It is fitting that in the same issue that we present a previously unpublished article by W. E. B. Du Bois and host a symposium reviewing new major works on his political philosophy, we also present major essays debating the contours of the color line in the twenty-first century. Immigration and a strong rightward movement in American society are rapidly remaking the demographic and political configuration of the color line in the United States. Several essays in this issue debate critical aspects of this reconfiguration such as the relative importance of cultural versus structural causes of continued racial disparities; the role, if any, that racialization plays in shaping the modern immigrant incorporation into U.S. society; and, the legacy of the Moynihan report. Complementing these essays is a symposium on two major new books that provide fresh takes on the philosophical and theoretical relevance of Du Bois's thought for our times. We are also proud, for the first time anywhere, to publish Du Bois's essay, “The Social Significance of Booker T. Washington,” with an accompanying analytical introduction by Robert Brown.

Over one hundred years ago, W. E. B. Du Bois (1899) documented large, pervasive, and persistent racial inequities in health. While the current demography of racial groups in the United States is radically different compared to the times when Du Bois first discussed issues of race and health, many of the significant developments in research on racial differences in health in the last century can be traced to his seminal work (Williams and Sternthal, 2010). Du Bois recognized that the limited access to economic resources and the social marginalization of some racial groups could have dire social, physical, and psychological consequences for them. Current research studies continue to document that racial groups with a long history characterized by economic exploitation and geographic marginalization—Blacks or African Americans, American Indians, and Native Hawaiians and other Pacific Islanders—have markedly poor health outcomes compared to the dominant White population. Immigrant Asians and Hispanics tend to have better health than the U.S. average, but their health tends to worsen over time and across subsequent generations. Despite Du Bois's prescience and the advances made by contemporary researchers, there are many substantive theoretical and methodological challenges confronting scholars who study the health of diverse racial and ethnic groups. This special issue of the Du Bois Review provides a state-of-the-art overview of some of these unanswered questions and critical research directions for the study of racial inequality in health.

Although there have been significant decreases in U.S. mortality rates, racial/ethnic disparities persist. The goals of this study are to: (1) elucidate a conceptual framework for the study of racial/ethnic differences in U.S. adult mortality, (2) estimate current racial/ethnic differences in adult mortality, (3) examine empirically the extent to which measures of socioeconomic status and other risk factors impact the mortality differences across groups, and (4) utilize findings to inform the policy community with regard to eliminating racial/ethnic disparities in mortality. Relative Black-White differences are modestly narrower when compared to a decade or so ago, but remain very wide. The majority of the Black-White adult mortality gap can be accounted for by measures of socioeconomic resources that reflect the historical and continuing significance of racial socioeconomic stratification. Further, when controlling for socioeconomic resources, Mexican Americans and Mexican immigrants exhibit significantly lower mortality risk than non-Hispanic Whites. Without aggressive efforts to create equality in socioeconomic and social resources, Black-White disparities in mortality will remain wide, and mortality among the Mexican-origin population will remain higher than what would be the case if that population achieved socioeconomic equality with Whites.

The Moynihan Report of 1965 will soon be fifty years old, and some social scientists now venerate it as a sterling application of social science data and analysis by the federal government. This author, who was directly involved in events connected with the release of the Report, does not agree; this article examines the shortcomings of the Report. I argue that Moynihan's analysis, which intended to investigate the ties between Black male unemployment and the Black family, actually devoted most of its attention to the high proportion of single-parent families in the poor Black population, treating it as one symptom of a “tangle of pathology” that stood in the way of this population's escape from joblessness and poverty. Today, the Report is being hailed as having predicted the current and still worsening state of the poor Black family. Moynihan's work is also being reinterpreted as an early application of cultural analysis, thereby further drawing attention away from the job-related issues which led Moynihan to undertake his study. Moynihan himself made significant contributions to antipoverty policy later in his career, but his Report does not deserve the worship it continues to receive.

The assessment of multiracial status in U.S. health research is fraught with challenges that limit our ability to enumerate and study this population. This paper reconceptualizes the assessment of multiracial status through the development of a model with three dimensions: mixed ancestry multiracial status, self-identified multiracial status, and socially assigned multiracial status. We present challenges to studying multiracial populations and provide recommendations for improving the assessment of multiracial status in health research.

This article argues that Americans operate with a concept and practice of political autonomy centered on a notion of “mastery,” which is inextricably linked to race, gender, and class hierarchy. I adopt Max Weber's concept of mastery and use it to broaden the construct of a Herrenvolk democracy beyond its traditional association with White supremacy. I then use this theoretical framework to illuminate the emergence of segregation in Atlanta between 1880 and 1910. This period marks a crucial transformation in the concept of race in the United States, as the paternalism of Southern agricultural relations is transposed by Southern Progressives into more urban and industrial settings. I conclude by raising the possibility that the concept of political autonomy currently operative in the United States shares important common ground with the ideological achievements of the Southern Progressives, confounding institutional attempts to foster citizen autonomy.

