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ADDRESSING RACIAL DISPARITIES IN HEALTH USING LIFE COURSE PERSPECTIVES

Toward a Constructive Criticism1

Published online by Cambridge University Press:  15 April 2011

Cynthia G. Colen
Cynthia G. Colen*
Affiliation:
Department of Sociology, Ohio State University
*
Cynthia G. Colen, Department of Sociology, The Ohio State University, 238 Townshend Hall, 1885 Neil Avenue Mall, Columbus, OH 43210. E-mail: [email protected]
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Abstract

In the United States, African Americans face stark inequalities in health. The life course perspective offers a unique viewpoint through which racial disparities in morbidity and mortality may be understood as the result of repeated exposures to risk factors during both childhood and adulthood. However, the utility of this approach is limited by its failure to investigate the degree to which racial/ethnic minorities are able to translate gains in socioeconomic status into favorable health outcomes, both for themselves and for their children. In order to adequately reflect the realities of marginalized groups, life course models must explore the interactive nature of linkages across lifecourse stages, pay particular attention to the unique processes that create and maintain health disparities over time, and consider the specific contexts in which these processes occur. To this end, I examine the ways in which exclusionary forces and discriminatory conditions are likely to prevent African American women and their children from reaping the health benefits typically associated with upward socioeconomic mobility.

Keywords

RaceHealthSocioeconomic MobilityDiscriminationLife Course
Type
Moving Forward in Studying Racial Disparities in Health
Information
Du Bois Review: Social Science Research on Race , Volume 8 , Issue 1: Special Issue: Racial Inequality and Health , Spring 2011 , pp. 79 - 94
Copyright
Copyright © W.E.B. Du Bois Institute for African and African American Research 2011

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Footnotes

1

The author would like to thank Arline Geronimus, John Bound, Sherman James, Pam Smock, David Williams, John Casterline, and three anonymous reviewers for their insightful comments on earlier drafts. Dr. Colen also gratefully acknowledges support from the National Institute of Child and Human Development (NICHD) through a training grant (T32HD007339) to the Population Studies Center at the University of Michigan as well as the Robert Wood Johnson Health and Society Scholars Program at Columbia University.

