T H Brown
Biographic Data
| ID | 33827 |
|---|---|
| NAME | T H Brown |
| GIVEN NAMES | T H |
| FAMILY NAME | Brown |
| SIGNATURE | BROWN T H |
| AFFILIATIONS | Duke University |
| ORCID | 0000-0002-0979-0622 |
| VERIFIED | Yes |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 669 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 12 |
Sociohistorical contexts of racial violence
A latent measure of cultural racism and its association with US mortality and life expectancy
The US social context is characterized by systemic racism, a key driver of racial disparities. While structural and interpersonal racism are well-established components of systemic racism, cultural racism—a system of beliefs (ideology) and societal way of life (culture)—has been less robustly described and currently lacks a validated measure. We conducted confirmatory factor analysis on nine key indicators to define a cultural racism latent measu…
Structural Racism and Health Stratification
Less than 1% of studies on racialized health inequities have empirically examined their root cause: structural racism. Moreover, there has been a disconnect between the conceptualization and measurement of structural racism. This study advances the field by (1) distilling central tenets of theories of structural racism to inform measurement approaches, (2) conceptualizing U.S. states as racializing institutional actors shaping health, (3) develop…
Methods for studying structural oppression in quantitative family research
Researchers have long documented the impact of social inequalities on family life. Most family research has focused on inequalities at the individual and family levels, and extant studies on macro-level conditions have primarily examined economic conditions and specific family-focused social policies. Yet, an emerging body of largely conceptual research suggests that structural inequities also have enormous power to shape families. Structural rac…
Association of educational attainment with cancer mortality in a national cohort study of black and white adults
In conclusion, participant education was strongly associated with cancer mortality, and this association was partially mediated by the SDOH domain score
Racialized Health Inequities
Racism drives population health inequities by shaping the unequal distribution of key social determinants of health, such as socioeconomic resources and exposure to stressors. Research on interrelationships among race, socioeconomic resources, stressors, and health has proceeded along two lines that have largely remained separate: one examining differential effects of socioeconomic resources and stressors on health across racialized groups (moder…
Attribution for everyday discrimination typologies and mortality risk among older black adults
How Social Roles Affect Sleep Health during Midlife
This study draws on role theory and the life course perspective to examine how sleep health (duration, quality, and latency) is shaped by social role accumulation (number of roles), role repertoires (role combinations), and role contexts among middle-aged adults. We also examine how the relationships between social roles and sleep health are gendered. We use data from the National Longitudinal Survey of Youth 1979 Cohort (N = 7,628). Results show…
Empirical evidence on structural racism as a driver of racial inequities in Covid-19 mortality
Objective This study contributes to the literature by empirically testing the extent to which place-based structural racism is a driver of state-level racial inequalities in COVID-19 mortality using theoretically-informed, innovative approaches. Methods CDC data are used to measure cumulative COVID-19 death rates between January 2020 and August 2022. The outcome measure is a state-level Black-White (B/W) ratio of age-adjusted death rates. We use …
Work-Related Stress, Psychosocial Resources, and Insomnia Symptoms Among Older Black Workers
Objectives : To examine the association between work-related stress (job lock and job stress appraisal) and insomnia symptoms among older Black workers, as well as the extent to which psychosocial resources (mastery, social support, and religious involvement) mediate or moderate this association. Methods : This study uses Ordinary Least Squares regression analysis and data from the Health and Retirement Study (HRS) on Black workers aged 51 and ol…
Frontiers in measuring structural racism and its health effects
Authors have no conflicts of interest
Improving The Measurement Of Structural Racism To Achieve Antiracist Health Policy
Antiracist health policy research requires methodological innovation that creates equity-centered and antiracist solutions to health inequities by centering the complexities and insidiousness of structural racism. The development of effective health policy and health equity interventions requires sound empirical characterization of the nature of structural racism and its impact on public health. However, there is a disconnect between the conceptu…
Overcrowding and Covid-19 mortality across U.S. counties
A growing line of research underscores that sociodemographic factors may contribute to disparities in the impact of COVID-19. Further, stages of disease theory suggests that disparities may grow as the pandemic unfolds and more advantaged areas are better able to apply growing knowledge and mitigation strategies. In this paper, we focus on the role of county-level household overcrowding on disparities in COVID-19 mortality in U.S. counties. We ex…
Structural Intersectionality as a New Direction for Health Disparities Research
