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RACE AS LIVED EXPERIENCE

The Impact of Multi-Dimensional Measures of Race/Ethnicity on the Self-Reported Health Status of Latinos

Published online by Cambridge University Press:  16 November 2015

John A. Garcia ,
Gabriel R. Sanchez ,
Shannon Sanchez-Youngman ,
Edward D. Vargas  and
Vickie D. Ybarra
John A. Garcia*
Affiliation:
Inter-University Consortium for Political and Social Research, University of Michigan
Gabriel R. Sanchez
Affiliation:
Department of Political Science and Robert Wood Johnson Foundation Center for Health Policy, University of New Mexico
Shannon Sanchez-Youngman
Affiliation:
Department of Political Science and Robert Wood Johnson Foundation Center for Health Policy, University of New Mexico
Edward D. Vargas
Affiliation:
Center for Women’s Health and Health Disparities Research, University of Wisconsin-Madison
Vickie D. Ybarra
Affiliation:
Department of Political Science and Robert Wood Johnson Foundation Center for Health Policy, University of New Mexico
*
*Corresponding author: John A. Garcia, Inter-University Consortium for Political and Social Research, University of Michigan, P.O. Box 1248, Ann Arbor, MI 48104. E-mail: [email protected].
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Abstract

A growing body of social science research has sought to conceptualize race as a multi-dimensional concept in which context, societal relations, and institutional dynamics are key components. Utilizing a specially-designed survey, we develop and use multiple measures of race (skin color, ascribed race, and discrimination experiences) to capture race as a “lived experience” and assess these measures’ impact on Latinos’ self-rated health status. We model these measures of race as lived experience to test the explanatory power of race, both independently and as an integrated scale, with categorical regression, scaling, and dimensional analyses. Our analyses show that our multiple measures of race have significant and negative effects on Latinos’ self-reported health. Skin color is a dominant factor that impacts self-reported health both directly and indirectly. We then advocate for the utilization of multiple measures of race, adding to those used in our analysis, and their application to research regarding inequities in other health and social outcomes. Our analysis provides important contributions to research across a wide range of health, illness, social, and political disparities for communities of color.

Keywords

RaceEthnicitySelf-Reported HealthLived ExperienceSkin ColorAscribed raceDiscrimination
Type
State of the Art
Information
Du Bois Review: Social Science Research on Race , Volume 12 , Issue 2 , Fall 2015 , pp. 349 - 373
Copyright
Copyright © Hutchins Center for African and African American Research 2015 

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References

REFERENCES

Abdulrahim, Sawsan, and Baker, Wayne (2009). Differences in Self-Rated Health by Immigrant Status and Language Preference among Arab Americans in the Detroit Metropolitan Area. Social Science & Medicine, 68(12): 2097–2013.Google Scholar
Alder, Nancy, Boyce, Thomas, Chesney, Margaret, Cohen, Sheldon, Folkman, Susan, Kahn, Robert, and Sym, Leonard (1994). Socioeconomic Status and Health: The Challenge of the Gradient. American Psychologist, 49(1): 15–24.Google Scholar
Alegria, Margarita, Mulvaney-Day, Norah, and Canino, Glorisa (2007). Prevalence of Psychiatric Disorders across Latino Subgroups in the United States. American Journal of Public Health, 97(1): 68–71.Google Scholar
Araújo, Beverly Y., and Borrell, Luisa N. (2006). Understanding the Link between Discrimination, Life Chances and Mental Health Outcomes among Latinos. Hispanic Journal of Behavioral Sciences, 28(2): 245–266.Google Scholar
Benhabib, Seyla (2002). The Claims of Culture: Equality and Diversity in the Global Era. Princeton, NJ: Princeton University Press.Google Scholar