References

REFERENCES

Acevedo-Garcia, Dolores (2001). Zip Code–Level Risk Factors for Tuberculosis: Neighborhood Environment and Residential Segregation in New Jersey, 1985–1992. American Journal of Public Health, 91(5): 734–741.Google Scholar
Barker, D. J. P. (1998). Mothers, Babies, and Health in Later Life, 2 ed.Edinburgh, United Kingdom: Churchill Livingstone.Google Scholar
Barker, David J. P., Osmond, Clive, Forsén, Tom J., Kajantie, Eero, and Eriksson, Johan G. (2005). Trajectories of Growth Among Children Who Have Coronary Events as Adults. New England Journal of Medicine, 353(17): 1802–1809.CrossRefGoogle ScholarPubMed
Bell, Ella, Edmondson, L. J., and Nkomo, Stella M. (2001). Our Separate Ways. Boston, MA: Harvard Business Press.Google Scholar
Bell, Janice F., Zimmerman, Frederick J., Almgren, Gunnar R., Mayer, Jonathan D., and Huebner, Colleen E. (2006). Birth Outcomes among Urban African American Women: A Multilevel Analysis of the Role of Racial Residential Segregation. Social Science & Medicine, 63(12): 3030–3045.CrossRefGoogle ScholarPubMed
Bianchi, Suzanne and Casper, Lynne M. (2000). American Families. Population Bulletin, 55(4): 1–43.Google Scholar
Bond-Huie, Stephanie A., Krueger, Patrick M., Rogers, Richard G., and Hummer, Robert A. (2003). Wealth, Race, and Mortality. Social Science Quarterly, 84(3): 667–684.Google Scholar
Bonham, Vence L., Sellers, Sherrill L., and Neighbors, Harold W. (2004). John Henryism and Self-Reported Physical Health among High-Socioeconomic Status African American Men. American Journal of Public Health, 94(5): 737–738.CrossRefGoogle ScholarPubMed
Bonilla-Silva, Eduardo (2001). White Supremacy andRacism in the Post-Civil Rights Era. Boulder, CO: Lynne Rienner Publishers.Google Scholar
Borrell, Luisa N., Kiefe, Catarina I., Williams, David R., Diez-Roux, Ana V., and Gordon-Larsen, Penny (2006). Self-Reported Health, Perceived Racial Discrimination, and Skin Color in African Americans in the CARDIA Study. Social Science & Medicine, 63(6): 1415–1427.Google Scholar
Borrell, Luisa N., Roux, Ana V. Diez, Jacobs, David R. Jr., Shea, Steven, Jackson, Sharon A., Shrager, Sandi, and Blumenthal, Roger S. (2010). Perceived Racial/Ethnic Discrimination, Smoking and Alcohol Consumption in the Multi-Ethnic Study of Atherosclerosis (MESA). Preventive Medicine, 51(3-4): 307–312.CrossRefGoogle ScholarPubMed
Braveman, Paula A., Cubbin, Catherine, Egerter, Susan, Williams, David R., and Pamuk, Elsie (2010). Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us. American Journal of Public Health, 100(S1): S186–196.Google Scholar
Butler, Cleve, Tull, Eugene S., Chambers, Earle C., and Taylor, Jerome (2002). Internalized Racism, Body Fat Distribution, and Abnormal Fasting Glucose among African Caribbean Women in Dominica, West Indies. Journal of the National Medical Association, 94(3): 143–148.Google Scholar
Case, Anne, Fertig, Angela, and Paxson, Christina (2005). The Lasting Impact of Childhood Health and Circumstance. Journal of Health Economics, 24(2): 365–389.Google Scholar
Charles, Camille Zubrinsky (2003). The Dynamics of Racial Residential Segregation. Annual Review of Sociology, 29(1): 167–207.Google Scholar
Colen, Cynthia G., Geronimus, Arline T., Bound, John, and James, Sherman A. (2006a). Maternal Upward Socioeconomic Mobility and Black-White Disparities in Infant Birthweight. American Journal of Public Health, 96(11): 2032–2039.Google Scholar
Colen, Cynthia G., Geronimus, Arline T., and Phipps, Maureen G. (2006b). Getting a Piece of the Pie? The Economic Boom of the 1990s and Declining Teen Birth Rates in the United States. Social Science & Medicine, 63(6): 1531–1545.Google Scholar
Collins, James W., David, Richard J., Handler, Arden, Wall, Stephen, and Andes, Steven (2004). Very Low Birthweight in African American Infants: The Role of Maternal Exposure to Interpersonal Racial Discrimination. American Journal of Public Health, 94(12): 2132–2138.CrossRefGoogle ScholarPubMed
Collins, James W., Rankin, Kristin M., and David, Richard J. (2009). Women's Lifelong Exposure to Neighborhood Poverty and Low Birth Weight: A Population-Based Study. Maternal and Child Health Journal, 13(3): 326–333.CrossRefGoogle ScholarPubMed
Conley, Dalton (1999). Being Black, Living in The Red: Race, Wealth, and Social Policy in America. Berkeley, CA: University of California Press.Google Scholar
