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Population Research and Policy Review

, Volume 38, Issue 2, pp 271–299 | Cite as

Beyond Race/Ethnicity: Skin Color, Gender, and the Health of Young Adults in the United States

  • Krista M. PerreiraEmail author
  • Joshua Wassink
  • Kathleen Mullan Harris
Original Research

Abstract

Researchers typically identify health disparities using self-reported race/ethnicity, a measure identifying individuals’ social and cultural affiliations. In this study, we use data from Waves 1, 3, and 4 of Add Health to examine health disparities by interviewer-ascribed skin color, a measure capturing the perceptions of race/ethnicity ascribed to individuals by others. Individuals with darker-skin tones may face greater exposure to serious stressors such as perceived discrimination, poverty, and economic hardship which can accumulate over the lifecourse and increase the likelihood of poor health. We found significant gradients in Body Mass Index (BMI), obesity, self-reported health, and depressive symptoms by interviewer-ascribed skin color but results differed by gender. Associations of BMI, obesity, and fair/poor health among women were only partially mediated by discrimination, self-reported stress, or low socioeconomic status and persisted after controlling for race/ethnicity. Among men, initial associations between skin color and both fair/poor health and depressive symptoms did not persist after controlling for race/ethnicity. This study demonstrates the value of considering stratification by skin color and gender in conjunction with race/ethnicity.

Keywords

Skin color/tone Race/ethnicity Hispanic Black Health disparities/equity Discrimination 

Notes

Acknowledgements

We would like to thank the UNC Gillings School of Global Public Health for providing the primary funding to Krista M. Perreira for this research project. We are also grateful to the Carolina Population Center for training support (T32 HD007168) and for general support (R24 HD050924) of this research. This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Information on how to obtain the Add Health data files is available on the Add Health website (http://www.cpc.unc.edu/addhealth).

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Copyright information

© Springer Nature B.V. 2018

Authors and Affiliations

  • Krista M. Perreira
    • 1
    • 2
    Email author
  • Joshua Wassink
    • 3
  • Kathleen Mullan Harris
    • 1
  1. 1.University of North CarolinaChapel HillUSA
  2. 2.Carolina Population Center (CB#8120)Chapel HillUSA
  3. 3.Office of Population ResearchPrinceton UniversityPrincetonUSA

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