Unequal Gain of Equal Resources across Racial Groups

Document Type : Perspective


1 Center for Research on Ethnicity, Culture and Health (CRECH), School of Public Health, University of Michigan, Ann Arbor, MI, USA

2 Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA

3 Institute for Healthcare Policy and Innovation (IHPI), University of Michigan, Ann Arbor, MI, USA


The health effects of economic resources (eg, education, employment, and living place) and psychological assets (eg, self-efficacy, perceived control over life, anger control, and emotions) are well-known. This article summarizes the results of a growing body of evidence documenting Blacks’ diminished return, defined as a systematically smaller health gain from economic resources and psychological assets for Blacks in comparison to Whites. Due to structural barriers that Blacks face in their daily lives, the very same resources and assets generate smaller health gain for Blacks compared to Whites. Even in the presence of equal access to resources and assets, such unequal health gain constantly generates a racial health gap between Blacks and Whites in the United States. In this paper, a number of public policies are recommended based on these findings. First and foremost, public policies should not merely focus on equalizing access to resources and assets, but also reduce the societal and structural barriers that hinder Blacks. Policy solutions should aim to reduce various manifestations of structural racism including but not limited to differential pay, residential segregation, lower quality of education, and crime in Black and urban communities. As income was not found to follow the same pattern demonstrated for other resources and assets (ie, income generated similar decline in risk of mortality for Whites and Blacks), policies that enforce equal income and increase minimum wage for marginalized populations are essential. Improving quality of education of youth and employability of young adults will enable Blacks to compete for high paying jobs. Policies that reduce racism and discrimination in the labor market are also needed. Without such policies, it will be very difficult, if not impossible, to eliminate the sustained racial health gap in the United States.


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  1. Conti G, Heckman J, Urzua S. The education-health gradient. Am Econ Rev. 2010;100(2):234-238. Doi:10.1257/aer.100.2.234
  2. Everson-Rose SA, Lewis TT. Psychosocial factors and cardiovascular diseases. Annu Rev Public Health. 2005;26:469-500.
  3. Mirowsky J, Ross CE. Life course trajectories of perceived control and their relationship to education. Am J Sociol. 2007;112:1339-1382.
  4. Ross CE, Mirowsky J. Explaining the social patterns of depression: control and problem solving--or support and talking? J Health Soc Behav. 1989;30(2):206-219.
  5. Bobak M, Pikhart H, Hertzman C, Rose R, Marmot M. Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey. Soc Sci Med. 1998;47(2):269-279.
  6. Ward MM. Sense of control and self-reported health in a population-based sample of older Americans: assessment of potential confounding by affect, personality, and social support. Int J Behav Med. 2013;20(1):140-147. doi: 10.1007/s12529-011-9218-x
  7. Mirowsky J, Ross CE. Education, Social Status, and Health. New York: Aldine de Gruyter; 2003.
  8. Syme SL. Control and health: a personal perspective. In: Steptoe A, Appels A, ed. Stress, Personal Control and Health. London: Wiley; 1989:3-18.
  9. Matthews KA, Gallo LC. Psychological perspectives on pathways linking socioeconomic status and physical health. Annu Rev Psychol. 2011;62:501.
  10. Zilioli S, Imami L, Slatcher RB. Socioeconomic status, perceived control, diurnal cortisol, and physical symptoms: a moderated mediation model. Psychoneuroendocrinology. 2016;75:36-43. doi: 10.1016/j.psyneuen.2016.09.025
  11. Phelan JC, Link BG, Tehranifar P. Social conditions as fundamental causes of health inequalities: theory, evidence, and policy implications. J Health Soc Behav 2010;51(suppl):S28–S40. Doi:10.1177/0022146510383498
  12. Link B, Phelan J. Social conditions as fundamental causes of disease. J Health Soc Behav. 1995;36:80-94. Doi:10.2307/2626958
  13. Farmer MM, Ferraro KF. Are racial disparities in health conditional on socioeconomic status? Soc Sci Med. 2005;60(1):191-204.
