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Under the Skin

Using Theories From Biology and the Social Sciences to Explore the Mechanisms Behind the Black–White Health Gap

Bibliographic Data

ID8093465
AuthorsTiffany L Green, Tiffany Green (0000-0001-9456-0938, Tiffany L. Green is with the Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison. William A. Darity Jr is with the Sanford School of Public Policy at Duke University, Durham, NC., corresponding author), William Darity (0000-0003-1358-9101), William A Darity (Tiffany L. Green is with the Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison. William A. Darity Jr is with the Sanford School of Public Policy at Duke University, Durham, NC.)
Year2010
Volume100
IssueS1
PagesS36-S40
Publication date2010-03-12
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.171140
PMID20147678
PMCIDPMC2837427
OpenAlexW2039016859
LanguageEN
Citations received42
References cited39

Equity and social well-being considerations make Black-White health disparities an area of important concern. Although previous research suggests that discrimination- and poverty-related stressors play a role in African American health outcomes, the mechanisms are unclear. Allostatic load is a concept that can be employed to demonstrate how environmental stressors, including psychosocial ones, may lead to a cumulative physiological toll on the body. We discuss both the usefulness of this framework for understanding how discrimination can lead to worse health among African Americans, and the challenges for conceptualizing biological risk with existing data and methods. We also contrast allostatic load with theories of historical trauma such as posttraumatic slavery syndrome. Finally, we offer our suggestions for future interdisciplinary research on health disparities

Association (psychology · Biology · White (mutation · Food Security and Health in Diverse Populations · Medicine · Obesity and Health Practices · Psychology · Racial and Ethnic Identity Research · Genetics

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    Open Access•Carolyn A Mendez‐luck, Jeffrey W Bethel et al.•BMC Public Health•2015

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    Open Access•A J Yellow Horse, A R Santos-Lozada•Women s Health Issues•2019

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    James R Hebert, Kathryn L Braun et al.•Progress in community health…•2015

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    Open Access•C J Mulligan•American Journal of Physical…•2021

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    Open Access•Laura Kihlström, Richard Kirby•Health & Place•2021

  • School racial composition and race/ethnic differences in early adulthood health

    Open Access•Bridget J Goosby, Katrina M Walsemann•Health & Place•2011

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    Open Access•Bridget J Goosby, Elizabeth Straley et al.•Population Research and Policy…•2017

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    Open Access•R J Cobb, Courtney S Thomas et al.•SSM - Population Health•2016

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    Open Access•E Killoren, J K Monk et al.•Journal of Youth and Adolescence•2019

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    Open Access•Jioni A Lewis, R Mendenhall et al.•Journal of African American Studies•2012

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Unique citing works42
Citations per year2,8
Citation span2011 - 2026 (16)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 42

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