Journals of Gerontology Series B: Psychological Sciences and Social Sciences
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The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 60:S76-S84 (2005)
© 2005 The Gerontological Society of America


TOPIC 4. ECONOMIC STATUS AND HEALTH INEQUALITIES

Economic Status Over the Life Course and Racial Disparities in Health

Joan R. Kahn and Elena M. Fazio

Maryland Population Research Center, Department of Sociology, University of Maryland, College Park.

Address correspondence to Joan R. Kahn, Department of Sociology, University of Maryland, College Park, MD 20742. E-mail: jkahn{at}umd.edu

Abstract

Objectives. Racial and socioeconomic disparities in health have become a prominent feature of American society, though our understanding of the processes leading to such persistent disparities is still relatively limited. In this study, we focus on the impact of social and economic advantages and disadvantages over the life course on health disparities at older ages. In particular, we look at the roles of both cumulative and current financial resources and financial strains as determinants of a range of subjective and objective health assessments of physical conditions, functional impairment, and mental health.

Methods. Our data come from the 2001 Aging, Stress, and Health Study, which interviewed over 1,100 White and African American adults aged 65 years and older living in the Washington, D.C., metropolitan area.

Results and Discussion. Our results show that although racial and socioeconomic disparities in health do not follow a simple explanation, we do provide strong support for the fundamental importance of social and economic resources. Unlike previous studies that emphasize the role of financial resources such as income and wealth, we show that the lack of these resources, as indicated by high levels of financial strain, provides an important clue to how economic resources influence health.







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