Class and Race: Life and Death Situations

Navarro, Vicente José Pinilla

doi:10.14452/mr-043-04-1991-08_1

Cited by 9 publications

(2 citation statements)

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“…It is now well-accepted that basic patient factors comprising moderators of treatment effect—such as demographic factors and baseline severity—are important to assess and covary in treatment outcome analysis (Kraemer et al, 2002; Laurenceau, Hayes, & Feldman, 2007). Furthermore, race/ethnicity and SES should be considered in combination to elucidate the relative effects of each factor (Farmer & Ferraro, 2005; Navarro, 1991), given their potential confound in many regions, and the health disparities that may result from either racial/ethnic or socioeconomic status. Our analyses also indicate that treatment parameters—such as the number of treatment sessions and treatment format—may have significant relationships to outcome, and therefore should be considered in multivariate analyses in studies of treatment outcome.…”

Section: Discussionmentioning

confidence: 99%

Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder.

Thompson‐Brenner¹,

Franko²,

Thompson³

et al. 2013

Journal of Consulting and Clinical Psychology

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Objective Binge eating disorder (BED) is prevalent among individuals from minority racial/ethnic groups and among individuals with lower levels of education, yet the efficacy of psychosocial treatments for these groups has not been examined in adequately powered analyses. This study investigated the relative variance in treatment retention and post-treatment symptom levels accounted for by demographic, clinical, and treatment variables as moderators and predictors of outcome. Method Data were aggregated from eleven randomized, controlled trials of psychosocial treatments for BED conducted at treatment sites across the United States. Participants were N = 1,073 individuals meeting criteria for BED including n = 946 Caucasian, n = 79 African American, and n = 48 Hispanic/Latino participants. Approximately 86% had some higher education; 85% were female. Multi-level regression analyses examined moderators and predictors of treatment retention, Eating Disorder Examination (EDE) global score, frequency of objective bulimic episodes (OBEs), and OBE remission. Results Moderator analyses of race/ethnicity and education were non-significant. Predictor analyses revealed African Americans were more likely to drop out of treatment than Caucasians, and lower level of education predicted greater post-treatment OBEs. African Americans showed a small but significantly greater reduction in EDE global score relative to Caucasians. Self-help treatment administered in a group showed negative outcomes relative to other treatment types, and longer treatment was associated with better outcome. Conclusions Observed lower treatment retention among African Americans and lesser treatment effects for individuals with lower levels of educational attainment are serious issues requiring attention. Reduced benefit was observed for shorter treatment length and self-help administered in groups.

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Section: Discussionmentioning

confidence: 99%

Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder.

Thompson‐Brenner¹,

Franko²,

Thompson³

et al. 2013

Journal of Consulting and Clinical Psychology

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“…What this means for studies of black-white differences in health and mortality is that the socioeconomic disadvantages experienced by blacks are but one, albeit important, pathway through which race influences health and mortality (Figure 1). This is because socioeconomic differences among social groups have important health and mortality impacts such that more socioeconomically disadvantaged groups generally have poorer measures of health and higher mortality than their more-advantaged counterparts (Antonovsky 1967;Kitagawa and Hauser 1973;Navarro 1991 ;Williams 1990). Because African Americans are overrepresented among the lower socioeconomic strata of society, socioeconomic factors play an important role in their poorer health and higher mortality, an assertion that has been supported by nearly every article on the subject.…”

Section: Race: Moving Beyond Socioeconomic Disadvantagementioning

confidence: 99%

Black-White Differences in Health and Mortality: A Review And Conceptual Model

Hummer

1996

The Sociological Quarterly

226

109

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An important segment of social science research focuses on differences in health and mortality between the African American and non‐Hispanic white populations in the United States. This article begins by documenting some of the current health and mortality differences. I then review and critique the three major theoretical approaches that are most often used to explain such differences: racial genetic, cultural/behavioral, and socioeconomic. Finally, I present an alternative conceptual framework for the study of black‐white differences in health and mortality. This reorientation of the importance of race for health and mortality moves beyond narrow genetic, cultural/behavioral, or socioeconomic representations to include, most importantly, multiple forms of racism as crucial sociological determinants of health and mortality differentials. Key sets of intervening, or proximate, variables are also identified to specify the process by which the health and mortality differentials are created. While no single future study may encompass all of the factors highlighted in the proposed framework, data collection and research efforts in this area can be guided by a model that organizes into a relatively parsimonious framework the seemingly endless number of factors involved in the creation of such differences.

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Healthcare Equity

Lewis

Parent

2001

Clinical Sociology: Research and Practice

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Class and Race: Life and Death Situations

Cited by 9 publications

References 0 publications

Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder.

Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder.

Black-White Differences in Health and Mortality: A Review And Conceptual Model

Healthcare Equity

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