Explanations for immigrant and Latino health outcomes often invoke culture through the use of the concept of acculturation. The use of acculturation models in health research has been, however, the topic of growing debate. Critics of acculturation-based explanations point out that despite the growing psychometric sophistication in measuring acculturation, the concept and its underlying assumptions remain flawed. Specifically, questions regarding how Mexicans experience and make sense of the ethnoracial structure of the United States and how racialization processes impact health and well-being remain largely ignored within acculturation-based models. By examining the processes Mexican women engage in as they construct ethnic identities within a stigmatizing social environment in the United States, this paper contributes answers to these questions. Based on a qualitative analysis of forty in-depth interviews conducted with first-generation Mexican immigrant women and second-generation Mexican American women in Detroit, this paper describes how Mexican women work through the tensions and complexities embedded in the process of constructing a sense of ethnic belonging while, at the same time, confronting and resisting racial stereotypes of Mexicans in the United States. Women's narratives suggest that the stress involved in negotiating ethnic identities under stigmatizing environments might be one of the ways in which living in a racialized society affects health outcomes. The paper concludes with a discussion of the implications of these findings for Latino and immigrant health.

The Du Bois Review is pleased to publish, for the first time, this significant reflection on “the meaning of Booker T. Washington to America,” and in so doing highlight Du Bois's desire to see courage, rather than sacrifice, prevail in the face of injustice. This previously unpublished essay is among the W. E. B. Du Bois Papers housed in the Special Collections and University Archives at the University of Massachusetts, Amherst. It was brought to our attention by Robert Brown, who provides an introductory essay including an analysis of the likely date the essay was penned. We present it to our readers with the permission of The David Graham Du Bois Trust.

This research examines the impact of ethnic concentration and community socioeconomic status (SES) on elderly health in ethnically diverse communities in Xinjiang in northwest China. Effects of the concentration of two major ethnic populations are compared: the Han, which is the dominant ethnic group in China, and the Uyghur, the largest Muslim group in Xinjiang. Net of socioeconomic status, we find that population densities of the ethnic groups have a significant impact on our aggregate-level indicators of elderly health. Han density predicts good health, while Uyghur density predicts poor health. However, we do not find that SES indicators are independent predictors of community elder health. These findings suggest that rapidly developing economies, like those in China, do not necessarily provide the attention to health care that would result in improved quality of life and health status for the population.

The late Booker T. Washington may be considered in four aspects. First there can be no doubt that his chief significance lies in the fact that he cannot be considered simply as an individual but that he is so inextricably woven into the national and even world movements of his day that his death becomes historic. Again, most Colored men in America are simply “Colored.” They are submerged in a great undifferentiated group; they are not considered as individuals but are lumped together as a “race.” Mr. Washington was more than “Colored.” He was an American, and the comments upon his career tend continually to emphasize the fact that such a struggle upward against terrific odds, such indomitable persistence and versatility of expedient was peculiarly American. After Frederick Douglass, Mr. Washington was the next great exemplification and revelation of problems of race and labor in America, so significant as to go to the very core of our democracy; and finally, there is to consider Mr. Washington's own personality: the silent, watchful, cautious man, rugged, nervous, popular but unsocial, slow but tireless.

Although racial disparities in health have been documented both historically and in more contemporary contexts, the frameworks used to explain these patterns have varied, ranging from earlier theories regarding innate racial differences in biological vulnerability, to more recent theories focusing on the impact of social inequalities. However, despite increasing evidence for the lack of a genetic definition of race, biological explanations for the association between race and health continue in public health and medical discourse. Indeed, there is considerable debate between those adopting a “social determinants” perspective of race and health and those focusing on more individual-level psychological, behavioral, and biologic risk factors. While there are a number of scientifically plausible and evolving reasons for the association between race and health, ranging from broader social forces to factors at the cellular level, in this essay we argue for the need for more transdisciplinary approaches that specify determinants at multiple ecological levels of analysis. We posit that contrasting ways of examining race and health are not necessarily incompatible, and that more productive discussions should explicitly differentiate between determinants of individual health from those of population health; and between inquiries addressing racial patterns in health from those seeking to explain racial disparities in health. Specifically, we advance a socio-psychobiological framework, which is both historically grounded and evidence-based. This model asserts that psychological and biological factors, while playing a central role in determining individual risk for poor health, are relatively less consequential for understanding racial disparities in health at the population level. Such a framework emphasizes the etiologic role of social inequities in generating and perpetuating racial disparities in health and highlights their impact on psychological, behavioral, and biological disease processes.

