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Racial Differences in Physical and Mental Health

Socio-economic Status, Stress and Discrimination

David R. Williams

University of Michigan, USA

Yan Yu

University of Michigan, USA

James S. Jackson

University of Michigan, USA

Norman B. Anderson

National Institutes of Health, Office of Behavioral and Social Sciences Research, Bethesda, Maryland, USA

This article examines the extent to which racial differences in socio-economic status (SES), social class and acute and chronic indicators of perceived discrimination, as well as general measures of stress can account for black-white differences in self-reported measures of physical and mental health. The observed racial differences in health were markedly reduced when adjusted for education and especially income. However, both perceived discrimination and more traditional measures of stress are related to health and play an incremental role in accounting for differences between the races in health status. These findings underscore the need for research efforts to identify the complex ways in which economic and non-economic forms of discrimination relate to each other and combine with socio-economic position and other risk factors and resources to affect health.

Key Words: race • racial bias • social class, socio-economic status • stress

Journal of Health Psychology, Vol. 2, No. 3, 335-351 (1997)
DOI: 10.1177/135910539700200305


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H. Amaro and A. de la Torre
Public Health Needs and Scientific Opportunities in Research on Latinas
Am J Public Health, April 1, 2002; 92(4): 525 - 529.
[Abstract] [Full Text] [PDF]


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AJPHHome page
D. R. Williams
Racial/Ethnic Variations in Women's Health: The Social Embeddedness of Health
Am J Public Health, April 1, 2002; 92(4): 588 - 597.
[Abstract] [Full Text] [PDF]


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AJPHHome page
G. C. Gee
A Multilevel Analysis of the Relationship Between Institutional and Individual Racial Discrimination and Health Status
Am J Public Health, April 1, 2002; 92(4): 615 - 623.
[Abstract] [Full Text] [PDF]


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Psychosom. Med.Home page
P. J. Moore, N. E. Adler, D. R. Williams, and J. S. Jackson
Socioeconomic Status and Health: The Role of Sleep
Psychosom Med, March 1, 2002; 64(2): 337 - 344.
[Abstract] [Full Text]


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Pers Soc Psychol BullHome page
M. T. Schmitt, N. R. Branscombe, D. Kobrynowicz, and S. Owen
Perceiving Discrimination Against One's Gender Group has Different Implications for Well-Being in Women and Men
Pers Soc Psychol Bull, February 1, 2002; 28(2): 197 - 210.
[Abstract] [PDF]


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Hispanic Journal of Behavioral SciencesHome page
B. K. Finch, R. A. Hummer, B. Kol, and W. A. Vega
The Role of Discrimination and Acculturative Stress in the Physical Health of Mexican-Origin Adults
Hispanic Journal of Behavioral Sciences, November 1, 2001; 23(4): 399 - 429.
[Abstract] [PDF]


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AJPHHome page
V. A. Rauh, H. F. Andrews, and R. S. Garfinkel
The Contribution of Maternal Age to Racial Disparities in Birthweight: A Multilevel Perspective
Am J Public Health, November 1, 2001; 91(11): 1815 - 1824.
[Abstract] [Full Text] [PDF]


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J. Psychother. Pract. Res.Home page
L. Comas-Diaz and F. M. Jacobsen
Ethnocultural Allodynia
J Psychother Pract Res., October 1, 2001; 10(4): 246 - 252.
[Abstract] [Full Text]


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AJPHHome page
E. Rodriguez
Keeping the Unemployed Healthy: The Effect of Means-Tested and Entitlement Benefits in Britain, Germany, and the United States
Am J Public Health, September 1, 2001; 91(9): 1403 - 1411.
[Abstract] [Full Text] [PDF]


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The Journal of Early AdolescenceHome page
H. Amaro, S. M. Blake, P. M. Schwartz, and L. J. Flinchbaugh
Developing Theory-Based Substance Abuse Prevention Programs for Young Adolescent Girls
The Journal of Early Adolescence, August 1, 2001; 21(3): 256 - 293.
[Abstract] [PDF]


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Research on AgingHome page
J. N. Laditka and S. B. Laditka
Adult Children Helping Older Parents: Variations in Likelihood and Hours by Gender, Race, and Family Role
Research on Aging, July 1, 2001; 23(4): 429 - 456.
[Abstract] [PDF]


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Int J EpidemiolHome page
N. Krieger
Commentary: Society, biology and the logic of social epidemiology
Int. J. Epidemiol., February 1, 2001; 30(1): 44 - 46.
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J Health PsycholHome page
J. M. Ostrove, P. Feldman, and N. E. Adler
Relations among Socioeconomic Status Indicators and Health for African-Americans and Whites
J Health Psychol, July 1, 1999; 4(4): 451 - 463.
[Abstract] [PDF]