NDLI: The role of socioeconomic factors in Black-White health inequities across the life course: Point-in-time measures, long-term exposures, and differential health returns.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Boen, Courtney
Description	Author Affiliation: Boen C ( Department of Sociology and Carolina Population Center, University of North Carolina, 155 Hamilton Hall, CB 3210, Chapel Hill, NC, 27599, USA. Electronic address: cboen@live.unc.edu.)
Abstract	Research links Black-White health disparities to racial differences in socioeconomic status (SES), but understanding of the role of SES in racial health gaps has been restricted by reliance on static measures of health and socioeconomic well-being that mask the dynamic quality of these processes and ignore the racialized nature of the SES-health connection. Utilizing twenty-three years of longitudinal data from the Panel Study of Income Dynamics (1984-2007), this study uses multilevel growth curve models to examine how multiple dimensions of socioeconomic well-being-including long-term economic history and differential returns to SES-contribute to the life course patterning of Black-White health disparities across two critical markers of well-being: body mass index (N = 9057) and self-rated health (N = 11,329). Findings indicate that long-term SES exerts a significant influence on both body mass index and self-rated health, net of point-in-time measures, and that Black-White health gaps are smallest in models that adjust for both long-term and current SES. I also find that Blacks and Whites receive differential health returns to increases in SES, which suggests that other factors-such as neighborhood segregation and exposure racial discrimination-may restrict Blacks from converting increases in SES into health improvements in the same way as Whites. Together, these processes contribute to the life course patterning of Black-White health gaps and raise concerns about previous misestimation of the role of SES in racial health disparities.
File Format	HTM / HTML
ISSN	02779536
e-ISSN	18735347
Journal	Social Science & Medicine
Volume Number	170
Language	English
Publisher	Elsevier
Publisher Date	2016-12-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	health inequalities health behavior social epidemiology healthcare policy medical sociology
Content Type	Text
Resource Type	Article
Subject	Medicine Health (social science) History and Philosophy of Science

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