Berenson, Gerald, Wattigney, Wend, and Webber, Larry (1996). Epidemiology of Hypertension from Childhood to Young Adulthood in Black, White and Hispanic Population Samples. Public Health Reports, Vol. 3 Supplement #2, pp. 3–6.Google Scholar
Bernal, Martha, and Knight, George P. (Eds.) (1993). Ethnic Identity: Formation and Transmission among Hispanics and Other Minorities. Albany, NY: State University of New York Press.Google Scholar
Bowman, Phillip J., Muhammad, Ray, and Ifatunji, Mosi (2004). Skin Tone, Class and Racial Attitudes among African-Americans. In Herring, Cedric (Ed.), Skin Deep: How Race and Complexions Matter in the ‘Color-Blind’ Era, pp. 128–158. Chicago, IL: University of Illinois Press.Google Scholar
Boyle, Edwin (1970). Biological Patterns in Hypertension by Race, Sex, Body Weight, and Skin Color. JAMA, 213(10): 1637–1643.Google Scholar
Braveman, Paula, Cubbin, Catherine, Egerter, Susan, Chldeya, Sekai, Kristen, Marchi, Metzler, Marilyn, and Posner, Samuel (2005). Socioeconomic Status in Health Research: One Size Does Not Fit All. JAMA, 294(22): 2879–2888.Google Scholar
Browne, Irene, and Odem, Mary (2012). Juan Crow in the Nuevo South? Racialization of Guatemalan and Dominican Immigrants in the Atlanta Metro Area. Du Bois Review: Social Science Research on Race, 9(2): 321–337.Google Scholar
Bruch, Sarah, and Loveman, Mara (2011). Measuring and Modeling Race as a Multi-Dimensional Construct: Evidence from Research on Racial Disparities in Education. Paper presented at the Population Association of America annual meeting, Washington, D.C., April.Google Scholar
Bzostek, Sharon, Goldman, Noreen, and Pebley, Anne (2007). Why Do Hispanics in the USA Report Poor Health? Social Science & Medicine, 65(5): 990–1003.Google Scholar
Campbell, Mary E. (2009). Multiracial Groups and Educational Inequality: A Rainbow or a Divide? Social Problems, 56(3): 425–446.Google Scholar
Centers for Disease Control and Prevention (2011). CDC Health Disparities and Inequalities Report—United States, 2011. Morbidity and Mortality Weekly Report, Supplement(60): 1–116.Google Scholar
Chae, David H., Nuru-Jeter, Amani M., Lincoln, Karen D., and Francis, Darlene D. (2011). Conceptualizing Racial Disparities in Health Advancement of a Socio-Psychobiological Approach. Du Bois Review: Social Science Research on Race, 8(1): 63–77.Google Scholar
Chan, Joanna, Ehrlich, Allison, Lawrence, Reva, Moshell, Alan, Turner, Maria, and Kimball, Alexa (2005). Assessing the Role of Race in Quantitative Measures of Skin Pigmentation and Clinical Assessments of Photosensitivity. Journal of American Academy of Dermatology, 52(4): 609–615.Google Scholar
Choi, Kyung-Hee, Paul, Jay, Ayala, George, Boylan, Ross, and Gregorich, Steven E. (2013). Experiences of Discrimination and Their Impact on the Mental Health Among African American, Asian and Pacific Islander, and Latino Men Who Have Sex With Men. American Journal of Public Health, 103(5): 868–874.Google Scholar
Cobas, José A., Duany, Jorge, and Feagin, Joe R. (2009). How the United States Racializes Latinos: White Hegemony and Its Consequences. Boulder, CO: Paradigm Publishers.Google Scholar
Cohen, Cathy (1999). The Boundaries of Blackness: AIDS and the Breakdown of Black Politics. Chicago, IL: Chicago University Press.Google Scholar
Dawson, Michael C. (1995). Behind the Mule: Race, Class and African American Politics. Princeton, NJ: Princeton University Press.Google Scholar
De Genova, Nicholas (2004). The Legal Production of Mexican/Migrant “Illegality.” Latino Studies, 2(2): 160–185.Google Scholar
Delgado, Richard, and Stefancic, Jean (1999–2000). California’s Racial History and Constitutional Rationales for Race Conscious Decision Making in Higher Education. UCLA Law Review, 47:1521–1614.Google Scholar
