Black women have elevated rates of multiple physical illnesses and conditions when compared to White women – disparities that are only partially explained by socioeconomic status (SES). Consequently, scholars have called for renewed attention to the significance of racism-related stress in explaining Black-White disparities in women's physical health. Drawing on the biopsychosocial model of racism as a stressor and the intersectionality perspective, this study examines the extent to which SES and racism-related stressors – i.e., discrimination, criminalization, and adverse neighborhood conditions – account for disparities in self-rated physical health and chronic health conditions between Black and White women. Results indicate that Black women have lower SES and report greater exposure to racism-related stressors across all domains. Moreover, I find that SES and racism-related stressors jointly account for more than 90% of the Black-White disparity in women's self-rated physical health and almost 50% of the Black-White disparity in chronic health conditions. Theoretical and policy implications of these findings are discussed.

与白人女性相比，黑人女性的多种身体疾病和病症的发病率更高——这种差异只能部分地由社会经济地位 (SES) 来解释。因此，学者们呼吁重新关注种族主义相关压力在解释女性身体健康中的黑白差异方面的重要性。本研究利用种族主义的生物心理社会模型作为压力源和交叉性视角，研究了社会经济地位和与种族主义相关的压力源——即歧视、刑事定罪和不利的邻里条件——在多大程度上解释了自我评价的身体健康和黑人和白人妇女之间的慢性健康状况。结果表明，黑人女性的社会经济地位较低，并且报告在所有领域都更容易受到与种族主义相关的压力源的影响。而且，我发现社会经济地位和与种族主义有关的压力源共同占女性自评身体健康中黑白差异的 90% 以上，以及慢性健康状况中近 50% 的黑白差异。讨论了这些发现的理论和政策含义。