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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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S. Thorburn Bird and L. M. Bogart
Birth Control Conspiracy Beliefs, Perceived Discrimination, and Contraception among African Americans: An Exploratory Study
J Health Psychol,
March 1, 2003;
8(2):
263 - 276.
[Abstract]
[PDF]
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D. Prothrow-Stith, B. Gibbs, and A. Allen
Reducing Health Disparities: From Theory to Practice
Cancer Epidemiol. Biomarkers Prev.,
March 1, 2003;
12(3):
256s - 260s.
[Full Text]
[PDF]
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D. R. Williams, H. W. Neighbors, and J. S. Jackson
Racial/Ethnic Discrimination and Health: Findings From Community Studies
Am J Public Health,
February 1, 2003;
93(2):
200 - 208.
[Abstract]
[Full Text]
[PDF]
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S. Noh and V. Kaspar
Perceived Discrimination and Depression: Moderating Effects of Coping, Acculturation, and Ethnic Support
Am J Public Health,
February 1, 2003;
93(2):
232 - 238.
[Abstract]
[Full Text]
[PDF]
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J. R. Palmer, L. Rosenberg, L. A. Wise, N. J. Horton, and L. L. Adams-Campbell
Onset of Natural Menopause in African American Women
Am J Public Health,
February 1, 2003;
93(2):
299 - 306.
[Abstract]
[Full Text]
[PDF]
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E. Barbee
Racism and Mental Health
Journal of the American Psychiatric Nurses Association,
December 1, 2002;
8(6):
194 - 199.
[Abstract]
[PDF]
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B. A. Israel, S. A. Farquhar, A. J. Schulz, S. A. James, and E. A. Parker
The Relationship between Social Support, Stress, and Health among Women on Detroit's East Side
Health Educ Behav,
June 1, 2002;
29(3):
342 - 360.
[Abstract]
[PDF]
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K. L. Walters and J. M. Simoni
Reconceptualizing Native Women's Health: An "Indigenist" Stress-Coping Model
Am J Public Health,
April 1, 2002;
92(4):
520 - 524.
[Abstract]
[Full Text]
[PDF]
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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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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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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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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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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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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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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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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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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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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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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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N. Krieger
Commentary: Society, biology and the logic of social epidemiology
Int. J. Epidemiol.,
February 1, 2001;
30(1):
44 - 46.
[Full Text]
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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]
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