This article advances the field by integrating insights from intersectionality perspectives with the emerging literatures on structural racism and structural sexism-which point to promising new ways to measure systems of inequality at a macro level-to introduce a structural intersectionality approach to population health. We demonstrate an application of structural intersectionality using administrative data representing macrolevel structural rac…
The Color of Covid-19
While the ongoing COVID-19 pandemic is an unprecedented crisis, the racial/ethnic health inequalities among older adults it has exposed are longstanding and deeply rooted in structural racism within American society. This knowledge presents both challenges and opportunities for researchers and policymakers as they seek to address the needs of older adults. It is imperative that federal, state, and local governments collect and release comprehensi…
Racial Stratification, Immigration, and Health Inequality
While health inequalities related to race/ethnicity, nativity, and age are well documented, it remains unclear how these axes of stratification combine to shape health trajectories, especially in middle and late life. This study addresses gaps in the literature by drawing on both life course and intersectionality perspectives to understand inequalities in morbidity trajectories. Using growth curve models applied to data from the Health and Retire…
Psychosocial Mechanisms Underlying Older Black Men’s Health
Conventional measures of stressors and coping resources-originally developed to account for variance in health outcomes among predominantly white samples-may not capture psychosocial factors most salient for older Black men's health. Future research should incorporate psychosocial measures that reflect their unique experiences
(En)gendering racial disparities in health trajectories
Historically, intersectionality has been an underutilized framework in sociological research on racial/ethnic and gender inequalities in health. To demonstrate its utility and importance, we conduct an intersectional analysis of the social stratification of health using the exemplar of hypertension-a health condition in which racial/ethnic and gender differences have been well-documented. Previous research has tended to examine these differences …
Childhood adversity and adult health
Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities
This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification…
A Life Course Approach to Inequality
The life course pathways linking childhood SES and adult health differ by race/ethnicity among men. Similar to arguments that the universality of the adult SES-health relationship should not be assumed, results from our study suggest that scholars should not assume that the significance and nature of the association between childhood SES and health in adulthood is similar across race/ethnicity among men
Tourism Experiences and Self-Rated Health Among Older Adults in China
The net beneficial impact of tourism on self-rated health may operate through several mechanisms such as improvements in tourists' cognitive functioning, healthy lifestyles, self-esteen, family and social relations, and psychological and spirtual well-being. Tourism participation is an effective way to promote healthy aging
Racial/Ethnic Disparities in Men's Health
This study uses data from the Health and Retirement Study and an approach informed by the Biopsychosocial Model of Racism as a Stressor to examine the extent to which socioeconomic status, stressors, discrimination, and neighborhood conditions are mechanisms underlying racial/ethnic disparities in functional limitations among men. Results reveal that racial/ethnic differences in socioeconomic status, stressors, discrimination, and neighborhood co…
Multidimensional Approaches to Examining Gender and Racial/Ethnic Stratification in Health
Extant research on health disparities has traditionally employed a unidimensional approach to stratification, focusing on gender and racial/ethnic inequality separately. Such studies implicitly assume that gender inequality is monolithic across racial/ethnic lines and that racial/ethnic stratification is similar for women and men. While informative, these traditional, unidimensional approaches artificially decouple gender and racial/ethnic inequa…
Race-Ethnicity and Health Trajectories
Racial-ethnic disparities in static levels of health are well documented. Less is known about racial-ethnic differences in age trajectories of health. The few studies on this topic have examined only single health outcomes and focused on black-white disparities. This study extends prior research by using a life course perspective, panel data from the Health and Retirement Study, and multilevel growth curve models to investigate racial-ethnic diff…
Understanding how race/ethnicity and gender define age-trajectories of disability
The Color of Covid-19
While the ongoing COVID-19 pandemic is an unprecedented crisis, the racial/ethnic health inequalities among older adults it has exposed are longstanding and deeply rooted in structural racism within American society. This knowledge presents both challenges and opportunities for researchers and policymakers as they seek to address the needs of older adults. It is imperative that federal, state, and local governments collect and release comprehensi…
Improving The Measurement Of Structural Racism To Achieve Antiracist Health Policy
Antiracist health policy research requires methodological innovation that creates equity-centered and antiracist solutions to health inequities by centering the complexities and insidiousness of structural racism. The development of effective health policy and health equity interventions requires sound empirical characterization of the nature of structural racism and its impact on public health. However, there is a disconnect between the conceptu…
Structural Intersectionality as a New Direction for Health Disparities Research
