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Health in the African American Community: Accounting for Health Inequalities
Author(s) -
Dressler William W.
Publication year - 1993
Publication title -
medical anthropology quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.855
H-Index - 55
eISSN - 1548-1387
pISSN - 0745-5194
DOI - 10.1525/maq.1993.7.4.02a00030
Subject(s) - health equity , inequality , socioeconomic status , race and health , social class , ethnic group , social determinants of health , health care , social inequality , index (typography) , white (mutation) , sociology , variety (cybernetics) , demographic economics , gerontology , demography , political science , medicine , economic growth , economics , population , mathematics , computer science , biochemistry , gene , anthropology , law , mathematical analysis , chemistry , world wide web , statistics
African Americans are at a higher risk of having a variety of health problems and have less access to health care than white Americans. This article explores these health inequalities and their explanations. Three conventional models of health inequalities—a racial‐genetic model, a health behavior or lifestyle model, and a socioeconomic status model—are examined and found to be insufficient to account for observed disparities. A fourth alternative, termed a “social structural model,” is proposed. In this model, it is argued that the primary index of ethnic status, namely skin color, serves as a criterion of social class in color‐conscious societies such as that of the United States. This alters social mobility processes and creates health inequalities for African Americans.