  14. Bowen ME, González HM. Childhood socioeconomic position and disability in later life: results of the health and retirement study. Am J Public Health. 2010;100(suppl 1):S197-S203. Doi:10.2105/AJPH.2009.160986
  15. McDonough P, Williams DR, House JS, Duncan GJ. Gender and the socioeconomic gradient in mortality. J Health Soc Behav. 1999 40(1):17–31. Doi:10.2307/2676376
  16. Marmot MG, Stansfeld S, Patel C, et al. Health inequalities among British civil servants: the Whitehall II study. Lancet. 1991;337(8754):1387-1393.
  17. Johnson-Lawrence VD, Griffith DM, Watkins DC. The effects of race, ethnicity and mood/anxiety disorders on the chronic physical health conditions of men from a national sample. Am J Mens Health. 2013;7(4S):58S-67S. doi:10.1177/1557988313484960
  18. Stringhini S, Dugravot A, Shipley M, et al. Health behaviours, socioeconomic status, and mortality: further analyses of the British Whitehall II and the French GAZEL prospective cohorts. PLoS Med. 2011;8(2):e1000419. Doi:10.1371/journal.pmed.1000419
  19. Leopold L, Engelhardt H. Education and physical health trajectories in old age. Evidence from the Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Public Health. 2013;58(1):23-31. Doi:10.1007/s00038-012-0399-0
  20. Herd P, Goesling B, House JS. Socioeconomic position and health: the differential effects of education versus income on the onset versus progression of health problems. J Health Soc Behav. 2007;48(3):223-238. Doi:10.1177/002214650704800302
  21. Gueorguieva R, Sindelar JL, Falba TA, et al. The impact of occupation on self-rated health: cross-sectional and longitudinal evidence from the health and retirement survey. J Gerontol B Psychol Sci Soc Sci. 2009;64(1):118-124. doi: 10.1093/geronb/gbn006
  22. Hummer RA, Hernandez EM. The effect of educational attainment on adult mortality in the United States. Population Bulletin. 2013;68(1):1-18.
  23. Surtees PG, Wainwright NW, Luben R, Khaw KT, Day NE. Mastery, sense of coherence, and mortality: evidence of independent associations from the EPIC-Norfolk Prospective Cohort Study. Health Psychol. 2006;25(1):102-210.
  24. Krause N, Shaw BA. Role-specific feelings of control and mortality. Psychol Aging. 2000;15(4):617-626.
  25. Turiano NA, Chapman BP, Agrigoroaei S, Infurna FJ, Lachman M. Perceived control reduces mortality risk at low, not high, education levels. Health Psychol. 2014;33(8):883-890. Doi:10.1037/hea0000022
  26. Everson-Rose SA, House JS, Mero RP. Depressive symptoms and mortality risk in a national sample: confounding effects of health status. Psychosom Med. 2004;66(6):823-830.
  27. Roepke SK, Grant I. Toward a more complete understanding of the effects of personal mastery on cardiometabolic health. Health Psychol. 2011;30(5):615-632. doi: 10.1037/a0023480
  28. Surtees PG, Wainwright NW, Luben R, Wareham NJ, Bingham SA, Khaw KT. Mastery is associated with cardiovascular disease mortality in men and women at apparently low risk. Health Psychol. 2010;29(4):412-420.
  29. Infurna FJ, Gerstorf D, Ram N, Schupp J, Wagner GG. Long-term antecedents and outcomes of perceived control. Psychol Aging. 2011;26(3):559-575. doi: 10.1037/a0022890
  30. Gerstorf D, Heckhausen J, Ram N, Infurna FJ, Schupp J, Wagner GG. Perceived personal control buffers terminal decline in well-being. Psychol Aging. 2014;29(3):612-625. doi: 10.1037/a0037227
  31. Pudrovska T, Schieman S, Pearlin LI, Nguyen K. The sense of mastery as a mediator and moderator in the association between economic hardship and health in late life. J Aging Health. 2005;17(5):634-660.