This article advances the field by integrating insights from intersectionality perspectives with the emerging literatures on structural racism and structural sexism-which point to promising new ways to measure systems of inequality at a macro level-to introduce a structural intersectionality approach to population health. We demonstrate an application of structural intersectionality using administrative data representing macrolevel structural rac…
Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities
This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification…
Childhood adversity and adult health
Structural Racism and Health Stratification
Less than 1% of studies on racialized health inequities have empirically examined their root cause: structural racism. Moreover, there has been a disconnect between the conceptualization and measurement of structural racism. This study advances the field by (1) distilling central tenets of theories of structural racism to inform measurement approaches, (2) conceptualizing U.S. states as racializing institutional actors shaping health, (3) develop…
Race-Ethnicity and Health Trajectories
Racial-ethnic disparities in static levels of health are well documented. Less is known about racial-ethnic differences in age trajectories of health. The few studies on this topic have examined only single health outcomes and focused on black-white disparities. This study extends prior research by using a life course perspective, panel data from the Health and Retirement Study, and multilevel growth curve models to investigate racial-ethnic diff…
The Intersection and Accumulation of Racial and Gender Inequality
Prior research has found evidence of large racial and gender disparities in wealth, with blacks possessing less wealth than whites and women having less wealth than men. An intersectionality approach suggests that the overlapping impacts of racial and gender domination are likely to combine in a multiplicative fashion that places black women in a uniquely precarious economic position. However, little is known about the wealth holdings of black wo…
Pathways to the All-Volunteer Military
OBJECTIVES: The present study investigates the role of a disadvantaged background, the lack of social connectedness, and behavioral problems in channeling young men to the opportunities of the all-volunteer military instead of to college and the labor market. METHODS: Data from three waves of the National Longitudinal Study of Adolescent Health in the United States. The analytic sample consists of 6,938 white, black, and other males. RESULTS: The…
Psychosocial Mechanisms Underlying Older Black Men’s Health
Conventional measures of stressors and coping resources-originally developed to account for variance in health outcomes among predominantly white samples-may not capture psychosocial factors most salient for older Black men's health. Future research should incorporate psychosocial measures that reflect their unique experiences
Frontiers in measuring structural racism and its health effects
Authors have no conflicts of interest
Divergent Pathways? Racial/Ethnic Differences in Older Women's Labor Force Withdrawal
This study shows that substantial racial/ethnic disparities in labor force exit behavior have already emerged by midlife. It is important to note that distinguishing between alternative pathways out of the labor force demonstrates that work disability is a more common experience for Black and Hispanic women than for Whites
Racial/Ethnic Disparities in Men's Health
This study uses data from the Health and Retirement Study and an approach informed by the Biopsychosocial Model of Racism as a Stressor to examine the extent to which socioeconomic status, stressors, discrimination, and neighborhood conditions are mechanisms underlying racial/ethnic disparities in functional limitations among men. Results reveal that racial/ethnic differences in socioeconomic status, stressors, discrimination, and neighborhood co…
Multidimensional Approaches to Examining Gender and Racial/Ethnic Stratification in Health
Extant research on health disparities has traditionally employed a unidimensional approach to stratification, focusing on gender and racial/ethnic inequality separately. Such studies implicitly assume that gender inequality is monolithic across racial/ethnic lines and that racial/ethnic stratification is similar for women and men. While informative, these traditional, unidimensional approaches artificially decouple gender and racial/ethnic inequa…
Racialized Health Inequities
Racism drives population health inequities by shaping the unequal distribution of key social determinants of health, such as socioeconomic resources and exposure to stressors. Research on interrelationships among race, socioeconomic resources, stressors, and health has proceeded along two lines that have largely remained separate: one examining differential effects of socioeconomic resources and stressors on health across racialized groups (moder…
Attribution for everyday discrimination typologies and mortality risk among older black adults
Methods for studying structural oppression in quantitative family research
Researchers have long documented the impact of social inequalities on family life. Most family research has focused on inequalities at the individual and family levels, and extant studies on macro-level conditions have primarily examined economic conditions and specific family-focused social policies. Yet, an emerging body of largely conceptual research suggests that structural inequities also have enormous power to shape families. Structural rac…
Sociohistorical contexts of racial violence
Work-Related Stress, Psychosocial Resources, and Insomnia Symptoms Among Older Black Workers
