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Demography

, Volume 48, Issue 1, pp 127–152 | Cite as

Does Multiracial Matter? A Study of Racial Disparities in Self-Rated Health

  • Jenifer L. Bratter
  • Bridget K. Gorman
Article
First Online:

Abstract

How do self-identified multiracial adults fit into documented patterns of racial health disparities? We assess whether the health status of adults who view themselves as multiracial is distinctive from that of adults who maintain a single-race identity, by using a seven-year (2001–2007) pooled sample of the Behavioral Risk Factor Surveillance System (BRFSS). We explore racial differences in self-rated health between whites and several single and multiracial adults with binary logistic regression analyses and investigate whether placing these groups into a self-reported “best race” category alters patterns of health disparities. We propose four hypotheses that predict how the self-rated health status of specific multiracial groups compares with their respective component single-race counterparts, and we find substantial complexity in that no one explanatory model applies to all multiracial combinations. We also find that placing multiracial groups into a single “best race” category likely obscures the pattern of health disparities for selected groups because some multiracial adults (e.g., American Indians) tend to identify with single-race groups whose health experience they do not share.

Keywords

Multiracial Self-rated health Health disparities Race Identity 
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Notes

Acknowledgments

The authors wish to acknowledge Rachel Kimbro, Lauren Krivo, and Carolyn Liebler for their helpful comments on previous drafts. A previous version of this paper was presented at the 2008 annual meeting of the Population Association of America.