  32. Assari S, Lankarani MM. Race and Urbanity Alter the Protective Effect of Education but not Income on Mortality. Front Public Health. 2016;4:100. doi:10.3389/fpubh.2016.00100
  33. Assari S, Assari S. Life expectancy gain due to employment status depends on race, gender, education, and their intersections. J Racial Ethnic Health Dispar. 2017. doi: 10.1007/s40615-017-0381-x
  34. Assari S. Perceived neighborhood safety better predicts 25-year mortality risk among Whites than Blacks. J Racial Ethnic Health Dispar. 2016. doi: 10.1007/s40615-016-0297-x.
  35. Assari S, Lankarani MM, Burgard SA. Black White difference in long term predictive power of self-rated health on all-cause mortality in United States. Ann Epidemiol. 2016;26(2):106-114. doi:  10.1016/j.annepidem.2015.11.006
  36. Assari S, Burgard SA, Zivin K. Long term reciprocal associations between depression and chronic medical conditions; longitudinal support for Black-White health paradox. J Racial Ethnic Health Dispar. 2015;2:589-597. doi: 10.1007/s40615-015-0116-9
  37. Assari S, Moazen-Zadeh E, Lankarani MM, Micol-Foster V. Race, depressive symptoms, and all-cause mortality in the United States. Front Public Health. 2016;4:40. doi:     10.3389/fpubh.2016.00040
  38. Assari S, Lankarani MM. Chronic medical conditions and negative affect; racial variation in reciprocal associations over time. Front Psychiatr. 2016;7:140. doi:     10.3389/fpsyt.2016.00140.
  39. Assari S. Hostility, anger, and cardiovascular mortality among Blacks and Whites. Res Cardiovasc Med. 2016. doi: 10.5812/cardiovascmed.34029.
  40. Assari S, Sonnega A, Leggett A, Pepin RL. Residual effects of restless sleep over depressive symptoms on chronic medical conditions: race by gender differences. J Racial Ethnic Health Dispar. 2017;4(1):59-69doi: 10.1007/s40615-015-0202-z
  41. Assari S. General self-efficacy and mortality in the USA; racial differences. J Racial Ethnic Health Dispar. 2016.  Doi: 10.1007/s40615-016-0278-0
  42. Assari S. Race, sense of control over life, and short-term risk of mortality among older adults in the United States. Arch Med Sci. 2016. 1-8. doi: 10.5114/aoms.2016.59740
  43. Assari S, Burgard SA, Black-White differences in the effect of baseline depressive symptoms on deaths due to renal diseases: 25 year follow up of a nationally representative community sample. J Renal Inj Prev. 2015;4(4):127-135.
  44. Assari S, Nikahd A, Malekahmadi MR, Lankarani MM, Zamanian H. Race by gender group differences in the protective effects of socioeconomic factors against sustained health problems across five domains. J Racial Ethn Health Disparities.  2016. doi: 10.1007/s40615-016-0291-3
  45. Assari S. Combined racial and gender differences in the long-term predictive role of education on depressive symptoms and chronic medical conditions. J Racial Ethnic Health Dispar. 2017;4(3):385-396. doi: 10.1007/s40615-016-0239-7
  46. Assari S. Ethnic and gender differences in additive effects of socio-economics, psychiatric disorders, and subjective religiosity on suicidal ideation among blacks. Int J Prev Med. 2015;6:53.
  47. Assari S. Psychosocial correlates of body mass index in the United States: intersection of race, gender and age. Iran J Psychiatry Behav Sci. 2016;10(2):e3458. doi: 10.17795/ijpbs-3458
  48. Assari S, Lankarani MM. Education and alcohol consumption among older Americans; Black-White Differences. Front Public Health. 2016;4:67. doi: 10.3389/fpubh.2016.00067.