Dressler, William W., Oths, Kathryn S., and Gravlee, Clarence C. (2005). Race and Ethnicity in Public Health Research: Models to Explain Health Disparities. Annual Review of Anthropology, 34: 231–352.Google Scholar
Espino, Rodolfo, and Franz, Michael M. (2002). Latino Phenotypic Discrimination Revisited: The Impact of Skin Color on Occupational Prestige. Social Science Quarterly, 83(2): 612–623.Google Scholar
Finch, Brian K., Hummer, Robert A., Kolody, Bohdan, and Vega, William A. (2001). The Role of Discrimination and Acculturative Stress in the Physical Health of Mexican-Origin Adults. Hispanic Journal of Behavioral Sciences, 23(4): 399–429.Google Scholar
Flores, Elena, Tschann, Jeanne M., Dimas, Juanita M., Bachen, Elizabeth A., Pasch, Lauri A., and de Groat, Cynthia L. (2008). Perceived Discrimination, Perceived Stress, and Mental and Physical Health among Mexican-Origin Adults. Hispanic Journal of Behavioral Sciences, 30(4): 401–424.Google Scholar
Flores, Rene, and Telles, Edward (2012). Social Stratification in Mexico: Disentangling Color, Ethnicity, and Class. American Sociological Review, 77(3): 486–494.Google Scholar
Ford, Chandra L., and Airhihenbuwa, Collins O. (2010). The Public Health Critical Race Methodology: Praxis for Antiracism Research. Social Science & Medicine, 71(8): 1390–1398.Google Scholar
Frank, Reanne, Akresh, Ilana Redstone, and Lu, Bo (2010). Latino Immigrants and the U.S. Racial Order: How and Where Do They Fit In? American Sociological Review, 75(3): 378–401.Google Scholar
Garcia, Ignacio M. (2008). White But Not Equal: Mexican Americans, Jury Discrimination, and the Supreme Court. Tucson, AZ: University of Arizona Press.Google Scholar
Garcia, John A. (1991). Report on the Latino National Political Survey and Construction of Race (Skin Color) and Cultural Items. (Internal PI document) de la Garza, Rodolfo, Angelo Falcon, F. Chris Garcia, and John A. Garcia. Latino National Political Survey, 1989–1990. ICPSR06841-v3. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1998. http://doi.org/10.3886/ICPSR06841.v3Google Scholar
Garcia, John A. (2013). Toward a Holistic Conceptualization and Operationalization of Race and Health Disparities. In Gomez, Laura E. and Lopez, Nancy (Eds.), Mapping “Race”: Critical Approaches to Health Disparities Research, pp. 188–209. New Brunswick, NJ: Rutgers University Press.Google Scholar
Gardner, Lytt I. Jr., Stern, Michael P., Haffner, Steven M., Gaskill, Sharon P., Hazuda, Helen P., Relethford, John H., and Eifler, Clayton W. (1984). Prevalence of Diabetes in Mexican Americans: Relationship to Percent of Gene Pool Derived from Native American Sources. Diabetes, 33(1): 86–92.Google Scholar
Gee, Gilbert C., and Ford, Chandra L. (2011). Structural Racism and Health Inequities: Old Issues, New Directions. Du Bois Review: Social Science Research on Race, 8(1): 115–132.Google Scholar
Geronimus, Arline T., Hicken, Margaret, Keene, Danya, and Bound, John (2006). “Weathering” and Age-Patterns of Allostatic Load Scores among Blacks and Whites in the United States. American Journal of Public Health, 96(5): 826–833.Google Scholar
Gomberg-Munoz, Ruth (2012). Inequality in a Post-Racial Era: Race, Immigration, and Criminalization of Low-Wage Labor. Du Bois Review: Social Science Research on Race, 9(2): 339–353.Google Scholar
Gómez, Christina (2000). The Continual Significance of Skin Color: An Exploratory Study of Latinos in the Northeast. Hispanic Journal of Behavioral Sciences, 22(1): 94.Google Scholar
Gravlee, Clarence C., Dressler, William W., and Bernard, H. Russell (2005). Skin Color, Social Classification, and Blood Pressure in Southeastern Puerto Rico. American Journal of Public Health, 95(12): 2191–2197.Google Scholar
Gravlee, Clarence (2013). Operationalizing Race in Health Research: From Mantra to Measurement. In Gomez, Laura E. and Lopez, Nancy (Eds.), Mapping ‘Race’: Critical Approaches to Health Disparities Research. New Brunswick, NJ: Rutgers University Press.Google Scholar
