Handheld computers for systematic observation of the social and physical environment. Field Methods 18(4):382-397.
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This article evaluates the use of handheld computers for systematic observation of the social and physical environments. Handheld computers, also known as personal digital assistants (PDAs), make the advantages of computer-assisted data collection (CADC) more accessible to field-based researchers. In particular, CADC with handheld computers may improve data quality, reduce turnaround time, and enhance research capacity for community-academic partnerships. Here, we describe our experiences using handheld computers for the Healthy Environments Partnership’s Neighborhood Observational Checklist, an instrument for systematic observation of the social and physical environments. We discuss hardware and software considerations, observer training and implementation strategies, and observer attitudes toward using handhelds in the field. We conclude that handheld computers are a feasible alternative to pen-and-paper forms, and we identify ways that future researchers can maximize the advantages of CADC with handheld computers to advance our understanding of how neighborhood context relates to individual-level outcomes.
Schulz, Amy J., Clarence C. Gravlee, David R. Williams, Barbara A. Israel, Zachary Rowe. (2006). Discrimination, symptoms of depression, and self-rated health among African American women in Detroit: Results from a longitudinal analysis. American Journal of Public Health 96(6):1265-1270.
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Objectives. Our understanding of the relationships between perceived discrimination and health was limited by the cross-sectional design of most previous studies. We examined the longitudinal association of self-reported everyday discrimination with depressive symptoms and self-rated general health. Methods. Data came from 2 waves (1996 and 2001) of the Eastside Village Health Worker Partnership survey, a community-based participatory survey of African American women living on Detroit’s east side (n=343). We use longitudinal models to test the hypothesis that a change in everyday discrimination over time is associated with a change in self-reported symptoms of depression (positive) and on self-reported general health status (negative). Results. We found that a change over time in discrimination was significantly associated with a change over time in depressive symptoms (positive) (b=0.125; P<.001) and self-rated general health (negative) (b=–0.163; P<.05) independent of age, education, or income. Conclusions. The results reported here are consistent with the hypothesis that everyday encounters with discrimination are causally associated with poor mental and physical health outcomes. In this sample of African American women, this association holds above and beyond the effects of income and education.
Gravlee, Clarence C., William W. Dressler, and H. Russell Bernard. (2005). Skin color, social classification, and blood pressure in Puerto Rico. American Journal of Public Health 95(12):2191-2197.
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Objectives. We tested competing hypotheses for the skin color–blood pressure relationship by analyzing the association between blood pressure and 2 skin color variables: skin pigmentation and social classification. Methods. We measured skin pigmentation by reflectance spectrophotometry and social classification by linking respondents to ethnographic data on the cultural model of “color” in southeastern Puerto Rico. We used multiple regression analysis to test the associations between these variables and blood pressure in a community-based sample of Puerto Rican adults aged 25–55 years (n=100). Regression models included age, gender, body mass index (BMI), self-reported use of antihypertensive medication, and socioeconomic status (SES). Results. Social classification, but not skin pigmentation, is associated with systolic and diastolic blood pressure through a statistical interaction with SES, independent of age, gender, BMI, self-reported use of antihypertensive medication, and skin reflectance. Conclusion. Our findings suggest that sociocultural processes mediate the relationship between skin color and blood pressure. They also help to clarify the meaning and measurement of skin color and “race” as social variables in health research.
Dressler, William W., Kathryn S. Oths, and Clarence C. Gravlee. Race and ethnicity in public health research: Models to explain health disparities. Annual Review of Anthropology 34:231-252.
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The description and explanation of racial and ethnic health disparities are major initiatives of the public health research establishment. Black Americans suffer on nearly every measure of health in relation to white Americans. Five theoretical models have been proposed to explain these disparities: a racial-genetic model, a health-behavior model, a socioeconomic status model, a psychosocial stress model, and a structural-constructivist model. We selectively review literature on health disparities, emphasizing research on low birth weight and high blood pressure. The psychosocial stress model and the structural-constructivist model offer greatest promise to explain disparities. In future research, theoretical elaboration and operational specificity are needed to distinguish among three distinct factors: (a) genetic variants contributing to disease risk; (b) ethnoracial or folk racial categories masquerading as biology; and (c) ethnic group membership. Such elaboration is necessary to move beyond the conflation of these three distinct constructs that characterizes much of current research.
Gravlee, Clarence C. (2005) Ethnic classification in southeastern Puerto Rico: The cultural model of "color." Social Forces 83(3):949-970.
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This article presents a systematic ethnographic study of emic ethnic classification in Puerto Rico, including a replication and extension of Marvin Harris’s (1970) seminal study in Brazil. I address three questions: (1) what are the core emic categories of color? (2) what dimensions of semantic structure organize this cultural domain? and (3) is the assumption of a shared cultural model justified? Data are from two sets of ethnographic interviews in southeastern Puerto Rico, including 23 free listing interviews and 42 structured interviews using Harris’s standardized facial portraits. Results indicate a small core of salient emic categories with well-defined semantic structure and high interinformant agreement, reflecting shared cultural understandings of color. I discuss how systematic ethnographic methods can contribute to comparative research on ethnic classification.
