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Disaggregating Heterogeneity among Non-Hispanic Whites: Evidence and Implications for U.S. Racial/Ethnic Health Disparities
Population Research and Policy Review ( IF 1.899 ) Pub Date : 2021-01-28 , DOI: 10.1007/s11113-020-09632-5
Jen'nan Ghazal Read 1 , Scott M Lynch 2 , Jessica S West 2
Affiliation  

Research has made strides in disaggregating health data among racial/ethnic minorities, but less is known about the extent of diversity among Whites. Using logistic regression modeling applied to data on respondents aged 40+ from the 2008 to 2016 American Community Survey, we disaggregated the non-Hispanic White population by ancestry and other racial/ethnic groups (non-Hispanic Black, non-Hispanic Asian, and Hispanic) by common subgroupings and examined heterogeneity in disability. Using logistic regression models predicting six health outcome measures, we compared the spread of coefficients for each of the large racial/ethnic groups and all subgroupings within these large categories. The results revealed that health disparities within the White population are almost as large as disparities within other racial groups. In fact, when Whites were disaggregated by ancestry, mean health appeared to be more varied among Whites than between Whites and members of other racial/ethnic groups in many cases. Compositional changes in the ancestry of Whites, particularly declines in Whites of western European ancestry and increases in Whites of eastern European and Middle Eastern ancestry, contribute to this diversity. Together, these findings challenge the oft-assumed notion that Whites are a homogeneous group and indicate that the aggregate White category obscures substantial intra-ethnic heterogeneity in health.



中文翻译:

分解非西班牙裔白人的异质性:美国种族/民族健康差异的证据和启示

研究在分解种族/族裔少数群体的健康数据方面取得了长足的进步,但人们对白人的多样性程度知之甚少。使用逻辑回归模型应用于 2008 年至 2016 年美国社区调查中 40 岁以上的受访者数据,我们按血统和其他种族/族裔群体(非西班牙裔黑人、非西班牙裔亚裔和西班牙裔) 通过常见的亚组并检查了残疾的异质性。使用逻辑回归模型预测六种健康结果测量,我们比较了每个大种族/族裔群体和这些大类别中的所有亚组的系数分布。结果显示,白人人口中的健康差异几乎与其他种族群体中的差异一样大。实际上,在许多情况下,白人之间比白人和其他种族/族裔群体的成员之间。白人血统的组成变化,特别是西欧血统白人的减少和东欧和中东血统的白人的增加,促成了这种多样性。总之,这些发现挑战了人们通常认为的白人是一个同质群体的概念,并表明白人总类别掩盖了健康方面的种族内显着异质性。

更新日期:2021-01-28
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