8. IMPROVING HEALTH AND HEALTH CARE FOR MINORITY AND AGING POPULATIONS Explanations for racial disparities in healthcare and health range from differential treatment by the medical care system, differences in where minorities seek care, and racial differences in health behaviors such as compliance, diet and exercise. These differences contribute to disparities in obesity, chronic disease, and ultimately, disability and death. An improved understanding of the relative influence of these causes is essential for the design of policies that improve the health of elderly minority Americans. In this subproject, we apply new methods to analyze these and other explanations of racial disparities and their implications for policy changes that might close racial gaps in health. We first analyze how black-white differences in mortality and in severe disability among the elderly population have evolved over the past twenty years. To the extent that disparities have declined, we will explore the extent to which convergence in disability and mortality is caused by whites catching up to blacks in the prevalence of obesity, as opposed to outcomes for blacks improving over time. We will also measure the extent to which trends in chronic disease prevalence are responsible for the evolution of racial disparities. We then focus on disparities in healthcare. In particular, we will explore racial differences in the receipt of intensive healthcare services, how they vary across providers and over time, and whether they are a consequence of taste-based prejudice, differences in triage rules, or statistical discrimination (minoritiesreceiving lower benefit from treatment on average).
Understanding the reasons for racial disparities in healthcare and health can inform the design of policies that improve health. This subproject explores trends in racial disparities, and some potential explanation for why racial disparities exist.
|Steptoe, Andrew; Deaton, Angus; Stone, Arthur A (2015) Subjective wellbeing, health, and ageing. Lancet 385:640-8|
|Palencia, Laia; Espelt, Albert; Cornejo-Ovalle, Marco et al. (2014) Socioeconomic inequalities in the use of dental care services in Europe: what is the role of public coverage? Community Dent Oral Epidemiol 42:97-105|
|Rietveld, Cornelius A; Conley, Dalton; Eriksson, Nicholas et al. (2014) Replicability and robustness of genome-wide-association studies for behavioral traits. Psychol Sci 25:1975-86|
|Bosque-Prous, Marina; Espelt, Albert; Guitart, Anna M et al. (2014) Association between stricter alcohol advertising regulations and lower hazardous drinking across European countries. Addiction 109:1634-43|
|Mazzonna, Fabrizio (2014) The long lasting effects of education on old age health: evidence of gender differences. Soc Sci Med 101:129-38|
|Palgi, Yuval; Shrira, Amit; Ben-Ezra, Menachem et al. (2014) Age-related and death-related differences in emotional complexity. Psychol Aging 29:284-96|
|Hardy, Melissa A; Acciai, Francesco; Reyes, Adriana M (2014) How health conditions translate into self-ratings: a comparative study of older adults across Europe. J Health Soc Behav 55:320-41|
|Coall, David A; Hilbrand, Sonja; Hertwig, Ralph (2014) Predictors of grandparental investment decisions in contemporary Europe: biological relatedness and beyond. PLoS One 9:e84082|
|Kessler, Ronald C; Duncan, Greg J; Gennetian, Lisa A et al. (2014) Associations of housing mobility interventions for children in high-poverty neighborhoods with subsequent mental disorders during adolescence. JAMA 311:937-48|
|Listl, Stefan; Watt, Richard G; Tsakos, Georgios (2014) Early life conditions, adverse life events, and chewing ability at middle and later adulthood. Am J Public Health 104:e55-61|
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