References

  1. Bonilla-Silva, E. (2004). From bi-racial to tri-racial: Towards a new system of racial stratification in the USA. Ethnic and Racial Studies, 27, 931–950.CrossRefGoogle Scholar
  2. Bonilla-Silva, E., & Embrick, D. (2006). Black, honorary white, white: The future of race in the United States? In D. L. Brunsma (Ed.), Mixed messages: Multiracial identities in the color-blind era (pp. 33–48). Boulder: Lynne Rienner Publishers.Google Scholar
  3. Borrell, L. N., & Dallo, F. J. (2008). Self-rated health and race among Hispanic and non-Hispanic adults. Journal of Immigrant and Minority Health, 10, 229–238.CrossRefGoogle Scholar
  4. Bowles, D. (1993). Bi-racial identity: Children born to African-American and white couples. Clinical Social Work Journal, 21, 417–428.Google Scholar
  5. Brown, J. S., Hitlin, S., & Elder, G. H., Jr. (2007). The importance of being other: A natural experiment of lived race over time. Social Science Research, 36, 159–174.CrossRefGoogle Scholar
  6. Brunsma, D. (2006). Public categories, private identities: Exploring regional differences in the biracial experience. Social Science Research, 35, 555–576.CrossRefGoogle Scholar
  7. Campbell, M. E. (2007). Thinking outside of the (black) box: Measuring black and multiracial identification on surveys. Social Science Research, 36, 921–944.CrossRefGoogle Scholar
  8. Campbell, M. E., & Eggerling-Boeck, J. (2006). What about the children? The psychological social well-being of multiracial adolescents. Sociological Quarterly, 47, 147–173.CrossRefGoogle Scholar
  9. Campbell, M. E., & Rogalin, C. (2006). Categorical imperatives: The interaction of Latino and racial identification. Social Science Quarterly, 87, 106–128.CrossRefGoogle Scholar
  10. Campbell, M. E., & Troyer, L. (2007). The implication of racial mis-classification by observers. American Sociological Review, 72, 750–765.CrossRefGoogle Scholar
  11. Centers for Disease Control and Prevention. (2003a). Prevalence of diabetes and impaired fasting glucose in adults—United States, 1999–2000. Morbidity and Mortality Weekly Reports, 52, 833–837.Google Scholar
  12. Centers for Disease Control and Prevention. (2003b). 2003 lifetime and current asthma tables. National Health Interview Survey (NHIS) Data. Available online at http://www.cdc.gov/asthma/nhis/03/data.htm.
  13. Centers for Disease Control and Prevention. (2004). Health disparities experienced by racial/ethnic minority populations. Morbidity and Mortality Weekly Reports, 53, 755.Google Scholar
  14. Centers for Disease Control and Prevention. (2008). Racial/ethnic disparities in self-rated health status among adults with and without disabilities—United States, 2004–2006. Morbidity and Mortality Weekly Reports, 57, 1069–1073.Google Scholar
  15. Cheng, S., & Powell, B. (2007). Under and beyond constraints: Resource allocation to young children from biracial families. The American Journal of Sociology, 112, 1044–1094.CrossRefGoogle Scholar
  16. Choi, Y., Harachi, T., Gillmore, M. R., & Catalano, R. F. (2006). Are multiracial adolescents at greater risk? Comparisons of rates, patterns, and correlates of substance use and violence between monoracial and multiracial adolescents. The American Journal of Orthopsychiatry, 76, 86–97.CrossRefGoogle Scholar
  17. Collins, J., & David, R. (1993). Race and birthweight in biracial infants. American Journal of Public Health, 83, 1125–1129.CrossRefGoogle Scholar
  18. Cornell, S., & Hartmann, D. (2007). Ethnicity and race: Making identities in a changing world. Thousand Oaks: Pine Forge Press.Google Scholar
  19. Crimmins, E. M., Hayward, M. D., & Seeman, T. E. (2004). Race/ethnicity, socioeconomic status, and health. In N. B. Anderson, R. A. Bulatao, & B. Cohen (Eds.), Critical perspectives on racial and ethnic differences in health in later life. Panel on race, ethnicity, and health in later life, committee on population, division of behavioral and social sciences and education (pp. 310–52). Washington, DC: The National Academies Press.Google Scholar
  20. Davis, F. J. (1991). Who is black? One nation’s definition. University Park: Pennsylvania State University Press.Google Scholar
  21. DeNavas-Walt, C., Proctor, B. D., & Smith, J. (2007). Income, poverty, and health insurance coverage in the United States: 2006 (U.S. Census Bureau, Current Population Reports, P60–233). Washington, DC: U.S. Government Printing Office.Google Scholar
  22. Doyle, J. M., & Kao, G. (2007). Are racial identities of multiracials stable? Changing self-identification among single and multiple race individuals. Social Psychology Quarterly, 70, 405–423.CrossRefGoogle Scholar
  23. Eschbach, K. (1995). The enduring and vanishing American Indian: Growth and intermarriage in 1990. Ethnic and Racial Studies, 18, 89–108.CrossRefGoogle Scholar
  24. Eschbach, K., & Gomez, C. (1998). Choosing Hispanic identity: Ethnic identity switching among respondents to high school and beyond. Social Science Quarterly, 79, 74–90.Google Scholar
  25. Farley, R. (2002). Racial identities in 2000. In J. Perlmann & M. C. Waters (Eds.), The new race question: How the census counts multiracial individuals (pp. 33–61). New York: Russell Sage Foundation.Google Scholar