Cooper, Richard S., Kennelly, Joan F., Durazo-Arvizu, Ramon, Oh, Hyun-Joo, Kaplan, George, and Lynch, John (2001). Relationship Between Premature Mortality and Socioeconomic Factors in Black and White Populations of U.S. Metropolitan Areas. Public Health Reports, 116(5): 464–473.Google Scholar
Cose, Ellis (1993). The Rage of a Privileged Class. New York: HarperCollins.Google Scholar
Crowder, Kyle and South, Scott J. (2005). Race, Class, and Changing Patterns of Migration Between Poor and Nonpoor Neighborhoods. American Journal of Sociology, 110(6): 1715–1763.Google Scholar
Davey Smith, George (Ed.) (2003). Health Inequalities: Lifecourse Approaches. Bristol, United Kingdom: The Policy Press.Google Scholar
Davey Smith, George and Hart, Carole (2002). Life Course Socioeconomic and Behavioral Influences on Cardiovascular Disease Mortality: The Collaborative Study. American Journal of Public Health, 92(8): 1295–1298.CrossRefGoogle Scholar
Dressler, William W. (1988). Social Consistency and Psychological Distress. Journal of Health and Social Behavior, 29(1): 79–91.Google Scholar
Dressler, William W. (1990). Lifestyle, Stress, and Blood Pressure in a Southern Black Community. Psychosomatic Medicine, 52(2): 182–198.Google Scholar
Duncan, Greg J., Yeung, W. Jean, Brooks-Gunn, Jeanne, and Smith, Judith R. (1998). How Much Does Childhood Poverty Affect the Life Chances of Children? American Sociological Review, 63(3): 406–423.CrossRefGoogle Scholar
England, Paula, Garcia-Beaulieu, Carmen, and Ross, Mary (2004). Women's Employment Among Blacks, Whites, and Three Groups of Latinas. Gender & Society, 18(4): 494–509.CrossRefGoogle Scholar
Farmer, Melissa M. and Ferraro, Kenneth F. (2005). Are Racial Disparities in Health Conditional on Socioeconomic Status? Social Science & Medicine (1982), 60(1): 191–204.Google Scholar
Feagin, Joe R. and Sikes, Melvin P. (1994). Living with Racism: The Black Middle-Class Experience. Boston, MA: Beacon Press.Google Scholar
Fernander, Anita F., Durán, Ron E. F., Saab, Patrice G., and Schneiderman, Neil (2004). John Henry Active Coping, Education, and Blood Pressure Among Urban Blacks. Journal of the National Medical Association, 96(2): 246–255.Google Scholar
Forman, Tyrone A. (2003). The Social Psychological Costs of Racial Segmentation in the Workplace: A Study of African Americans' Well-Being. Journal of Health and Social Behavior, 44(3): 332–352.CrossRefGoogle ScholarPubMed
Geronimus, Arline T. (1996). Black/White Differences in the Relationship of Maternal Age to Birthweight: A Population-Based Test of the Weathering Hypothesis. Social Science & Medicine, 42(4): 589–597.Google Scholar
Geronimus, Arline T. (2001). Understanding and Eliminating Racial Inequalities in Women's Health in the United States: The Role of the Weathering Conceptual Framework. Journal of the American Medical Women's Association, 56(4): 133–136.Google Scholar
Geronimus, Arline T., Bound, John, Waidmann, Timothy A., Colen, Cynthia G., and Steffick, Dianne (2001). Inequality in Life Expectancy, Functional Status, and Active Life Expectancy Across Selected Black and White Populations in the United States. Demography, 38(2): 227–251.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
Geronimus, Arline T., Hicken, Margaret, Pearson, Jay, Seashols, Sarah, Brown, Kelly, and Cruz, Tracey (2010). Do U.S. Black Women Experience Stress-Related Accelerated Biological Aging? Human Nature, 21(1): 19–38.CrossRefGoogle ScholarPubMed
Grady, Sue C. (2006). Racial Disparities in Low Birthweight and the Contribution of Residential Segregation: A Multilevel Analysis. Social Science & Medicine, 63(12): 3013–3029.CrossRefGoogle ScholarPubMed
Heron, Melanie, Hoyert, Donna L., Murphy, Sherry L., Xu, Jiaquan, Kochanek, Kenneth D., and Tejada-Vera, Betzaida (2009). Deaths: Final Data for 2006. National Vital Statistics Reports, 57(14): 1–134.Google Scholar
Higginbotham, Elizabeth and Weber, Lynn (1992). Moving up with Kin and Community: Upward Social Mobility for Black and White Women. Gender and Society, 6(3): 416–440.Google Scholar
Hughes, Diane and Dodge, Mark A. (1997). African American Women in the Workplace: Relationships Between Job Conditions, Racial Bias at Work, and Perceived Job Quality. American Journal of Community Psychology, 25(5): 581–599.Google Scholar
Jackson, Pamela Braboy, Thoits, Peggy A., and Taylor, Howard F. (1995). Composition of the Workplace and Psychological Well-Being: The Effects of Tokenism on America's Black Elite. Social Forces, 74(2): 543–557.CrossRefGoogle Scholar