Grosofoguel, Ramon (2004). Race and Ethnicity as Racialized Ethnicities? Identities within Global Coloniality. Ethnicities, 4(3): 315–336.Google Scholar
Harburg, Ernest, Gleiberman, Lillian, Roeper, Peter, Schork, M. A., and Schull, William J. (1978). Skin Color, Ethnicity, and Blood Pressure I: Detroit Blacks. American Journal of Public Health, 68(2): 1177–1183.Google Scholar
Harrell, Camara Jules P., Burford, Tanisha I., Cage, Brandi N., Nelson, Travette McNair, Shearon, Sheronda, Thompson, Adrian, and Green, Steven (2011). Multiple Pathways Linking Racism to Health Outcomes. Du Bois Review: Social Science Research on Race, 8(1): 143–157.Google Scholar
Harris, David, and Sim, Jeremiah (2002). Who is Multi-Racial? Assessing the Complexity of Lived Race. American Sociological Review, 67(4): 614–627.Google Scholar
Helms, Janet E. (1990). The Measurement of Black Racial Identity Attitudes. In Helms, Janet E. (Ed.), Black and White Racial Identity: Theory, Research, and Practice, pp. 33–48. Westport, CT: Greenwood Press.Google Scholar
Hersch, Joni (2006). Skin Tone Effects among African Americans: Perceptions and Reality. Discussion Paper No. 545., Harvard Law School, Cambridge, MA 02138.Google Scholar
Hicken, Margaret T., Lee, Hedwig, Morenoff, Jeffrey, House, James S., and Williams, David R. (2014). Racial/Ethnic Disparities in Hypertension Prevalence: Reconsidering the Role of Chronic Stress. American Journal of Public Health, 104(1): 117–123.Google Scholar
Hill, Mark (2002). Race of the Interviewer and Perception of Skin Color: Evidence from the Multi-City Study of Urban Inequality. American Sociological Review, 66(1): 99–108.Google Scholar
Hochschild, Jennifer (2011). Including Oneself and Including Others: Who Belongs in My Country? The Annals of the American Academy of Political and Social Science, 634: 78–97.Google Scholar
Hochschild, Jennifer L., Weaver, Vesla M., and Burch, Traci (2011). Destabilizing the American Racial Order. Daedalus, 140(2): 151–165.Google Scholar
Hogg, Michael A., and Terry, Deborah J. (Eds.) (2001). Social Identity Processes in Organizational Contexts. Philadelphia, PA: Psychology Press.Google Scholar
Idler, Ellen L., and Benyamini, Yael (1997). Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies. Journal of Health and Social Behavior, 38(1): 21–37.Google Scholar
James, Cara, Thomas, Megan, Lillie-Blanton, Marsha, and Garfield, Rachel (2007). Key Facts: Race, Ethnicity & Medical Care. Project Report. The Henry J. Kaiser Family Foundation, Menlo Park, CA.Google Scholar
Jones, Camara P., Truman, Benedict I., Elam-Evans, Laurie D., Jones, Camille A., Jones, Clara Y., Jiles, Ruth, Rumisha, Susan F., and Perry, Geraldine S. (2008). Using Socially Assigned Race to Probe White Advantages in Health Status. Ethnicity and Disease, 18(4): 1–12.Google Scholar
Kandula, Manratha R., Lauderdale, Diane S., and Baker, David W. (2007). Differences in Self-Reported Health among Asians, Latinos, and Non-Hispanic Whites: The Role of Language and Nativity. Annals of Epidemiology, 17(3): 191–198.Google Scholar
Keil, Julian E., Tyroler, Herman A., Sandifer, Samuel H., and Boyle, Edwin Jr. (1977). Hypertension: Effects of Social Class and Racial Admixture: The Results of a Cohort Study of the Black Population of Charleston, South Carolina. American Journal of Public Health, 67(7): 634–639.Google Scholar
Keith, Verna M., and Herring, Cedric (1991). Skin Tone and Stratification in the Black Community. American Journal of Sociology, 97(3): 760–778.Google Scholar
Klag, Michael J., Whelton, Paul K., Coresh, Josef, Grim, Clarence E., and Kuller, Lewis H. (1991). The Association of Skin Color with Blood Pressure in U.S. Blacks with Low Socioeconomic Status. JAMA, 265(5): 599–602.Google Scholar