  26. Frank, R. (2001). A reconceptualization of the role of biology in contributing to race/ethnic disparities. Population Research and Policy Review, 20, 441–455.CrossRefGoogle Scholar
  27. Frank, R. (2007). What to make of it? The (re)emergence of a biological conceptualization of race in health disparities research. Social Science & Medicine, 64, 1977–1983.CrossRefGoogle Scholar
  28. Gibbs, J. T. (1989). Biracial adolescents. In J. T. Gibbs (Ed.), Children of color: Psychological intervention with minority youth (pp. 322–350). San Francisco: Jossey-Bass.Google Scholar
  29. Goldstein, J., & Morning, A. J. (2002). Back in the box: The dilemma of using multiple-race data for single-race laws. In J. Perlmann & M. C. Waters (Eds.), The new race question: How the census counts multiracial individuals (pp. 119–136). New York: Russell Sage Foundation.Google Scholar
  30. Harris, D. (2002). Does it matter how we measure? Racial classification and the characteristics of multiracial youth. In J. Perlmann & M. C. Waters (Eds.), The new race question: How the census counts multiracial individuals (pp. 62–101). New York: Russell Sage Foundation.Google Scholar
  31. Harris, D., & Simm, J. J. (2002). Who is multiracial? Assessing the complexity of lived race. American Sociological Review, 67, 614–627.CrossRefGoogle Scholar
  32. Herman, M. (2004). Forced to choose: Some determinants of racial identification in multiracial adolescents. Child Development, 75, 730–748.CrossRefGoogle Scholar
  33. Heron, M. P. (2007). Deaths: Leading causes for 2004. National Vital Statistics Reports 56(5). Hyattsville: National Center for Health Statistics.Google Scholar
  34. Hirschman, C., Alba, R., & Farley, R. (2000). The meaning and measurement of race in the U.S. census: Glimpses into the future. Demography, 37, 381–393.CrossRefGoogle Scholar
  35. Hitlin, S., Brown, J. S., & Elder, G. H., Jr. (2006). Racial identity in adolescence: Developmental insights and social pathways. Child Development, 77, 1298–1308.CrossRefGoogle Scholar
  36. Hitlin, S., Brown, J. S., & Elder, G. H., Jr. (2007). Measuring Latinos: Racial vs. ethnic self-understandings. Social Forces, 86, 587–611.Google Scholar
  37. Idler, E. L., & Benyamin, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.CrossRefGoogle Scholar
  38. Jones, N., & Smith, A. S. (2001). Two or more races population: 2000 (Census 2000 Brief C2KBR/01-06). Washington, DC: U.S. Census Bureau.Google Scholar
  39. Kana’iaupuni, S. M., & Liebler, C. A. (2005). Pondering Poi Dog: Place and racial identification of multiracial native Hawaiians. Ethnic and Racial Studies, 28, 687–721.CrossRefGoogle Scholar
  40. Keppel, K. G., Pearcy, J. N., & Wagener, D. K. (2002). Trends in racial and ethnic-specific rates for the health status indicators: United States, 1990–98 (Healthy People Statistical Notes No. 23). Hyattsville: National Center for Health Statistics.Google Scholar
  41. Khanna, N. (2004). The role of reflected appraisals in racial identity: The case of multiracial Asians. Social Psychology Quarterly, 67, 115–131.CrossRefGoogle Scholar
  42. Korgen, K. O. (1998). From black to biracial: Transforming racial identity among Americans. Westport: Praeger Publishers.Google Scholar
  43. Krieger, N. (2000). Discrimination and health. In L. Berkman & I. Kawachi (Eds.), Social epidemiology (pp. 36–75). New York: Oxford University Press.Google Scholar
  44. Lee, J., & Bean, F. (2004). America’s changing color lines: Immigration, race/ethnicity, and multiracial identification. Annual Review of Sociology, 30, 221–242.CrossRefGoogle Scholar
  45. Lee, S., Edmonston, B., & Passell, J. (2002). Recent trends in intermarriage and immigration and their effects on the future racial composition of the U.S. population. In J. C. Perlmann & M. C. Waters (Eds.), The new race question: How the census counts multiracial individuals (pp. 227–255). New York: Russell Sage Foundation.Google Scholar
  46. Liebler, C. A. (2004). Ties on the fringes of identity. Social Science Research, 33, 702–723.CrossRefGoogle Scholar
  47. Liebler, C. A., & Halpern-Manners, A. (2008). A practical approach to using multiple race response data. Demography, 45, 143–155.CrossRefGoogle Scholar
  48. Link, B. G., & Phelan, J. C. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, 35, 80–94.CrossRefGoogle Scholar
  49. Mays, V. M., Ponce, N. A., Washington, D. L., & Cochran, S. D. (2003). Classification of race and ethnicity: Implications for public health. Annual Review of Public Health, 24, 83–110.Google Scholar
  50. Morning, A. J. (2003). New faces, old faces: Counting the multiracial population past and present. In L. I. Winters & H. L. DeBose (Eds.), New faces in a changing America: Multiracial identity in the 21st century (pp. 41–67). Thousand Oaks: Sage Publications.Google Scholar
  51. Nash, G. (1994). The hidden history of Metizo America. In M. Hodes (Ed.), Sex, love, and race: Crossing boundaries in North American history (pp. 10–32). New York: New York University Press.Google Scholar
  52. National Center for Health Statistics. (2007a). Health, United States, 2006, with chartbook on trends in the health of Americans. Hyattsville, MD: National Center for Health Statistics.Google Scholar
