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Racial Variation in the Association between Educational Attainment and Self-Rated Health

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  • Shervin Assari

    (Department of Psychiatry, University of Michigan, 4250 Plymouth Road, SPC 5763, Ann Arbor, MI 48109-2700, USA
    Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI 48109-2700, USA)

Abstract

Background: Minorities’ Diminished Return theory can be defined as the systematically smaller effects of socioeconomic status (SES) indicators on the health and well-being of minority populations compared to Whites. To test whether Minorities’ Diminished Return theory holds for self-rated health (SRH), we investigated Black–White differences in the effects of education and income on SRH. Methods: Data from the Health Information National Trends Survey (HINTS) 2017 was used. HINTS 2017 ( n = 3217) is a nationally cross-sectional survey of American adults. The current analysis included 2277 adults who were either Whites ( n = 1868; 82%) or Blacks ( n = 409; 18%). Education and income were the independent variables. Poor/fair SRH was the dependent variable. Covariates included age, gender, obesity, and health behaviors (smoking and exercise). Race was the focal moderator. We ran logistic regressions in the overall sample, with and without race by SES (education and income) interactions. Results: Higher education was associated with lower risk of poor/fair SRH in the pooled sample. We found an interaction between race and education, but not race and income, in relation to SRH, suggesting a stronger association for Whites than Blacks. Conclusions: Minorities’ Diminished Return theory is also relevant to the effects of educational attainment on SRH. The relative disadvantage of Blacks compared to Whites in gaining SRH from educational attainment may reflect structural racism that systemically hinders Blacks. There is a need for additional research on specific societal barriers that minimize Blacks’ health gain from their SES resources. Policies and programs should help Black individuals leverage their SES resources.

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  • Shervin Assari, 2018. "Racial Variation in the Association between Educational Attainment and Self-Rated Health," Societies, MDPI, vol. 8(2), pages 1-11, April.
    • Handle: RePEc:gam:jsoctx:v:8:y:2018:i:2:p:26-:d:143583
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    References listed on IDEAS

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    1. Kawachi, I. & Kennedy, B.P. & Glass, R., 1999. "Social capital and self-rated health: A contextual analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1187-1193.
    2. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    3. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    4. Bethany Everett & David Rehkopf & Richard Rogers, 2013. "The Nonlinear Relationship Between Education and Mortality: An Examination of Cohort, Race/Ethnic, and Gender Differences," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 32(6), pages 893-917, December.
    5. Kenneth F. Ferraro & Jessica A. Kelley-Moore, 2001. "Self-Rated Health and Mortality Among Black and White Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(4), pages 195-205.
    6. Anna Zajacova & Bethany G. Everett, 2014. "The Nonequivalent Health of High School Equivalents," Social Science Quarterly, Southwestern Social Science Association, vol. 95(1), pages 221-238, March.
    7. Hayward, Mark D. & Hummer, Robert A. & Sasson, Isaac, 2015. "Trends and group differences in the association between educational attainment and U.S. adult mortality: Implications for understanding education's causal influence," Social Science & Medicine, Elsevier, vol. 127(C), pages 8-18.
    8. Catherine Ross & John Mirowsky, 1999. "Refining the association between education and health: The effects of quantity, credential, and selectivity," Demography, Springer;Population Association of America (PAA), vol. 36(4), pages 445-460, November.
    9. Backlund, Eric & Sorlie, Paul D. & Johnson, Norman J., 1999. "A comparison of the relationships of education and income with mortality: the national longitudinal mortality study," Social Science & Medicine, Elsevier, vol. 49(10), pages 1373-1384, November.
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