  49. Assari S, Lankarani MM. Association between Stressful Life Events and Depression; Intersection of Race and Gender. J Racial Ethnic Health Dispar. 2016;3(2):349-356. doi:10.1007/s40615-015-0160-5.
  50. Assari S. Association between obesity and depression among American Blacks: role of ethnicity and gender. J Racial Ethnic Health Dispar. 2014;1:36-44. doi:10.1007/s40615-014-0007-5.
  51. Assari S, Thomas A, Cadlwell C, Mincey R. Family socioeconomic status at birth and youth obesity at age 15; race and gender differences in a national urban sample. Journal Urban Health. 2017; Forthcoming.
  52. Assari S. Socioeconomic status a vulnerability factor among African American youth; a study of discrimination – depression link. Behav Sci. 2017; Forthcoming.
  53. Assari S. Family socioeconomic status protects Whites but not Blacks against a decline in self-rated health. Behav Sci. 2017; Forthcoming.
  54. Assari S, Lankarani MM. The association between obesity and weight loss intention weaker among Blacks and Men than Whites and women. J Racial Ethn Health Disparities. 2015;2(3):414-420. doi: 10.1007/s40615-015-0115-x
  55. Kessler RC, Mickelson KD, Williams DR. The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav. 1999;40(3):208-230.
  56. Geronimus AT, Pearson JA, Linnenbringer E, et al. Race-ethnicity, poverty, urban stressors, and telomere length in a detroit community-based sample. J Health Soc Behav. 2015;56(2):199-224. doi: 10.1177/0022146515582100
  57. Ferraro KF, Kelley-Moore JA. Self-rated health and mortality among black and white adults examining the dynamic evaluation thesis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2001;56(4):S195-S205.
  58. Zajacova A, Dowd JB. Reliability of self-rated health in US adults. Am J Epidemiol, 2011;174(8):977-983.
  59. Fuller-Rowell TE, Doan SN, Eccles JS. Differential effects of perceived discrimination on the diurnal cortisol rhythm of African Americans and Whites. Psychoneuroendocrinology. 2012;37(1):107-118. doi: 10.1016/j.psyneuen.2011.05.011.
  60. Fuller-Rowell TE, Curtis DS, Doan SN, Coe CL. Racial disparities in the health benefits of educational attainment: a study of inflammatory trajectories among African American and white adults. Psychosom Med. 2015;77(1):33-40. doi: 10.1097/PSY.0000000000000128
  61. Miller JE, Korenman S. Poverty and children's nutritional status in the United States. Am J Epidemiol. 1994;140(3):233-243.
  62. Allen AJ, Kuczmarski MF, Evans MK, Zonderman AB, Waldstein SR. Race Differences in Diet Quality of Urban Food-Insecure Blacks and Whites Reveals Resiliency in Blacks. J Racial Ethnic Health Dispar. 2016;3(4):706-712.
  63. Barnes LL, de Leon CF, Lewis TT, Bienias JL, Wilson RS, Evans DA. Perceived discrimination and mortality in a population-based study of older adults. Am J Public Health. 2008;98(7):1241-1247. doi: 10.2105/AJPH.2007.114397
  64. Tang M, Stern Y, Marder K, et al. The APOE- 3 4 allele and the risk of Alzheimer disease among African Americans, whites, and Hispanics. JAMA. 1998;279(10):751-755.
