International Journal of Health Services
   Publisher:   Baywood Publishing Company
   Issue:   Volume 35, Number 3 / 2005
   Pages:   485 - 498

RESEARCHING HEALTH INEQUITIES AMONG AFRICAN AMERICANS: THE IMPERATIVE TO
UNDERSTAND SOCIAL CLASS

M. Norman Oliver and Carles Muntaner

Abstract:

Racial and ethnic inequities in health abound in many disease categories.
African-American communities suffer from an increased burden of illness,
with higher incidence and mortality rates and more severe morbidity in
cerebrovascular disease, heart disease, several cancers, diabetes, and many
other ailments. Healthy People 2010, the federal government's health plan,
calls for eliminating health disparities by race, ethnicity, gender,
education, income, disability, geographic location, or sexual orientation.
Research aimed at increasing our understanding of these health disparities
and designing and evaluating interventions to improve African-American
health is hampered by a liberal, classless approach. The authors argue for
a theoretical framework in this research that recognizes that class
exploitation sets the stage for and interacts with racial discrimination to
determine racial inequities in health.
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