Jackson, Sharon A., Anderson, Roger T., Johnson, Norman J., and Sorlie, Paul D. (2000). The Relation of Residential Segregation to All-Cause Mortality: A Study in Black and White. American Journal of Public Health, 90(4): 615–617.Google Scholar
James, Sherman A. (1994). John Henryism and the Health of African Americans. Culture, Medicine, and Psychiatry, 18(2): 163–182.CrossRefGoogle ScholarPubMed
Jones, Charisse (2000). Levels of Racism: A Theoretic Framework and a Gardener's Tale. American Journal of Public Health, 90(8): 1212–1215.Google Scholar
Jones, Charisse and Shorter-Gooden, Kumea (2003). Shifting: The Double Lives of Black Women in America. New York: HarperCollins.Google Scholar
Krieger, Nancy and Sidney, Stephen (1996). Racial Discrimination and Blood Pressure: The CARDIA Study of Young Black and White Adults. American Journal of Public Health, 86(10): 1370–1378.CrossRefGoogle ScholarPubMed
Kuh, Diana and Ben-Shlomo, Yoav, (Eds.) (1997). A Life Course Approach to Chronic Disease Epidemiology. New York: Oxford University Press.Google Scholar
Lacy, Karyn R. (2007). Blue-Chip Black: Race, Class, and Status in the New Black Middle Class. Berkeley, CA: University of California Press.Google Scholar
Lauderdale, Diane S. (2006). Birth Outcomes for Arabic-Named Women in California Before and After September 11. Demography, 43(1): 185–201.Google Scholar
LaVeist, Thomas A. (2003). Racial Segregation and Longevity Among African Americans: An Individual-Level Analysis. Health Services Research, 38(6 Pt. 2): 1719–1734.Google Scholar
LaVeist, Thomas A., Sellers, Robert M., and Neighbors, Harold W. (2001). Perceived Racism and Self and System Blame Attribution: Consequences for Longevity. Ethnicity & Disease, 11(4): 711–721.Google Scholar
Lawlor, Debbie A., Ebrahim, Shah, and Smith, George Davey (2005). Adverse Socioeconomic Position Across the Lifecourse Increases Coronary Heart Disease Risk Cumulatively: Findings from the British Women's Heart and Health Study. Journal of Epidemiology and Community Health, 59(9): 785–793.CrossRefGoogle ScholarPubMed
Light, Kathleen C., Brownley, Kimberly A., Turner, J. Rick, Hinderliter, Alan L., Girdler, Susan S., Sherwood, Andrew, and Anderson, Norman B. (1995). Job Status and High-Effort Coping Influence Work Blood Pressure in Women and Blacks. Hypertension, 25(4): 554–559.Google Scholar
Love, Catherine, David, Richard J., Rankin, Kristin M., and Collins, James W. (2010). Exploring Weathering: Effects of Lifelong Economic Environment and Maternal Age on Low Birth Weight, Small for Gestational Age, and Preterm Birth in African American and White Women. American Journal of Epidemiology, 172(2): 127–134.CrossRefGoogle ScholarPubMed
Markovic, N., Bunker, C. H., Ukoli, F. A., and Kuller, L. H. (1998). John Henryism and Blood Pressure Among Nigerian Civil Servants. Journal of Epidemiology and Community Health, 52(3): 186–190.Google Scholar
Massey, Douglas S. and Denton, Nancy A. (1998). American Apartheid: Segregation and the Making of the Underclass. Cambridge, MA: Harvard University Press.Google Scholar
Massey, Douglas S. and Fischer, Mary J. (1999). Does Rising Income Bring Integration? New Results for Blacks, Hispanics, and Asians in 1990. Social Science Research, 28(3): 316–326.Google Scholar
McDade, Thomas W. (2001). Lifestyle Incongruity, Social Integration, and Immune Function in Samoan Adolescents. Social Science & Medicine, 53(10): 1351–1362.CrossRefGoogle ScholarPubMed
McDonough, Peggy, Duncan, Greg, Williams, David, and House, James (1997). Income Dynamics and Adult Mortality in the United States, 1972 Through 1989. American Journal of Public Health, 87(9): 1476–1483.CrossRefGoogle ScholarPubMed
McKetney, Edwin C. and Ragland, David R. (1996). John Henryism, Education, and Blood Pressure in Young Adults The CARDIA Study. American Journal of Epidemiology, 143(8): 787–791.Google Scholar
Mustillo, Sarah, Krieger, Nancy, Gunderson, Erica P., Sidney, Stephen, McCreath, Heather, and Kiefe, Catarina I. (2004). Self-Reported Experiences of Racial Discrimination and Black-White Differences in Preterm and Low-Birthweight Deliveries: The CARDIA Study. American Journal of Public Health, 94(12): 2125–2131.CrossRefGoogle ScholarPubMed
National Center for Health Statistics (2010). Health, United States, 2009: With Special Feature on Medical Technology. Hyattsville, MD.Google Scholar
Oliver, Melvin L. and Shapiro, Thomas M. (1995). Black Wealth, White Wealth: A New Perspective on Racial Inequality. New York: Routledge.Google Scholar