  65. Rajan KB, Barnes LL, Wilson RS, Evans DA, Mendes de Leon CF. Racial differences on association of depressive symptoms with combined basic and instrumental activities of daily living. J Gerontol A Biol Sci Med Sci. 2014;69(2):215-222. doi: 10.1093/gerona/glt074
  66. Everson-Rose SA, Skarupski KA, Barnes LL, Beck T, Evans DA, Mendes de Leon CF. Neighborhood socioeconomic conditions are associated with psychosocial functioning in older black and white adults. Health Place. 2011;17(3):793-800. doi: 10.1016/j.healthplace.2011.02.007
  67. Koebnick C, Fischer H, Daley MF, et al. Interacting effects of obesity, race, ethnicity and sex on the incidence and control of adult-onset asthma. Allergy Asthma Clin Immunol. 2016;12:50.
  68. Kubzansky L, Berkman L, Seeman T. Social conditions and distress in elderly person: Findings from the MacArthur Studies of Successful Aging. J Gerontol B Psychol Sci Soc Sci. 2000;55B(4):P238-P246.
  69. Gavin AR, Rue T, Takeuchi D. Racial/ethnic differences in the association between obesity and major depressive disorder: findings from the Comprehensive Psychiatric Epidemiology Surveys. Public Health Rep. 2010;125(5):698-708.
  70. Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW Jr. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341(15):1097-1105.
  71. Stevens J. Obesity and mortality in Africans-Americans. Nutr Rev. 2000;58(11):346-353.
  72. Hogue CJ, Buehler JW, Strauss LT, Smith JC. Overview of the National Infant Mortality Surveillance (NIMS) project--design, methods, results. Public Health Rep. 1987;102(2):126-138.
  73. Cené CW, Halladay JR, Gizlice Z, et al. Associations between subjective social status and physical and mental health functioning among patients with hypertension. J Health Psychol. 2016;21(11):2624-2635.
  74. Ebong IM, Lopez MR, Kanner AM, Wallace DM. The relationship between mood disorder and insomnia depends on race in US veterans with epilepsy. Epilepsy Behav. 2017;70:80-86.
  75. Shaw BA, Krause N. Exploring race variations in aging and personal control. J Gerontol B Psychol Sci Soc Sci. 2001;56(2):S119-S124.
  76. Plotnick RD, Garfinkel I, McLanahan SS, Ku I. Better child support enforcement: Can it reduce teenage premarital childbearing? J Fam Issues. 2004;25(5):634-657.
  77. Gardener H, Wright CB, Cabral D, et al. Mediterranean diet and carotid atherosclerosis in the Northern Manhattan Study. Atherosclerosis. 2014;234(2):303-310. doi: 10.1016/j.atherosclerosis.2014.03.011
  78. Katzmarzyk PT, Mire E, Bray GA, Greenway FL, Heymsfield SB, Bouchard C. Anthropometric markers of obesity and mortality in white and African American adults: the pennington center longitudinal study. Obesity. 2013;21(5):1070-1075. doi: 10.1002/oby.20151
  79. Anderson KO, Mendoza TR, Valero V, et al. Minority cancer patients  and their providers: pain management attitudes and practice. Cancer.  2000;88:1929-1938.
  80. Maynard JW, Fang H, Petri M. Low socioeconomic status is associated with cardiovascular risk factors and outcomes in systemic lupus erythematosus. J Rheumatol. 2012;39(4):777-783. doi: 10.3899/jrheum.110724
  81. Samuel LJ, Thorpe RJ Jr, Bower KM, LaVeist TA. Community characteristics are associated with blood pressure levels in a racially integrated community. J Urban Health. 2015;92(3):403-414. doi: 10.1007/s11524-015-9936-5
  82. Malat J, Mayorga-Gallob S,  Williams DR. The effects of whiteness on the health of whites in the USA. Soc Sci Med. 2017.  doi:10.1016/j.socscimed.2017.06.034.
  83. Williams DR, Collins C. U.S. socioeconomic and racial differences in health: patterns and explanations. Annu Rev Sociol. 1995;21:349-386.
  84. Kessler RC, Neighbors HW. A new perspective on the relationships among race, social class, and psychological distress. J Health Soc Behav. 1986;27:107-115.
