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Int J Epidemiol Res. 2019;6(3):108-113.

Marital Status and Physical Health: Racial Differences.

International journal of epidemiologic research

Shervin Assari, Mohsen Bazargan

Affiliations

  1. Department of Family Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA.
  2. Department of Family Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.

PMID: 31572801 PMCID: PMC6768071

Abstract

BACKGROUND AND OBJECTIVES: As suggested by the Minorities' Diminished Return theory, the association between socioeconomic status and health is weaker for racial and ethnic minorities compared to Whites. The current study compared Blacks and Whites in terms of the association between marital status and physical health.

METHODS: The State of the State Survey (2017) included 881 adults (92 Blacks and 782 Whites) generalizable to the state of Michigan, the United States. The marital status and self-rated physical health (SRPH), which was measured using a single item, were considered as independent and dependent variables, respectively. In addition, age, gender, education, and employment were covariates. Race/ethnicity was regarded as the moderating factor. Logistic regression was used for data analysis.

RESULTS: Based on the results, being married was associated with better SRPH, the net of all confounders. A significant interaction was found between race and marital status on SRPH, suggesting a larger association for Blacks compared to Whites. In race stratified models, marital status was related to better SRPH for Whites and Blacks, but the magnitude of this link was larger for Blacks compared to Whites.

CONCLUSION: Overall, marital status was differently linked to SRPM for Whites and Blacks. Accordingly, policymakers should be cautious while not assuming that diverse racial and ethnic groups with similar economic resources have similar health status.

Keywords: African American; Black; Disparities; Ethnic groups; Inequality; Race; Self-rated physical health; Socioeconomic position

Conflict of interest statement

Conflicts of Interest The authors declare no conflicts of interest.

References

  1. Demography. 1999 Nov;36(4):445-60 - PubMed
  2. J Racial Ethn Health Disparities. 2017 Aug;4(4):746-757 - PubMed
  3. J Health Soc Behav. 2004 Sep;45(3):265-85 - PubMed
  4. J Health Soc Behav. 2015 Sep;56(3):297-306 - PubMed
  5. Behav Sci (Basel). 2019 Jan 14;9(1):null - PubMed
  6. Lancet. 2005 Mar 19-25;365(9464):1099-104 - PubMed
  7. Int J Health Policy Manag. 2017 Aug 05;7(1):1-9 - PubMed
  8. Int J Environ Res Public Health. 2018 Sep 21;15(10): - PubMed
  9. J Urban Health. 2018 Feb;95(1):21-35 - PubMed
  10. J Health Soc Behav. 1995 Sep;36(3):230-43 - PubMed
  11. J Health Soc Behav. 1995;Spec No:80-94 - PubMed
  12. Brain Sci. 2018 May 31;8(6):null - PubMed
  13. Children (Basel). 2019 Jan 14;6(1):null - PubMed
  14. Int J Epidemiol Res. 2017 Summer;3(12):185-193 - PubMed
  15. Children (Basel). 2018 May 01;5(5):null - PubMed
  16. Dent J (Basel). 2018 Jun 04;6(2):null - PubMed
  17. Healthcare (Basel). 2018 Jan 09;6(1):null - PubMed
  18. Bull World Health Organ. 2001;79(10):988-9 - PubMed
  19. Behav Sci (Basel). 2019 Mar 11;9(3):null - PubMed

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