  53. National Center for Health Statistics. (2007b). 2006 National Health Interview Survey (NHIS) public use data release, NHIS survey description. Available online at ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2006/srvydesc.pdf.
  54. National Research Council. (2004). Critical perspectives on racial and ethnic differences in health in later life. In N. B. Anderson, R. A. Bulatao, & B. Cohen (Eds.), Panel on race, ethnicity, and health in later life, committee on population, division of behavioral and social sciences and education. Washington, DC: The National Academies Press.Google Scholar
  55. Office of Management and Budget. (1997). Revisions to the standards of the classification of federal data on race and ethnicity. Federal Register, 62, 58782–58790.Google Scholar
  56. Office of Management and Budget. (2000). Guidance on aggregation and allocation of data on race for use in civil rights monitoring and enforcement (Bulletin 00–02). Washington, DC: Office of Management and Budget. Available online at http://www.whitehouse.gov/omb/bulletins_b00-02.
  57. Park, R. E. (1928). Human migration and the marginal man. The American Journal of Sociology, 33, 881–893.CrossRefGoogle Scholar
  58. Penner, A. M., & Saperstein, A. (2008). How social status shapes race. Proceedings of the National Academy of Sciences, 105, 19628–19630.CrossRefGoogle Scholar
  59. Phelan, J. C., Link, B. G., Diez-Roux, A., Kawachi, I., & Levin, B. (2004). “Fundamental causes” of social inequalities in mortality: A test of the theory. Journal of Health and Social Behavior, 45, 265–285.CrossRefGoogle Scholar
  60. Raftery, A. E. (1995). Bayesian model selection in social research. Sociological Methodology, 25, 111–163.CrossRefGoogle Scholar
  61. Read, J. G., & Gorman, B. K. (2006). Gender inequalities in US adult health: The interplay of race and ethnicity. Social Science & Medicine, 62, 1045–1065.CrossRefGoogle Scholar
  62. Ren, X. S., & Amick, B. C. (1996). Racial and ethnic disparities in self-assessed health status: Evidence from the National Survey of Families and Households. Ethnicity & Health, 1, 293–303.CrossRefGoogle Scholar
  63. Rockquemore, K. A., & Brunsma, D. L. (2002). Beyond black: Biracial identity in America. Thousand Oaks, CA: Sage Publications.Google Scholar
  64. Rodriguez, C. E. (2000). Changing race: Latinos, the census, and the history of ethnicity. New York: New York University Press.Google Scholar
  65. Sandefur, G., Campbell, M. E., & Eggerling-Boeck, J. (2004). Racial and ethnic identification, official classifications, and health disparities. In N. B. Anderson, R. A. Bulatao, & B. Cohen (Eds.), Critical perspectives on racial and ethnic differences in health in late life (pp. 25–52). Washington, DC: National Academies Press.Google Scholar
  66. Saperstein, A. (2006). Double-checking the race box: Examining inconsistency between survey measures of observed and self-reported race. Social Forces, 85, 57–74.CrossRefGoogle Scholar
  67. Saperstein, A. (2008). (Re)modeling race: Moving from intrinsic characteristic to multidimensional marker of status. In C. Gallagher (Ed.), Racism in post-race America: New theories, new directions (pp. 335–349). Chapel Hill: Social Forces Publishing.Google Scholar
  68. Snipp, M. (2003). Racial measurement in the American census: Past practices and implications for the future. Annual Review of Sociology, 29, 563–88.CrossRefGoogle Scholar
  69. Tashiro, C. (2005). Health disparities in the context of mixed race: Challenging the ideology of race. Advances in Nursing Science, 28, 203–211.Google Scholar
  70. Teachman, J. (2003). Childhood living arrangements and the formation of coresidential unions. Journal of Marriage and Family, 65, 507–524.CrossRefGoogle Scholar
  71. Udry, J. R., Li, R. M., & Hendrickson-Smith, J. (2003). Health and behavior risks of adolescents of mixed-race identity. American Journal of Public Health, 93, 1865–1870.CrossRefGoogle Scholar
  72. Wilkes, R., & Iceland, J. (2004). Hypersegregation in the twenty-first century: An update and analysis. Demography, 41, 22–36.CrossRefGoogle Scholar
  73. Williams, D., & Jackson, P. B. (2005). Social sources of racial disparities in health. Health Affairs, 24, 325–334.CrossRefGoogle Scholar
  74. Williams, D., & Neighbors, H. (2001). Racism, discrimination, and hypertension: Evidence and needed research. Ethnicity & Disease, 11, 800–816.Google Scholar
  75. World Health Organization. (1995). Physical status: The use and interpretation of anthropometry (WHO Technical Report Series 854.). Geneva: World Health Organization.Google Scholar
  76. Xie, Y., & Goyette, K. (1997). The racial identification of biracial children with one Asian parent: Evidence from the 1990 census. Social Forces, 76, 547–570.CrossRefGoogle Scholar
  77. Zuberi, T. (2001). Thicker than blood: How racial statistics lie. Minneapolis: University of Minnesota Press.Google Scholar

Copyright information

© Population Association of America 2011

Authors and Affiliations

  1. 1.Department of SociologyRice UniversityHoustonUSA

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