Minority Health and Health Equity Archive

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    Health Disparities By Race And Class:Why Both Matter
    (2005) Kawachi, Ichiro; Daniels, Norman; Robinson, Dean E
    In this essay we examine three competing causal interpretations of racial disparities in health. The first approach views race as a biologically meaningful category and racial disparities in health as reflecting inherited susceptibility to disease. The second approach treats race as a proxy for class and views socioeconomic stratification as the real culprit behind racial disparities. The third approach treats race as neither a biological category nor a proxy for class, but as a distinct construct, akin to caste. We point to hisHtorical, political, and ideological obstacles that have hindered the analysis of race and class as codeterminants of disparities in health.