Klonoff, Elizabeth A., and Landrine, Hope (2000). Is Skin Color a Marker for Racial Discrimination? Explaining the Skin Color–Hypertension Relationship. Journal of Behavioral Medicine, 23(4): 329–338.Google Scholar
Knapp, Rebecca G., Keil, Julian E., Sutherland, Susan E., Rust, Philip F., Hames, Curtis, and Tyroler, Herman A. (1995). Skin Color and Cancer Mortality among Black Men in the Charleston Heart Study. Clinical Genetics, 47(4): 200–206.Google Scholar
Krieger, Nancy, Sidney, Stephen, and Coakley, Eugenie (1998). Racial Discrimination and Skin Color in the CARDIA Study: Implications for Public Health Research. American Journal of Public Health, 88(9): 1308–1313.Google Scholar
Krieger, Nancy (1999). Embodying Inequality: A Review of Concepts, Measures, and Methods for Studying Health Consequences of Discrimination. International Journal of Health Services, 29(2): 295–352.Google Scholar
Kuzawa, Christopher W., and Sweet, Elizabeth (2009). Epigenetics and the Embodiment of Race: Developmental Origins of U.S. Racial Disparities in Cardiovascular Health. American Journal of Human Biology, 21(1): 2–15.Google Scholar
Lara, Marielena, Gamboa, Cristina, Iya Kahramanian, M., Morales, Leo S., and Hayes Bautista, David E. (2005). Acculturation and Latino Health in the United States: A Review of the Literature and its Sociopolitical Context. Annual Review of Public Health, 26: 367–397.Google Scholar
LaVeist, Thomas (1994). Beyond Dummy Variables and Sample Selection: What Health Service Researchers Ought to Know About Race as a Variable. HSR: Health Services Research, 29(1): 1–16.Google Scholar
Layes, Audrey, Asada, Yukiko, and Kephart, George (2012). Whiners and Deniers—What Does Self-Rated Health Measure? Social Science and Medicine, 75(1): 1–9.Google Scholar
Lopez, Nancy, and Gomez, Laura (Eds.) (2013). Mapping Race: Critical Approaches to Health Disparities Research. New Brunswick, NJ: Rutgers University Press.Google Scholar
Marmot, Michael G. (2006). Status Syndrome—A Challenge to Medicine. JAMA, 295(11): 1304–1307.Google Scholar
Marmot, Michael, and Wilkinson, R. (1999). Social Determinants of Health (1st Edition). New York: Oxford University Press.Google Scholar
Martinez, Jacqueline M. (2002). Learning to See What I Was Never Supposed to See: Becoming Chicana in a White World. In Martin, Judith N., Nakayama, Thomas K., and Flores, Lisa A. (Eds.), Readings in Cultural Contexts, 2ed., pp. 67–73. Houston, TX: Mayfield Publishing Company.Google Scholar
Massey, Douglas S., and Denton, Nancy A. (1989). Residential Segregation of Mexicans, Puerto Ricans, and Cubans in U.S. Metropolitan Areas. Sociology and Social Research, 73(2): 73–83.Google Scholar
Massey, Douglas S., and Denton, Nancy A. (1989). Racial Identity among Caribbean Hispanics: The Effect of Double Minority Status on Residential Segregation. American Sociological Review, 54(5): 790–808.Google Scholar
Massey, Douglas S., Durand, Jorge, and Malone, Nolan J. (2003). Beyond Smoke and Mirrors: Mexican Immigration in an Era of Economic Integration. New York: Russell Sage Foundation.Google Scholar
Massey, Douglas S. (2004). Segregation and Stratification: A Biosocial Perspective. Du Bois Review: Social Science Research on Race. 1(1): 7–25.Google Scholar
Masuoka, Natalie (2006). Together They Become One: Examining the Predictors of Pan-Ethnic Group Consciousness among Asian Americans and Latinos. Social Science Quarterly, 87(5): 993–1011.Google Scholar
Mays, Vickie, Cochran, Susan, and Barnes, Namdi W. (2007). Race, Race Based Discrimination, and Health Outcomes among African Americans. Annual Review of Psychology, 58: 201–225.Google Scholar
Miller, Kristen, and Wilson, Stephanie (2003). Asking About Race: Survey Question Design for Respondents with Multiple Race Identities. Paper presented at the Annual Meeting of the American Sociological Association, Atlanta, GA, August 16.Google Scholar
