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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Relative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation

TitleRelative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation
Publication TypeJournal Article
Year of Publication2018
AuthorsNuru-Jeter, AM, Michaels, EK, Thomas, MD, Reeves, AN, Thorpe, R. J., J, Laveist, TA
JournalAnnu Rev Public Health
Volume39
Pagination169-188
Date PublishedApr 1
ISBN Number0163-7525
Accession Number29328880
KeywordsHealth inequalities, race, social determinants of health, Social epidemiology, Socioeconomic position, socioeconomic status
Abstract

An abundance of research has documented health inequalities by race and socioeconomic position (SEP) in the United States. However, conceptual and methodological challenges complicate the interpretation of study findings, thereby limiting progress in understanding health inequalities and in achieving health equity. Fundamental to these challenges is a lack of clarity about what race is and the implications of that ambiguity for scientific inquiry. Additionally, there is wide variability in how SEP is conceptualized and measured, resulting in a lack of comparability across studies and significant misclassification of risk. The objectives of this review are to synthesize the literature regarding common approaches to examining race and SEP health inequalities and to discuss the conceptual and methodological challenges associated with how race and SEP have been employed in public health research. Addressing health inequalities has become increasingly important as the United States trends toward becoming a majority-minority nation. Recommendations for future research are presented.