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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

The Role of Social Context in Racial Disparities in Self-Rated Health

TitleThe Role of Social Context in Racial Disparities in Self-Rated Health
Publication TypeJournal Article
Year of Publication2018
AuthorsBell, CN, Thorpe, R. J., J, Laveist, TA
JournalJ Urban Health
Volume95
Pagination13-20
Date PublishedFeb
ISBN Number1099-3460
Accession Number29204842
Keywordsrace, Self-rated health, Social context
Abstract

Race disparities in self-rated health in the USA are well-documented, such that African Americans rate their health more poorly than whites. However, after adjusting for health status, socioeconomic status (SES), and health behaviors, residual race differences are observed. This suggests the importance of unmeasured variables. Because African Americans and whites tend to live in differing social contexts, it is possible that accounting for social and environmental conditions may reduce racial disparities in self-rated health. Differences in self-rated health among whites and African Americans were assessed in a low-income, urban integrated community (Exploring Health Disparities in Integrated Communities (EHDIC)) and compared with a national sample (National Health Interview Survey (NHIS)). Controlling for demographics, SES, health insurance, status, and behaviors, African Americans in NHIS had higher odds of reporting fair or poor health (odds ratio [OR] = 1.40, 95% confidence interval [CI] = 1.18-1.66) than whites. In EHDIC, there was no race difference in self-rated health (OR = 0.83, 95% CI = 0.63-1.11). These results demonstrate the importance of social context in understanding race disparities in self-rated health.

PMCID

PMC5862697