DeAngelis Reed T
Duke University, Durham, NC, USA.
J Health Soc Behav. 2024 Jul 30:221465241260103. doi: 10.1177/00221465241260103.
Scholars cite racist political-economic systems as drivers of health inequities in the United States (i.e., racial capitalism). But does racial capitalism generate health inequities? I address this open question within the historical context of predatory lending during the 2008 financial crisis. Relevant hypotheses are tested with multiple waves of data from Black and White participants of the National Longitudinal Study of Adolescent to Adult Health (N = 8,877). Across socioeconomic strata, I find that Black participants report higher rates of foreclosure, eviction, repossession, delinquent bills, lost income, and new debts in the wake of the financial crisis. Using structural equation and quasi-experimental models, I then show that Black participants also self-report rapid health declines and increases in prescription drug abuse throughout this period, much of which is explained by chronic financial stress. I conclude that racial capitalism can generate health inequities by ensnaring Black Americans in a toxic web of financial exploitation and stress proliferation.
学者们将种族主义政治经济体系视为美国健康不平等现象的驱动因素（即种族资本主义）。但种族资本主义是否会导致健康不平等呢？我在2008年金融危机期间掠夺性贷款的历史背景下探讨这个开放性问题。我使用来自全国青少年健康纵向研究中黑人和白人参与者的多轮数据（N = 8877）对相关假设进行了检验。在社会经济各阶层中，我发现黑人参与者在金融危机后报告的止赎、驱逐、财产被收回、账单拖欠、收入损失和新债务发生率更高。然后，通过结构方程模型和准实验模型，我表明在此期间黑人参与者还自我报告健康状况迅速下降以及处方药滥用情况增加，其中大部分可由长期的经济压力来解释。我的结论是，种族资本主义会通过将美国黑人困在金融剥削和压力扩散的有害网络中，从而导致健康不平等。