Objectives : To examine the association between work-related stress (job lock and job stress appraisal) and insomnia symptoms among older Black workers, as well as the extent to which psychosocial resources (mastery, social support, and religious involvement) mediate or moderate this association. Methods : This study uses Ordinary Least Squares regression analysis and data from the Health and Retirement Study (HRS) on Black workers aged 51 and ol…
How Social Roles Affect Sleep Health during Midlife
This study draws on role theory and the life course perspective to examine how sleep health (duration, quality, and latency) is shaped by social role accumulation (number of roles), role repertoires (role combinations), and role contexts among middle-aged adults. We also examine how the relationships between social roles and sleep health are gendered. We use data from the National Longitudinal Survey of Youth 1979 Cohort (N = 7,628). Results show…
Tourism Experiences and Self-Rated Health Among Older Adults in China
The net beneficial impact of tourism on self-rated health may operate through several mechanisms such as improvements in tourists' cognitive functioning, healthy lifestyles, self-esteen, family and social relations, and psychological and spirtual well-being. Tourism participation is an effective way to promote healthy aging
Women of the 1950s and the “Normative” Life Course
We explore women's psychological well-being in late midlife in relation to childlessness and timing of entry into motherhood. Using two U.S. surveys, Health and Retirement Study (HRS) (1992) and National Survey of Families and Households (NSFH) (Sweet, Bumpass, & Call, 1988), we assess the well-being of childless women in their 50s compared to mothers with early, delayed, or normatively timed first births. We focus on the cohorts born between 192…
Divergent Pathways? Racial/Ethnic Differences in Older Women's Labor Force Withdrawal
This study shows that substantial racial/ethnic disparities in labor force exit behavior have already emerged by midlife. It is important to note that distinguishing between alternative pathways out of the labor force demonstrates that work disability is a more common experience for Black and Hispanic women than for Whites
Pathways to the All-Volunteer Military
OBJECTIVES: The present study investigates the role of a disadvantaged background, the lack of social connectedness, and behavioral problems in channeling young men to the opportunities of the all-volunteer military instead of to college and the labor market. METHODS: Data from three waves of the National Longitudinal Study of Adolescent Health in the United States. The analytic sample consists of 6,938 white, black, and other males. RESULTS: The…
The Intersection and Accumulation of Racial and Gender Inequality
Prior research has found evidence of large racial and gender disparities in wealth, with blacks possessing less wealth than whites and women having less wealth than men. An intersectionality approach suggests that the overlapping impacts of racial and gender domination are likely to combine in a multiplicative fashion that places black women in a uniquely precarious economic position. However, little is known about the wealth holdings of black wo…
Understanding how race/ethnicity and gender define age-trajectories of disability
Race-Ethnicity and Health Trajectories
Racial-ethnic disparities in static levels of health are well documented. Less is known about racial-ethnic differences in age trajectories of health. The few studies on this topic have examined only single health outcomes and focused on black-white disparities. This study extends prior research by using a life course perspective, panel data from the Health and Retirement Study, and multilevel growth curve models to investigate racial-ethnic diff…
Multidimensional Approaches to Examining Gender and Racial/Ethnic Stratification in Health
Extant research on health disparities has traditionally employed a unidimensional approach to stratification, focusing on gender and racial/ethnic inequality separately. Such studies implicitly assume that gender inequality is monolithic across racial/ethnic lines and that racial/ethnic stratification is similar for women and men. While informative, these traditional, unidimensional approaches artificially decouple gender and racial/ethnic inequa…
A Life Course Approach to Inequality
The life course pathways linking childhood SES and adult health differ by race/ethnicity among men. Similar to arguments that the universality of the adult SES-health relationship should not be assumed, results from our study suggest that scholars should not assume that the significance and nature of the association between childhood SES and health in adulthood is similar across race/ethnicity among men
Tourism Experiences and Self-Rated Health Among Older Adults in China
The net beneficial impact of tourism on self-rated health may operate through several mechanisms such as improvements in tourists' cognitive functioning, healthy lifestyles, self-esteen, family and social relations, and psychological and spirtual well-being. Tourism participation is an effective way to promote healthy aging
Racial/Ethnic Disparities in Men's Health
This study uses data from the Health and Retirement Study and an approach informed by the Biopsychosocial Model of Racism as a Stressor to examine the extent to which socioeconomic status, stressors, discrimination, and neighborhood conditions are mechanisms underlying racial/ethnic disparities in functional limitations among men. Results reveal that racial/ethnic differences in socioeconomic status, stressors, discrimination, and neighborhood co…
(En)gendering racial disparities in health trajectories
