Racial Variation in the Association between Educational Attainment and Self-Rated Health

Background: Minorities’ Diminished Return theory can be defined as the systematically smaller effects of socioeconomic status (SES) indicators on the health and well-being of minority populations compared to Whites. To test whether Minorities’ Diminished Return theory holds for s...

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Main Author: Shervin Assari
Format: Article
Language:English
Published: MDPI AG 2018-04-01
Series:Societies
Subjects:
Online Access:http://www.mdpi.com/2075-4698/8/2/26
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author Shervin Assari
author_facet Shervin Assari
author_sort Shervin Assari
collection DOAJ
description Background: Minorities’ Diminished Return theory can be defined as the systematically smaller effects of socioeconomic status (SES) indicators on the health and well-being of minority populations compared to Whites. To test whether Minorities’ Diminished Return theory holds for self-rated health (SRH), we investigated Black–White differences in the effects of education and income on SRH. Methods: Data from the Health Information National Trends Survey (HINTS) 2017 was used. HINTS 2017 (n = 3217) is a nationally cross-sectional survey of American adults. The current analysis included 2277 adults who were either Whites (n = 1868; 82%) or Blacks (n = 409; 18%). Education and income were the independent variables. Poor/fair SRH was the dependent variable. Covariates included age, gender, obesity, and health behaviors (smoking and exercise). Race was the focal moderator. We ran logistic regressions in the overall sample, with and without race by SES (education and income) interactions. Results: Higher education was associated with lower risk of poor/fair SRH in the pooled sample. We found an interaction between race and education, but not race and income, in relation to SRH, suggesting a stronger association for Whites than Blacks. Conclusions: Minorities’ Diminished Return theory is also relevant to the effects of educational attainment on SRH. The relative disadvantage of Blacks compared to Whites in gaining SRH from educational attainment may reflect structural racism that systemically hinders Blacks. There is a need for additional research on specific societal barriers that minimize Blacks’ health gain from their SES resources. Policies and programs should help Black individuals leverage their SES resources.
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spelling doaj.art-8c1b2dc3d44b461796a5e62524ba7f092022-12-21T18:15:36ZengMDPI AGSocieties2075-46982018-04-01822610.3390/soc8020026soc8020026Racial Variation in the Association between Educational Attainment and Self-Rated HealthShervin Assari0Department of Psychiatry, University of Michigan, 4250 Plymouth Road, SPC 5763, Ann Arbor, MI 48109-2700, USABackground: Minorities’ Diminished Return theory can be defined as the systematically smaller effects of socioeconomic status (SES) indicators on the health and well-being of minority populations compared to Whites. To test whether Minorities’ Diminished Return theory holds for self-rated health (SRH), we investigated Black–White differences in the effects of education and income on SRH. Methods: Data from the Health Information National Trends Survey (HINTS) 2017 was used. HINTS 2017 (n = 3217) is a nationally cross-sectional survey of American adults. The current analysis included 2277 adults who were either Whites (n = 1868; 82%) or Blacks (n = 409; 18%). Education and income were the independent variables. Poor/fair SRH was the dependent variable. Covariates included age, gender, obesity, and health behaviors (smoking and exercise). Race was the focal moderator. We ran logistic regressions in the overall sample, with and without race by SES (education and income) interactions. Results: Higher education was associated with lower risk of poor/fair SRH in the pooled sample. We found an interaction between race and education, but not race and income, in relation to SRH, suggesting a stronger association for Whites than Blacks. Conclusions: Minorities’ Diminished Return theory is also relevant to the effects of educational attainment on SRH. The relative disadvantage of Blacks compared to Whites in gaining SRH from educational attainment may reflect structural racism that systemically hinders Blacks. There is a need for additional research on specific societal barriers that minimize Blacks’ health gain from their SES resources. Policies and programs should help Black individuals leverage their SES resources.http://www.mdpi.com/2075-4698/8/2/26racesocial classeducationincomesocioeconomic statussocial determinants of healthself-rated health
spellingShingle Shervin Assari
Racial Variation in the Association between Educational Attainment and Self-Rated Health
Societies
race
social class
education
income
socioeconomic status
social determinants of health
self-rated health
title Racial Variation in the Association between Educational Attainment and Self-Rated Health
title_full Racial Variation in the Association between Educational Attainment and Self-Rated Health
title_fullStr Racial Variation in the Association between Educational Attainment and Self-Rated Health
title_full_unstemmed Racial Variation in the Association between Educational Attainment and Self-Rated Health
title_short Racial Variation in the Association between Educational Attainment and Self-Rated Health
title_sort racial variation in the association between educational attainment and self rated health
topic race
social class
education
income
socioeconomic status
social determinants of health
self-rated health
url http://www.mdpi.com/2075-4698/8/2/26
work_keys_str_mv AT shervinassari racialvariationintheassociationbetweeneducationalattainmentandselfratedhealth