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Gender inequalities in US adult health: The interplay of race and ethnicity

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  • Read, Jen'nan Ghazal
  • Gorman, Bridget K.

Abstract

Gender differences in adult health are well documented, but only recently has research begun to investigate how race and ethnicity condition gendered health disparities. This paper contributes to this line of inquiry by assessing gender differences in morbidity across five major US racial and ethnic populations. Using data from the 1997-2001 waves of the National Health Interview Survey, the analysis examines differences in men and women's self-rated health, functional limitations, and life-threatening medical conditions for whites, blacks, Mexicans, Puerto Ricans, and Cubans. For each health outcome, we investigate the utility of socioeconomic factors in accounting for observed disparities. Contrary to finding universal excess in female morbidity, the results show that the magnitude of gender difference varies considerably by racial/ethnic group, health outcome, and comparison category. The most striking findings are the consistently higher levels of functional limitations for all women compared to men in their same racial/ethnic group and the poorer health of black women relative to both white and black men for all health measures, after adjustment for socioeconomic and background factors. The gender gap for all other health measures is more variable, and for Mexican women a difference is only evident for functional limitations and only when compared to Mexican men. Our results underscore the need for more research on the role of race and ethnicity in shaping gendered health inequalities and the mechanisms that lead to such variable patterns of difference across and within US racial and ethnic populations.

Suggested Citation

  • Read, Jen'nan Ghazal & Gorman, Bridget K., 2006. "Gender inequalities in US adult health: The interplay of race and ethnicity," Social Science & Medicine, Elsevier, vol. 62(5), pages 1045-1065, March.
  • Handle: RePEc:eee:socmed:v:62:y:2006:i:5:p:1045-1065
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    References listed on IDEAS

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    1. Arber, Sara & Cooper, Helen, 1999. "Gender differences in health in later life: the new paradox?," Social Science & Medicine, Elsevier, vol. 48(1), pages 61-76, January.
    2. Walters, Vivienne & McDonough, Peggy & Strohschein, Lisa, 2002. "The influence of work, household structure, and social, personal and material resources on gender differences in health: an analysis of the 1994 Canadian National Population Health Survey," Social Science & Medicine, Elsevier, vol. 54(5), pages 677-692, March.
    3. Mark Hayward & Bridget Gorman, 2004. "The long arm of childhood: The influence of early-life social conditions on men’s mortality," Demography, Springer;Population Association of America (PAA), vol. 41(1), pages 87-107, February.
    4. Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
    5. Bird, Chloe E. & Rieker, Patricia P., 1999. "Gender matters: an integrated model for understanding men's and women's health," Social Science & Medicine, Elsevier, vol. 48(6), pages 745-755, March.
    6. Mark Hayward & Melonie Heron, 1999. "Racial inequality in active life among adult americans," Demography, Springer;Population Association of America (PAA), vol. 36(1), pages 77-91, February.
    7. Geronimus, Arline T., 1996. "Black/white differences in the relationship of maternal age to birthweight: A population-based test of the weathering hypothesis," Social Science & Medicine, Elsevier, vol. 42(4), pages 589-597, February.
    8. Barbeau, E.M. & Krieger, N. & Soobader, M.-J., 2004. "Erratum: Working class matters: Socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000 (American Journal of Public Health (2004) 94 (296-278))," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1295-1295.
    9. Yuanreng Hu & Noreen Goldman, 1990. "Mortality Differentials by Marital Status: An International Comparison," Demography, Springer;Population Association of America (PAA), vol. 27(2), pages 233-250, May.
    10. Barbeau, E.M. & Krieger, N. & Soobader, M.-J., 2004. "Working Class Matters: Socioeconomic Disadvantage, Race/Ethnicity, Gender, and Smoking in NHIS 2000," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 269-278.
    11. Lillard, L.A. & Waite, L.J., 1993. "'Til Death Do Us Part: Marital Disruption and Mortality," Papers 93-10, RAND - Labor and Population Program.
    12. Williams, D.R., 2003. "The Health of Men: Structured Inequalities and Opportunities," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 724-731.
    13. Denton, Margaret & Prus, Steven & Walters, Vivienne, 2004. "Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health," Social Science & Medicine, Elsevier, vol. 58(12), pages 2585-2600, June.
    14. McDonough, Peggy & Walters, Vivienne, 2001. "Gender and health: reassessing patterns and explanations," Social Science & Medicine, Elsevier, vol. 52(4), pages 547-559, February.
    15. Cooper, Helen, 2002. "Investigating socio-economic explanations for gender and ethnic inequalities in health," Social Science & Medicine, Elsevier, vol. 54(5), pages 693-706, March.
    16. Alberto Palloni & Elizabeth Arias, 2004. "Paradox lost: Explaining the hispanic adult mortality advantage," Demography, Springer;Population Association of America (PAA), vol. 41(3), pages 385-415, August.
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    6. Jen’nan Ghazal Read & Scott M. Lynch & Jessica S. West, 2021. "Disaggregating Heterogeneity among Non-Hispanic Whites: Evidence and Implications for U.S. Racial/Ethnic Health Disparities," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(1), pages 9-31, February.
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