Morales, Maria Christina (2008). The Ethnic Niche as an Economic Pathway for the Dark Skinned Labor Market Incorporation of Latina/o Workers. Hispanic Journal of Behavioral Sciences, 30(3): 280–298.Google Scholar
Mossey, Jana M., and Shapiro, Evelyn (1982). Self-rated Health: A Predictor of Mortality among the Elderly. American Journal of Public Health, 72(8): 800–808.Google Scholar
Myers, Hector F. (2009). Ethnicity- and Socio-Economic Status-Related Stresses in Context: An Integrative Review and Conceptual Model. Journal of Behavioral Medicine, 32(1): 9–19.Google Scholar
Nelson, William E. Jr., and Monforti, Jessica Lavariega (Eds.) (2006). Black and Latino/a Politics: Issues in Political Development in the United States. Miami, FL: Barnhardt and Ashe Publishing.Google Scholar
Paradies, Yin (2006). A Systematic Review of Empirical Research on Self-reported Racism and Health. International Journal of Epidemiology, 35(4): 888–901.Google Scholar
Perreira, Krista, and Telles, Edward E. (2014). The Color of Health: Skin Color, Ethnoracial Classification, and Discrimination in the Health of Latin Americans. Social Science & Medicine, 116: 241–250.Google Scholar
Prewitt, Kenneth (2005). Racial Classification in America: Where Do We Go from Here? Dædalus, 134(1): 4–17.Google Scholar
Rubin, Richard R., and Peyrot, Mark (1999). Quality of Life and Diabetes. Diabetes/Metabolism Research and Reviews, 15(3): 205–218.Google Scholar
Sanchez, Gabriel R., and Ybarra, Vickie D. (2013). Lessons from Political Science: Health Status and Improving How We Study Race. In Gomez, Laura E. and Lopez, Nancy (Eds.), Mapping “Race”: Critical Approaches to Health Disparities Research, pp. 104–116. New Brunswick, NJ: Rutgers University Press.Google Scholar
Saperstein, Aliya (2006). Double-Checking the Race Box: Examining Inconsistency between Survey Measures of Observed Race and Self-Reported Race. Social Forces, 85(1): 57–74.Google Scholar
Saperstein, Aliya (2009). Different Measures, Different Mechanisms: A New Perspective on Racial Disparities in Health Care. Research in the Sociology of Health Care, 27: 21–45.Google Scholar
Saperstein, Aliya, and Penner, Andrew (2012). Racial Fluidity and Inequality in the United States. American Journal of Sociology, 118(3): 676–727.Google Scholar
Saperstein, Aliya (2013). Representing the Multi-Dimensionality of Race in Survey Research. In Gomez, Laura E. and Lopez, Nancy (Eds.), Mapping “Race”: Critical Approaches to Health Disparities Research, pp. 167–187. New Brunswick, NJ: Rutgers University Press.Google Scholar
Satcher, David, Fryer, George E. Jr., McCann, Jessica, Troutman, Adewale, Woolf, Steven H., and Rust, George (2005). What If We Were Equal? A Comparison of the Black-White Mortality Gap in 1960 and 2000. Health Affairs, 24(2): 459–464.Google Scholar
Schulz, Amy J., Williams, David R., Israel, Barbara, and Lempert, Lora B. (2002). Racial and Spatial Relations as Fundamental Determinants of Health in Detroit. The Milbank Quarterly, 80(4): 677–707.Google Scholar
Shippee, Tetyana, Henning-Smith, Carrie, Shippee, Nathan, Kemmick, Jessie Pintor, Call, Kathleen T., McAlpine, Donna, and Johnson, Pamela Jo (2013). Discrimination in Medical Settings and Attitudes toward Complementary and Alternative Medicine: The Role of Distrust in Conventional Providers. Journal of Health Disparities Research and Practice, 6(1): 30–45.Google Scholar
Smedley, Brian D., Stith, Adrienne Y., and Nelson, Alan R. (Eds.) (2003). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, D.C.: National Academies Press.Google Scholar
Sternthal, Michelle J., Slopen, Natalie, and Williams, David R. (2011). Racial Disparities in Health—How Much Does Stress Really Matter? Du Bois Review: Social Science Research on Race, 8(1): 95–113.Google Scholar
Tafoya, Sonya (2004). Shades of Belonging. Washington, D.C.: Pew Hispanic Center. <http://www.pewhispanic.org/files/reports/35.pdf> (accessed March 25, 2015).Google Scholar