Political theory is catching up to Du Bois. More than a century after the publication of The Souls of Black Folk ([1903] 1997), political theorists have begun to realize that “the problem of the color-line” (pp. 45, 61) is constitutive of modernity. That it has taken this long for political theorists to recognize what Du Bois saw so clearly more than a century ago reflects the field's all-too-frequent parochialism. At the same time, the field is home to dissenting voices which insist that we cannot understand modern politics without confronting the White supremacist character of the modern West.

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.

Lawrie Balfour and Robert Gooding-Williams have given us powerful new works of scholarship on the political thought of W. E. B. Du Bois. Not only do these publications enrich the field of Du Bois scholarship, they exemplify the exciting possibilities at the intersection of political theory and race politics.

Despite the widespread assumption that racial differences in stress exist and that stress is a key mediator linking racial status to poor health, relatively few studies have explicitly examined this premise. We examine the distribution of stress across racial groups and the role of stress vulnerability and exposure in explaining racial differences in health in a community sample of Black, Hispanic, and White adults, employing a modeling strategy that accounts for the correlation between types of stressors and the accumulation of stressors in the prediction of health outcomes. We find significant racial differences in overall and cumulative exposure to eight stress domains. Blacks exhibit a higher prevalence and greater clustering of high stress scores than Whites. American-born Hispanics show prevalence rates and patterns of accumulation of stressors comparable to Blacks, while foreign-born Hispanics have stress profiles similar to Whites. Multiple stressors correlate with poor physical and mental health, with financial and relationship stressors exhibiting the largest and most consistent effects. Though we find no support for the stress-vulnerability hypothesis, the stress-exposure hypothesis does account for some racial health disparities. We discuss implications for future research and policy.

The two books that have occasioned this symposium represent efforts to research thoroughly, think rigorously, and argue honestly about complex and significant issues of race and ethnicity in America. There is much to be learned from them on many topics. I read them chiefly for insights about whether and how a defensibly democratic politics of egalitarian change can be achieved by, for, and with racial minorities in a country whose majorities, like most majorities, have long been reluctant to pursue policies that did not predominantly benefit themselves. I raise some challenges to the perspectives offered in these books, but only as an effort, kindred in aim if not achievement, to carry forward the work they have thus far so nobly advanced.

Lawrie Balfour and Robert Gooding-Williams have written superb books. Reading Du Bois's texts creatively and carefully, both treat Du Bois as a living political thinker, someone we can learn from and profitably argue with and whose thought is relevant to contemporary political theory. There is more in these books that I could praise and much in them that I agree with, but I will focus my remarks on areas of disagreement.

Racial minorities bear a disproportionate burden of morbidity and mortality. These inequities might be explained by racism, given the fact that racism has restricted the lives of racial minorities and immigrants throughout history. Recent studies have documented that individuals who report experiencing racism have greater rates of illnesses. While this body of research has been invaluable in advancing knowledge on health inequities, it still locates the experiences of racism at the individual level. Yet, the health of social groups is likely most strongly affected by structural, rather than individual, phenomena. The structural forms of racism and their relationship to health inequities remain under-studied. This article reviews several ways of conceptualizing structural racism, with a focus on social segregation, immigration policy, and intergenerational effects. Studies of disparities should more seriously consider the multiple dimensions of structural racism as fundamental causes of health disparities.

In the remarks that follow, I attempt to clarify and further to develop some of the key concepts and arguments that I set forth in In the Shadow of Du Bois (2009). Specifically, I respond to issues that Rogers Smith and Tommie Shelby address with regard to the relationship between elite and democratic politics; to questions that Smith and Cristina Beltrán pose with regard to my “no-foundations” analysis of Black politics; and to a worry Smith presents with regard to my effort to reorient the critique of Black poverty from social theories framed by a technical interest in normalizing the behavior of the ghetto poor to an emancipatory interest in fostering the radical reform of an oppressive social order. I begin with Smith's criticisms and then turn to Shelby's and Beltrán's essays.

This article reviews evidence linking incarceration and health, with a particular focus on African Americans, who are disproportionately affected by the incarceration system. Although inmates generally suffer from worse health than comparable, non-institutionalized adults, this comparison is not uniformly the case, and some of the strongest negative effects of incarceration emerge after release, suggesting that the struggles of reintegration into society are as important as the conditions of incarceration. We review evidence for the basic relationship between incarceration and health from individual-level and aggregate-level studies, as well as from evidence and speculation regarding potential mediating mechanisms. Many questions remain regarding these mechanisms and, by extension, which policies are most promising for reducing incarceration's impact on health. Among other issues, the incarceration-health connection also raises fundamental questions regarding the level of harm society is willing to accept as part of routine punishment for criminal behavior.