Osypuk, Theresa L. and Acevedo-Garcia, Dolores (2008). Are Racial Disparities in Preterm Birth Larger in Hypersegregated Areas? American Journal of Epidemiology, 167(11): 1295–1304.CrossRefGoogle ScholarPubMed
Pattillo, Mary (2005). Black Middle-Class Neighborhoods. Annual Review of Sociology, 31(1): 305–329.Google Scholar
Pattillo-McCoy, Mary (1999). Black Picket Fences: Privilege and Peril Among the Black Middle Class. Chicago, IL: University of Chicago Press.Google Scholar
Pettit, Becky and Western, Bruce (2004). Mass Imprisonment and the Life Course: Race and Class Inequality in U.S. Incarceration. American Sociological Review, 69(2): 151–169.Google Scholar
Preston, Samuel H., Hill, Mark E., and Drevenstedt, Greg L. (1998). Childhood Conditions That Predict Survival to Advanced Ages Among African Americans. Social Science & Medicine, 47(9): 1231–1246.CrossRefGoogle ScholarPubMed
Rauh, Virginia A., Andrews, Howard F., and Garfinkel, Robin S. (2001). The Contribution of Maternal Age to Racial Disparities in Birthweight: A Multilevel Perspective. American Journal of Public Health, 91(11): 1815–1824.Google Scholar
Reid, Lesley Williams and Rubin, Beth A (2003). Integrating Economic Dualism and Labor Market Segmentation: The Effects of Race, Gender, and Employment Status, 1972–2000. Sociological Quarterly, 44(3): 405–432.CrossRefGoogle Scholar
Ren, Xinhua S., Amick, Benjamin C., and Williams, David R. (1999). Racial/Ethnic Disparities in Health: The Interplay Between Discrimination and Socioeconomic Status. Ethnicity & Disease, 9(2): 151–165.Google Scholar
Robert, Stephanie and House, James S. (1996). SES Differentials in Health by Age and Alternative Indicators of SES. Journal of Aging and Health, 8(3): 359–388.Google Scholar
Rugh, Jacob S. and Massey, Douglas S. (2010). Racial Segregation and the American Foreclosure Crisis. American Sociological Review, 75(5): 629–651.Google Scholar
Sarkisian, Natalia and Gerstel, Naomi (2004). Kin Support Among Blacks and Whites: Race and Family Organization. American Sociological Review, 69(6): 812–837.Google Scholar
Schulz, Amy, Israel, Barbara, Williams, David R., Parker, Edith, Becker, Adam, and James, Sherman A. (2000). Social Inequalities, Stressors and Self Reported Health Status Among African American and White Women in the Detroit Metropolitan Area. Social Science & Medicine, 51(11): 1639–1653.Google Scholar
Shapiro, Thomas M. (2004). The Hidden Cost of Being African American: How Wealth Perpetuates Inequality. New York: Oxford University Press.Google Scholar
Stack, Carol B. (1997). All Our Kin: Strategies for Survival in a Black Community. New York: Basic Books.Google Scholar
Subramanian, S.V., Acevedo-Garcia, Dolores, and Osypuk, Theresa L. (2005). Racial Residential Segregation and Geographic Heterogeneity in Black/White Disparity in Poor Self-Rated Health in the US: A Multilevel Statistical Analysis. Social Science & Medicine, 60(8): 1667–1679.Google Scholar
Tull, Eugene S., Sheu, Yah-Tyng, Butler, Cleve, and Cornelious, Karimah (2005). Relationships Between Perceived Stress, Coping Behavior and Cortisol Secretion in Women with High and Low Levels of Internalized Racism. Journal of the National Medical Association, 97(2): 206–212.Google Scholar
Tull, Eugene S., Wickramasuriya, Tissa, Taylor, Jerome, Smith-Burns, Vara, Brown, Margot, Champagnie, Georgette, Daye, Kimberly, Donaldson, Kathryn, Solomon, Natalie, Walker, Steven, Fraser, Henry, and Jordan, Oscar (1999). Relationship of Internalized Racism to Abdominal Obesity and Blood Pressure in Afro-Caribbean Women. Journal of the National Medical Association, 91(8): 447–452.Google Scholar
Walsemann, Katrina M., Geronimus, Arline T., and Gee, Gilbert C. (2008). Accumulating Disadvantage Over the Life Course. Research on Aging, 30(2): 169–199.Google Scholar
Williams, David R., Neighbors, Harold W., and Jackson, James S. (2003). Racial/Ethnic Discrimination and Health: Findings From Community Studies. American Journal of Public Health, 93(2): 200–208.Google Scholar
Williams, David R. and Sternthal, Michelle (2010). Understanding Racial-Ethnic Disparities in Health. Journal of Health and Social Behavior, 51(1 suppl): S15–S27.Google Scholar
Williams, David R., Yu, Yan, Jackson, James S., and Anderson, Norman B. (1997). Racial Differences in Physical and Mental Health: Socio-Economic Status, Stress and Discrimination. Journal of Health Psychology, 2(3): 335–351.Google Scholar