  85. Mehta N, Preston S. Are major behavioral and sociodemographic risk factors for mortality additive or multiplicative in their effects? Soc Sci Med. 2016;154:93-99. doi: 10.1016/j.socscimed.2016.02.009.
  86. Kaufman JS, Cooper RS, McGee DL. Socioeconomic status and health in blacks and whites: the problem of residual confounding and the resiliency of race. Epidemiology. 1997;8(6):621-628.
  87. Brown TH, O'Rand AM, Adkins DE. Race-ethnicity and health trajectories: tests of three hypotheses across multiple groups and health outcomes. J Health Soc Behav. 2012;53(3):359-377. doi: 10.1177/0022146512455333
  88. Dressler WW. Health in the African-American community: accounting for health inequalities.  Med Anthropol Q. 1993;7:325-345.
  89. Collins SM. The Making of the Black Middle Class. Social Problems. 1983;30(4):369-382.
  90. Wilhelm M. Controversy: In America’s pastime, says Frank Robinson, White is the color of the game off the field. People. http://people.com/archive/in-americas-national-pastime-says-frank-robinson-white-is-the-color-of-the-game-off-the-field-vol-27-no-17/.  Published 1987.
  91. Williams DR, Priest N, Anderson NB. Understanding associations among race, socioeconomic status, and health: Patterns and prospects. Health Psychol. 2016;35(4):407.
  92. James SA. John Henryism and the health of African-Americans. Cult Med Psychiatry. 1994;18(2):163-182.
  93. Sellers SL, Neighbors HW. Effects of goal-striving stress on the mental health of Black Americans. J Health Soc Behav. 2008;49(1):92-103.
  94. Bennett GG, Merritt MM, Sollers III JJ, et al. Stress, coping, and health outcomes among African-Americans: A review of the John Henryism hypothesis. Psychol Health. 2004;19(3):369-383. 
  95. Hudson DL, Neighbors HW, Geronimus AT, Jackson JS. Racial discrimination, John Henryism, and depression among African Americans. J Black Psychol. 2016;42(3):221-243.
  96. James SA, Strogatz DS, Wing SB, Ramsey DL. Socioeconomic status, John Henryism, and hypertension in blacks and whites. Am J Epidemiol. 1987;126(4):664-673.
  97. Duijkers TJ, Drijver M, Kromhout D, James SA. John Henryism and blood pressure in a Dutch population. Psychosom Med. 1988;50:353-359.
  98. Mujahid MS, James SA, Kaplan GA, Salonen JT. Socioeconomic position, John Henryism, and incidence of acute myocardial infarction in Finnish men. Soc Sci Med. 2017;173:54-62. doi: 10.1016/j.socscimed.2016.11.034.
  99. Krieger N. Methods for the scientific study of discrimination and health: an ecosocial approach. Am J Public Health. 2012;102(5):936-944. doi: 10.2105/AJPH.2011.300544.
  100. Gee GC, Ford CL. Structural racism and health inequities: old issues, new directions. Du Bois Rev. 2011;8(1):115-132.
  101. Williams DR, Mohammed SA. Racism and health I: pathways and scientific evidence. Am Behav Sci. 2013;57(8). doi: 10.1177/0002764213487340.
  102. Agency for Healthcare Research & Quality: Population Health: Behavioral and Social Science Insights. Understanding the Relationship Between Education and Health; 2015. http://www.ahrq.gov/professionals/education/curriculum-tools/population-health/zimmerman.html
  103. Warner DF, Hayward MD. Early-life origins of the race gap in men's mortality. J Health Soc Behav. 2006;47(3):209-226.
  104. Colen CG. Addressing racial disparities in health using life course perspectives: toward a constructive criticism. Du Bois ReviewSocial Science Research on Race. 2011;8(1):79-94.
  105. Monnat SM. Race/ethnicity and the socioeconomic status gradient in women’s cancer screening utilization: a case of diminishing returns? J Health Care Poor Underserved. 2014;25(1):332-356.
