Racial Inequalities in Health
Posted by schubert on November 20th, 2008 in Uncategorized | No Comments »
My post reflects the articles written by Krieger, Frank, and Williams et al. These three articles focused on perceptions of discrimination as they relate to “racial” health disparities. Krieger argued that one’s perception of and exposure to racism adversely affects one’s health. However, it is also important to take into account one’s social class when studying one’s health.
Similarly, Frank argued that social indicators rather than racial indicators better explain health disparities. She explained that there are biological differences between people and between populations, but these differences are not racially patterned. Furthermore, health differences (such as diabetes and low infant birth weights predominantly seen in African American populations) involve interactions between both biological and social factors.
Lastly, Williams et al. found that higher levels of discrimination tend to be associated with higher levels of illness/health risk (both mental health and perceived physical health). They went through several important issues to consider when researching race and health disparities. Additionally, they explained it is important to consider how perceptions of discrimination adversely affect health. For instance, do perceptions simply lead to worsened emotional states; do they increase the chances of risky behaviors such as smoking or abusing alcohol; or do they play off of individual psychological or biological vulnerabilities. Williams et al. concluded by stating, “the persistence of racial inequalities in health must be understood in light of the persistence of racialized social structures that affect health status in multiple ways” (p.206).
Questions to consider:
- In the Williams et al. article, do you think respondent’s self-reported measures of health accurately depict their actual health status? Or does this more accurately measure the respondent’s mental health status?
- Do you agree with Krieger’s definition of race/ethnicity? In class, we define race and ethnicity as separate concepts. Why doesn’t Krieger do the same?
- Do you agree with Krieger’s assertion that you can “never study human biology – or behavior – in the abstract” (p.195)?
- Frank, like Krieger and Williams et al, used the term race/ethnicity. Do you think this is a factor of studying “racial” health disparities? In other words, when studying “racial” health disparities, is it unimportant to distinguish race from ethnicity?
- Do you think the media (such as http://www.blackhealthcare.com/, http://www.nlm.nih.gov/medlineplus/africanamericanhealth.html) propagates the “myth” that racial health disparities are genetic rather than social/environmental? Or is access to this sort of information empowering?