The social determinants of health : race, resources, and neighborhoods in the Detroit tri-county area

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dc.contributor.advisorHummer, Robert A.en
dc.contributor.advisorEllison, Christopher G., 1960-en
dc.creatorBoardman, Jason Daviden
dc.date.accessioned2011-04-14T17:32:05Zen
dc.date.available2011-04-14T17:32:05Zen
dc.date.issued2002-05en
dc.descriptiontexten
dc.description.abstractUsing data from the 1995 Detroit Area Study (N=1,106) I develop and test several hypotheses regarding the social determinants of physical health. My inquiry utilizes several operationalizations of physical health and emphasizes two distinct but strongly related phenomena within social epidemiology: (1) race-specific morbidity differentials; and (2) neighborhood effects on individuals’ physical health. Findings suggest that external appraisals and experiences with discriminatory behaviors significantly mediate the increased risk among non-Hispanic black respondents to be health pessimists (e.g., report worse self-rated health than their objective health levels would suggest). In addition, increased exposure to stressful life events and chronic stressors significantly mediate the observed neighborhood effect on physical health. Neighborhood stability is found to moderate the relationship between stress and physical health; residence in a stable residential community is found to reduce the negative impact of stress on individual’s health. I conclude with suggestions for future research in this area and policy recommendations based on these findings.
dc.description.departmentSociologyen
dc.format.mediumelectronicen
dc.identifier.urihttp://hdl.handle.net/2152/10918en
dc.language.isoengen
dc.rightsCopyright is held by the author. Presentation of this material on the Libraries' web site by University Libraries, The University of Texas at Austin was made possible under a limited license grant from the author who has retained all copyrights in the works.en
dc.rights.restrictionRestricteden
dc.subjectPublic health--Social aspects--Michigan--Detroiten
dc.subjectPublic health--Environmental aspects--Michigan--Detroiten
dc.titleThe social determinants of health : race, resources, and neighborhoods in the Detroit tri-county areaen
thesis.degree.departmentSociologyen
thesis.degree.disciplineSociologyen
thesis.degree.grantorThe University of Texas at Austinen
thesis.degree.levelDoctoralen
thesis.degree.nameDoctor of Philosophyen

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