Historically, intersectionality has been an underutilized framework in sociological research on racial/ethnic and gender inequalities in health. To demonstrate its utility and importance, we conduct an intersectional analysis of the social stratification of health using the exemplar of hypertension-a health condition in which racial/ethnic and gender differences have been well-documented. Previous research has tended to examine these differences …
Childhood adversity and adult health
Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities
This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification…
Psychosocial Mechanisms Underlying Older Black Men’s Health
Conventional measures of stressors and coping resources-originally developed to account for variance in health outcomes among predominantly white samples-may not capture psychosocial factors most salient for older Black men's health. Future research should incorporate psychosocial measures that reflect their unique experiences
Racial Stratification, Immigration, and Health Inequality
While health inequalities related to race/ethnicity, nativity, and age are well documented, it remains unclear how these axes of stratification combine to shape health trajectories, especially in middle and late life. This study addresses gaps in the literature by drawing on both life course and intersectionality perspectives to understand inequalities in morbidity trajectories. Using growth curve models applied to data from the Health and Retire…
The Color of Covid-19
While the ongoing COVID-19 pandemic is an unprecedented crisis, the racial/ethnic health inequalities among older adults it has exposed are longstanding and deeply rooted in structural racism within American society. This knowledge presents both challenges and opportunities for researchers and policymakers as they seek to address the needs of older adults. It is imperative that federal, state, and local governments collect and release comprehensi…
Overcrowding and Covid-19 mortality across U.S. counties
A growing line of research underscores that sociodemographic factors may contribute to disparities in the impact of COVID-19. Further, stages of disease theory suggests that disparities may grow as the pandemic unfolds and more advantaged areas are better able to apply growing knowledge and mitigation strategies. In this paper, we focus on the role of county-level household overcrowding on disparities in COVID-19 mortality in U.S. counties. We ex…
Structural Intersectionality as a New Direction for Health Disparities Research
This article advances the field by integrating insights from intersectionality perspectives with the emerging literatures on structural racism and structural sexism-which point to promising new ways to measure systems of inequality at a macro level-to introduce a structural intersectionality approach to population health. We demonstrate an application of structural intersectionality using administrative data representing macrolevel structural rac…
Empirical evidence on structural racism as a driver of racial inequities in Covid-19 mortality
Objective This study contributes to the literature by empirically testing the extent to which place-based structural racism is a driver of state-level racial inequalities in COVID-19 mortality using theoretically-informed, innovative approaches. Methods CDC data are used to measure cumulative COVID-19 death rates between January 2020 and August 2022. The outcome measure is a state-level Black-White (B/W) ratio of age-adjusted death rates. We use …
Work-Related Stress, Psychosocial Resources, and Insomnia Symptoms Among Older Black Workers
Objectives : To examine the association between work-related stress (job lock and job stress appraisal) and insomnia symptoms among older Black workers, as well as the extent to which psychosocial resources (mastery, social support, and religious involvement) mediate or moderate this association. Methods : This study uses Ordinary Least Squares regression analysis and data from the Health and Retirement Study (HRS) on Black workers aged 51 and ol…
Frontiers in measuring structural racism and its health effects
Authors have no conflicts of interest
Improving The Measurement Of Structural Racism To Achieve Antiracist Health Policy
Antiracist health policy research requires methodological innovation that creates equity-centered and antiracist solutions to health inequities by centering the complexities and insidiousness of structural racism. The development of effective health policy and health equity interventions requires sound empirical characterization of the nature of structural racism and its impact on public health. However, there is a disconnect between the conceptu…
Association of educational attainment with cancer mortality in a national cohort study of black and white adults
In conclusion, participant education was strongly associated with cancer mortality, and this association was partially mediated by the SDOH domain score
Racialized Health Inequities
Racism drives population health inequities by shaping the unequal distribution of key social determinants of health, such as socioeconomic resources and exposure to stressors. Research on interrelationships among race, socioeconomic resources, stressors, and health has proceeded along two lines that have largely remained separate: one examining differential effects of socioeconomic resources and stressors on health across racialized groups (moder…
Attribution for everyday discrimination typologies and mortality risk among older black adults
Sociology (25 works) · Psychology (23 works) · Health disparities and outcomes (22 works) · Medicine (22 works) · Gerontology (16 works) · Demography (14 works) · Racial and Ethnic Identity Research (14 works) · Employment and Welfare Studies (12 works) · Health equity (12 works) · Population (12 works)