  106. Huffman ML, Cohen PN. Racial wage inequality: job segregation and devaluation across US labor markets. Am J Sociology. 2004;109(4):902-936. 
  107. Tomaskovic-Devey D. The gender and race composition of jobs and the male/female, white/black pay gaps. Soc Forces. 1993;72(1):45-76.
  108. Jencks C, Mayer SE. Residential Segregation, Job Proximity, and Black Job Opportunities. Inner-City Poverty in the United States; 1990:187-222.
  109. Bureau of Labor Statistics, U.S. Department of Labor. Occupational employment by race and ethnicity, 2011. https://www.bls.gov/opub/ted/2012/ted_20121026.htm. Accessed July 22, 2017.
  110. Marmot M. The Health Gap: The Challenge of an Unequal World. Bloomsbury Publishing; 2015.
  111. The Institute for Women’s Policy Research (IWPR). Importance of Social Security by Gender, Race/Ethnicity, and Marital Status. http://www.iwpr.org/publications/pubs/importance-of-social-security-by-gender-race-ethnicity-and-marital-status-2010. Accessed July 2017. Published 2010.
  112. Grogger J. Does school quality explain the recent black/white wage trend? J Labor Econ. 1996:231-253.
  113. Gee GC, Ford CL. Structural racism and health inequities: old issues, new directions. Du Bois Rev. 2011;8(1):115-132.
  114. Reskin B. The race discrimination system. Annu Rev Sociol. 2012;38:17-35. doi: 10.1146/annurev-soc-071811-145508.
  115. Williams DR, Mohammed SA. Racism and health II: a needed research agenda for effective interventions. Am Behav Sci. 2013;57(8). doi: 10.1177/0002764213487341.
  116. Geronimus AT, James SA, Destin M, et al. Jedi Public Health: co-creating an identity-safe culture to promote health equity. SSM Popul Health. 2016;2:105-116.
  117. Walberg HJ, Tsai SL. Matthew effects in education. Am Educ Res J. 1983;20(3):359-373.
  118. Shaywitz BA, Shaywitz SE, Pugh KR, Constable RT. Sex differences in the functional organization of the brain for language. Nature. 1995;373(6515):607.
  119. National Center for Health Statistics. Health United States 1993. Hyattsville, MD: USDHHS; 1994.
  120. Kochanek KD, Maurer JD, Rosenberg HM. Why did black life expectancy decline from 1984 through 1989 in the United States? Am J Public Health. 1994;84:938-944.
  121. Williams DR, Collins C. U.S. socioeconomic and racial differences in health: patterns and explanations. Annu Rev Sociol. 1995;21:349-386.
  122. Kitagawa EM, Hauser PM. Differential Mortality in the United States: A Study in Socioeconomic Epidemiology. Cambridge: Harvard University Press; 1973.
  123. Feldman JJ, Makuc DM, Kleinman JC, Cornoni-Huntley J. National trends in educational differentials in mortality. Am J Epidemiol. 1989;129(9):19-33.
  124. Duleep HO. Measuring socioeconomic mortality differentials overtime. Demography. 1989;26:345-351.
  125. Pappas G, Queen S, Hadden W, Fisher G. The increasing disparity in mortality between socioeconomic groups in the United  States, 1960 and 1986. N Engl J Med. 1993;329:103-115.
  126. Wagener DK, Schatzkin A. Temporal trends in the socioeconomic gradient for breast cancer mortality among U.S. women. Am J Public Health. 1994;84:1003-1006.
  127. Rowley DL, Hogue CJR, Blackmore AC, et al. Preterm delivery among African-American women: a research strategy. Am J Prev Med. 1993;9:14.
  128. Castro KG. Distribution of acquired immunodeficiency syndrome and other sexually transmitted diseases in racial and ethnic populations, United States: influences of life-style and socioeconomic status. Ann Epidemiol. 1993;3:181-184.
