Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Author: search.filters.author.Williams, D R

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Now showing 1 - 4 of 4
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    Race/ethnicity and the 2000 census: recommendations for African American and other black populations in the United States.
    (2000) Williams, D R; Jackson, J S
    This commentary considers the implications of the assessment of racial/ethnic status for monitoring the health of African Americans and other Black populations in the United States. It argues that because racial disparities in health and other social indicators persist undiminished, the continued assessment of race is essential. However, efforts must be made to ensure that racial data are of the highest quality. This will require uniform assessment of racial status that includes identifiers for subgroups of the Black population. Research also indicates that the health of multiracial persons varies by maternal race. Thus, efforts to monitor multiracial status should assess the race of both parents. More attention should also be given to analysis and interpretation of racial data and to the collection of additional data that capture characteristics linked to race (such as socioeconomic factors and racism) that may adversely affect health.
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    The concept of race and health status in America.
    (1994) Williams, D R; Lavizzo-Mourey, R; Warren, R C
    Abstract available at publisher's web site.
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    Racism, discrimination and hypertension: evidence and needed research.
    (2001) Williams, D R; Neighbors, H
    This paper reviews the available scientific evidence that relates racism to the elevated rates of hypertension for African Americans. Societal racism can indirectly affect the risk of hypertension by limiting socioeconomic opportunities and mobility for African Americans. Racism can also affect hypertension by 1) restricting access to desirable goods and services in society, including medical care; and 2) creating a stigma of inferiority and experiences of discrimination. This paper evaluates the available evidence for perceptions of discrimination. African Americans frequently experience discrimination and these experiences are perceived as stressful. Several lines of evidence suggest that stressors are positively related to hypertension risk. Exposure to racial stressors under laboratory conditions reliably predicts cardiovascular reactivity and such responses have been associated with longer-term cardiovascular risk. Few population-based studies have examined the association between exposure to racial discrimination and hypertension, and the findings, though suggestive of a positive association between racial bias and blood pressure, are neither consistent nor clear. However, the existing literature identifies important new directions for the comprehensive measurement of discrimination and the design of rigorous empirical studies that can evaluate theoretically derived ideas about the association between discrimination and hypertension.
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    Racial residential segregation: a fundamental cause of racial disparities in health.
    (2001) Williams, D R; Collins, C
    Racial residential segregation is a fundamental cause of racial disparities in health. The physical separation of the races by enforced residence in certain areas is an institutional mechanism of racism that was designed to protect whites from social interaction with blacks. Despite the absence of supportive legal statutes, the degree of residential segregation remains extremely high for most African Americans in the United States. The authors review evidence that suggests that segregation is a primary cause of racial differences in socioeconomic status (SES) by determining access to education and employment opportunities. SES in turn remains a fundamental cause of racial differences in health. Segregation also creates conditions inimical to health in the social and physical environment. The authors conclude that effective efforts to eliminate racial disparities in health must seriously confront segregation and its pervasive consequences.