Gravlee, Clarence C. and William W. Dressler. (2005). Skin pigmentation, self-perceived color, and arterial blood pressure in Puerto Rico. American Journal of Human Biology 17(2):195-206.
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Darker skin color has been associated with higher average blood pressure in several African-derived populations in the Americas. This pattern has been interpreted as evidence of genetic, physiologic, or sociocultural mechanisms, but existing evidence does not provide an adequate means of evaluating these alternatives. This paper introduces a measurement strategy to isolate the cultural and biological dimensions of skin color, and it develops a specific hypothesis regarding the cultural significance of skin color in Puerto Rico and its relationship to arterial blood pressure. Data come from a face-to-face survey in southeastern Puerto Rico (N = 100). There is no association between blood pressure and skin pigmentation, as measured by reflectance spectrophotometry. However, the discrepancy between self-perceived color and skin pigmentation, a measure we call color incongruity, is associated with systolic blood pressure (SBP) through an interaction with socioeconomic status (SES) (P = 0.009). For low-SES respondents, darker self-ratings of color relative to skin pigmentation are associated with higher mean SBP. For high-SES respondents, however, darker self-ratings of color relative to pigmentation are associated with lower mean SBP. We interpret this pattern as evidence that the relationship between skin color and blood pressure is mediated by sociocultural processes, and we highlight the need for testable hypotheses and appropriate measurement operations in research on racial inequalities in health.
Gravlee, Clarence C., H. Russell Bernard, and William R. Leonard (2003). Boas’s Changes in Bodily Form: The immigrant study, cranial plasticity, and Boas’s physical anthropology. American Anthropologist 105(2):326-332.
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In two recent articles, we and another set of researchers independently reanalyzed data from Franz Boas’s classic study of immigrants and their descendants. Whereas we confirm Boas’s overarching conclusion regarding the plasticity of cranial form, Corey Sparks and Richard Jantz argue that Boas was incorrect. Here we attempt to reconcile these apparently incompatible conclusions. We first address methodological differences between our reanalyses and suggest that (1) Sparks and Jantz posed a different set of questions than we did, and (2) their results are largely consistent with our own. We then discuss our differing understandings of Boas’s original argument and of the concept of cranial plasticity. In particular, we argue that Sparks and Jantz attribute to Boas a position he explicitly rejected. When we clarify Boas’s position and place the immigrant study in historical context, Sparks and Jantz’s renalysis supports our conclusion that, on the whole, Boas got it right.
Gravlee, Clarence C., H. Russell Bernard, and William R. Leonard (2003). Heredity, environment, and cranial form: a re-analysis of Boas's immigrant data. American Anthropologist 105(1):125-138.
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Franz Boas’s classic study, Changes in Bodily Form of Descendants of Immigrants, is a landmark in the history of anthropology. More than any single study, it undermined racial typology in physical anthropology and helped turn the tide against early-20thcentury scientific racism. In 1928, Boas responded to critics of the immigrant study by publishing the raw data set as Materials for the Study of Inheritance in Man. Here we present a reanalysis of that long-neglected data set. Using methods that were unavailable to Boas, we test his main conclusion that cranial form changed in response to environmental influences within a single generation of European immigrants to the United States. In general, we conclude that Boas got it right. However, we demonstrate that modern analytical methods provide stronger support for Boas’s conclusion than did the tools at his disposal. We suggest future areas of research for this historically important data set.
Gravlee, Clarence C. (2002). Mobile computer-assisted personal interviewing (MCAPI) with handheld computers: the Entryware system 3.0. Field Methods 14(3):322-336.
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Computer-assisted data collection in survey research offers potentially lower costs,quicker turnaround time, and improved data quality as compared to traditionalpaper-and-pencil methods. The proliferation of handheld computers in recent yearsnow makes these benefits more accessible to field researchers. Handheld computersare inexpensive, portable, and energy efficient, making them ideal field instruments.In this article, I review a new software product designed for mobile computer-assistedpersonal interviewing (MCAPI) with Palm OS handheld computers. Basedon my experience with MCAPI in the field, I conclude that version 3.0 of Entrywaresoftware is a robust tool for face-to-face or self-administered structured interviewsin field settings. I also consider some implications of this new technology for fieldresearch, including respondents’ reactions and data quality.
Book Chapters and Encyclopedia Entries
Gravlee, C. C. (2008). Life expectancy. In J. H. Moore (Ed.), Encyclopedia of Race and Racism. (Vol. 2, pp. 265-269). Detroit: Macmillan Reference USA.
Under Review
Brody, Howard, Linda M. Hunt, and Clarence C. Gravlee. Making sense of race. In Rethinking inequalities and differences in medicine, edited by M. Ramsey and L. R. Churchill.