Erving Christy L
Vanderbilt University, Department of Sociology, 2301 Vanderbilt Place, 201E Garland Hall, Nashville, TN, 37235-1811, USA.
Soc Sci Res. 2020 May-Jul;88-89:102427. doi: 10.1016/j.ssresearch.2020.102427. Epub 2020 Apr 18.
Despite extensive evidence confirming racial and gender health disparities, little research considers how race theory might aid in understanding these patterns. Using the Collaborative Psychiatric Epidemiology Surveys (CPES), this study fills this void by integrating two research areas-sociology of race and medical sociology-to assess the utility of Bonilla-Silva's tri-racial stratification perspective in predicting health patterns. More specifically, I address the following questions: is the tri-racial stratification thesis aligned with the health profiles of racial groups in the U.S.? Does the applicability of this perspective differ for women and men? Last, do the health patterns suggested by tri-racial stratification persist after adjusting for social factors (socioeconomic status and social support) often invoked to explain health disparities? Results indicate that the racial patterning of life-threatening conditions lend partial support for tri-racial stratification for women and men. Self-rated health findings yield counterintuitive patterns. Furthermore, social factors do not explain the majority of ethnic differences in health. Research and theoretical implications of these findings are discussed.
尽管有大量证据证实了种族和性别方面的健康差异，但很少有研究探讨种族理论如何有助于理解这些模式。本研究利用协作精神病流行病学调查（CPES），通过整合种族社会学和医学社会学这两个研究领域，填补了这一空白，以评估博尼利亚-席尔瓦的三种族分层视角在预测健康模式方面的效用。更具体地说，我解决以下问题：三种族分层论点是否与美国种族群体的健康状况相符？这种视角对女性和男性的适用性是否不同？最后，在调整了通常用于解释健康差异的社会因素（社会经济地位和社会支持）后，三种族分层所表明的健康模式是否依然存在？结果表明，危及生命状况的种族模式为女性和男性的三种族分层提供了部分支持。自我评估健康结果产生了违反直觉的模式。此外，社会因素并不能解释健康方面的大多数种族差异。本文讨论了这些发现的研究和理论意义。
