Journal
ANNUAL REVIEW OF PUBLIC HEALTH, VOL 39
Volume 39, Issue -, Pages 169-188Publisher
ANNUAL REVIEWS
DOI: 10.1146/annurev-publhealth-040617-014230
Keywords
race; socioeconomic position; socioeconomic status; health inequalities; social epidemiology; social determinants of health
Categories
Funding
- NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES [UL1GM118985] Funding Source: NIH RePORTER
- National Institute on Minority Health and Health Disparities [P60MD006902, U54MD000214] Funding Source: NIH RePORTER
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An abundance of research has documented health inequalities by race and socioeconomic position (SEP) in the United States. However, conceptual and methodological challenges complicate the interpretation of study findings, thereby limiting progress in understanding health inequalities and in achieving health equity. Fundamental to these challenges is a lack of clarity about what race is and the implications of that ambiguity for scientific inquiry. Additionally, there is wide variability in how SEP is conceptualized and measured, resulting in a lack of comparability across studies and significant misclassification of risk. The objectives of this review are to synthesize the literature regarding common approaches to examining race and SEP health inequalities and to discuss the conceptual and methodological challenges associated with how race and SEP have been employed in public health research. Addressing health inequalities has become increasingly important as the United States trends toward becoming a majority-minority nation. Recommendations for future research are presented.
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