Tashiro, Cathy J. (2002). Considering the Significance of Ancestry through the Prism of Mixed-Race Identity. Advances in Nursing Science, 25(2) 1–21.Google Scholar
Telles, Edward E., and Murguia, Edward (1990). Phenotypic Discrimination and Income Differences among Mexican Americans. Social Science Quarterly, 71(4): 682–696.Google Scholar
Telles, Edward E., and Lim, Nelson. (1998). Does It Matter Who Answers the Race Question? Racial Classification and Income Inequality in Brazil. Demography, 35(4): 465–474.Google Scholar
Telles, Edward E., and Steele, Liza (2012). Pigmentocracy in the Americas: How Is Educational Attainment Related to Skin Color? Americas Barometer Insights, 73: 1–8.Google Scholar
Terkildsen, Nayda (1993). When White Voters Evaluate Black Candidates: The Processing Implications of Candidate Skin Color, Prejudice and Self-Monitoring. American Journal of Political Science, 37(4): 1032–1053.Google Scholar
Thomas, Stephen, Quinn, Sandra, Butler, Jane, Butler, Craig, and Garza, Mary (2011). Toward a Fourth Generation of Disparities Research to Achieve Health Equity. Annual Review of Public Health, 32: 399–416.Google Scholar
Tsai, James, Ford, Earl S., Li, Chaoyang, Zhao, Guixiang, Pearson, William S., and Balluz, Lina S. (2010). Multiple Healthy Behaviors and Self-Rated Health: Findings from the 2007 Behavioral Risk Factor Surveillance System Survey. Preventive Medicine, 51(3-4): 268–274.Google Scholar
Tsai, James, Ford, Earl S., Zhao, Chaoyang, and Balluz, Lina S. (2010). Physical Activity and Optimal Self-Rated Health of Adults with and without Diabetes. BMC Public Health, 10(1): 65.Google Scholar
Uhlmann, Eric, Dasgupta, Nilanjana, Elgueta, Angelica, Greenwald, Andrew, and Swanson, Jane (2002). Subgroup Prejudice Based on Skin Color among Hispanics in the United States and Latin America. Social Cognition, 20(3): 198–225.Google Scholar
Viruell-Fuentes, Edna A. (2011). “It’s A Lot of Work”—Racialization Processes, Ethnic Identity Formations, and their Health Implications. Du Bois Review: Social Science Research on Race, 8(1): 37–52.Google Scholar
Viruell-Fuentes, Edna A., Morenoff, Jeffrey D., Williams, David R., and House, James S. (2011). Language of Interview, Self-Rated Health, and the Other Latino Health Puzzle. American Journal of Public Health, 101(7): 1306–1313.Google Scholar
Waidmann, Timothy A., and Rajan, Shruti (2000). Race and Ethnic Disparities in Health Care Access and Utilization: An Examination of State Variation. Medical Care Research and Review, 57(4): 55–84.Google Scholar
Williams, David (1997). Race and Health: Basic Questions, Emerging Directions. Annals of Epidemiology, 7(5): 322–333.Google Scholar
Williams, David R., and Mohammed, Selina A. (2009). Discrimination and Racial Disparities in Health: Evidence and Needed Research. Journal of Behavioral Medicine, 32(1): 20–47.Google Scholar
Williams, David R., and Sternthal, Michelle (2010). Understanding Racial-Ethnic Disparities in Health: Sociological Contributions. Journal of Health and Social Behavior, 51(S): S15–S27.Google Scholar
Woo, Meghan, Austin, S. Bryn, Williams, David R., and Bennett, Gary G. (2011). Reconceptualizing the Measurement of Multiracial Status for Health Research in the United States. Du Bois Review: Social Science Research on Race, 8(1): 25–36.Google Scholar
Yzaguirre, Raul, Arce, Laura, and Kamasaki, Charles (1999). The Fair Housing Act: A Latino Perspective. Cityscape: A Journal of Policy Development and Research, 4(3): 161–170.Google Scholar
Zsembik, Barbara, and Fennell, Dana (2005). Ethnic Variation in Health and the Determinants of Health among Latinos. Social Science and Medicine, 61(1): 53–63.Google Scholar
Zullig, Keith J., and Hendryx, Michael (2010). Comparative Analysis of Health Related Quality of Life (HRQOL) for Residents of U.S. Counties with and without Coal Mining. Public Health Reports, 125(4): 548–555.Google Scholar