  129. Pager D, Shepherd H. The sociology of discrimination: racial discrimination in employment, housing, credit, and consumer markets. Annu Rev Sociol. 2008;34:181-209.
  130. Rabinowitz JL, Sears DO, Sidanius J, Krosnick JA. Why do White Americans oppose race-targeted policies? Clarifying the impact of symbolic racism. Polit Psychol. 2009;30(5):805-828.
  131. Williams DR. Miles to go before we sleep: Racial inequities in health. J Health Soc Behav. 2012;53(3):279-295.
  132. Ceci SJ, Papierno PB. The rhetoric and reality of gap closing: when the "have-nots" gain but the "haves" gain even more. Am Psychol. 2005;60(2):149-160.
  133. Williams DR, Purdie-Vaughns V. Needed interventions to reduce racial/ethnic disparities in health. J Health Polit Policy Law. 2016;41(4):627-651. doi: 10.1215/03616878-3620857
  134. Lorenc T, Petticrew M, Welch V, Tugwell P. What types of interventions generate inequalities? Evidence from systematic reviews. J Epidemiol Community Health. 2013;67(2):190-193. doi: 10.1136/jech-2012-201257
  135. Williams DR, Mohammed SA, Leavell J, Collins C. Race, socioeconomic status, and health: complexities, ongoing challenges, and research opportunities. Ann N Y Acad Sci. 2010;1186:69-101. doi: 10.1111/j.1749-6632.2009.05339.x
  136. Fuller-Rowell TE, Doan SN. The social costs of academic success across ethnic  groups. Child Dev. 2010;81(6):1696-1713. doi: 10.1111/j.1467-8624.2010.01504.x
  137. Hummer RA, Ellison CG, Rogers RG, Moulton BE, Romero RR. Religious involvement and adult mortality in the United States: review and perspective. South Med J. 2004;97(12):1223-1230. 
  138. Hummer RA, Rogers RG, Nam CB, Ellison CG. Religious involvement and U.S. adult mortality. Demography. 1999;36(2):273-285. 
  139. Keyes CL. The Black-White paradox in health: flourishing in the face of social inequality and discrimination. J Pers. 2009;77(6):1677-1706. doi: 10.1111/j.1467-6494.2009.00597.x
  140. Ryff CD, Keyes CL, Hughes DL. Status inequalities, perceived discrimination, and eudaimonic well-being: do the challenges of minority life hone purpose and growth? J Health Soc Behav. 2003;44(3):275-291.
  141. Kessler RC. Stress, social status, and psychological distress. J Health Soc Behav. 1979;20:259-272.
  142. Krause N. Assessing supportive social exchanges inside and outside religious institutions: Exploring variations among Whites, Hispanics, and Blacks. Social Indicators Research. 2016;128(1):131-146.
  143. Krause N, Ironson G. Positive God images and positive emotions toward God: exploring variations among Whites, Blacks, and Hispanics. Pastoral Psychology. 2017;66(2):269-280.
  144. Krause N. Church-based social support and health in old age: exploring variations by race. J Gerontol B Psychol Sci Soc Sci. 2002;57(6):S332-S347.
  145. Assari S. Race and ethnicity, religion involvement, church-based social support and subjective health in United States: a case of Moderated Mediation. Int J Prev Med. 2013;4(2):208-217.
  146. Reese AM, Thorpe RJ Jr, Bell CN, Bowie JV, LaVeist TA. The effect of religious service attendance on race differences in depression: findings from the EHDIC-SWB study. J Urban Health. 2012;89(3):510-518. doi: 10.1007/s11524-011-9659-1.
  147. Lincoln KD, Chatters LM, Taylor RJ. Psychological distress among Black and White Americans: differential effects of social support, negative interaction and personal control. J Health Soc Behav. 2003;44(3):390-407.