Race-Ethnicity and Health Trajectories: Tests of Three Hypotheses across Multiple Groups and Health Outcomes

被引:110
作者
Brown, Tyson H. [1 ]
O'Rand, Angela M. [2 ]
Adkins, Daniel E. [3 ]
机构
[1] Vanderbilt Univ, Dept Sociol, Nashville, TN 37235 USA
[2] Duke Univ, Durham, NC USA
[3] Virginia Commonwealth Univ, Ctr Biomarker Res & Personalized Med, Richmond, VA USA
关键词
aging; cumulative disadvantage; functional limitations; health disparities; life course; morbidity; race-ethnicity; BLACK/WHITE DISABILITY GAP; SOCIOECONOMIC-STATUS; CUMULATIVE DISADVANTAGE; RACIAL DISPARITIES; AGE-TRAJECTORIES; DOUBLE JEOPARDY; LIFE-COURSE; FUNCTIONAL HEALTH; MORTALITY; WHITE;
D O I
10.1177/0022146512455333
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Racial-ethnic disparities in static levels of health are well documented. Less is known about racial-ethnic differences in age trajectories of health. The few studies on this topic have examined only single health outcomes and focused on black-white disparities. This study extends prior research by using a life course perspective, panel data from the Health and Retirement Study, and multilevel growth curve models to investigate racial-ethnic differences in the trajectories of serious conditions and functional limitations among blacks, Mexican Americans, and whites. We test three hypotheses on the nature of racial-ethnic disparities in health across the life course (aging-as-leveler, persistent inequality, and cumulative disadvantage). Results controlling for mortality selection reveal that support for the hypotheses varies by health outcome, racial-ethnic group, and life stage. Controlling for childhood socioeconomic status, adult social and economic resources, and health behaviors reduces but does not eliminate racial-ethnic disparities in health trajectories.
引用
收藏
页码:359 / 377
页数:19
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