Contextualizing disparities: The case for comparative research on social inequalities in health

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Purpose - Research on health care disparities is making important descriptive and analytical strides, and the issue of disparities has gained the attention of policymakers in the United States, other nation-states, and international organizations. Still, disparities research scholarship remains US-centric and too rarely takes a cross-national comparative approach to answering its questions. The US-centricity of disparities research has fostered a fixation on race and ethnicity that, although essential to understanding health disparities in the United States, has truncated the range of questions that researchers investigate. In this chapter, we make a case for comparative research that highlights its ability to identify the institutional factors that may affect disparities.

Methodology/approach - We discuss the central methodological challenges to comparative research. After describing current solutions to such problems, we use data from the World Values Survey to show the impact of key social fault lines on self-assessed health in Europe and the United States.

Findings - The negative impact of socioeconomic status (SES) on health is more generalizable across context, than the impact of race/ethnicity or gender.

Research limitations/implications - Our analysis includes a limited number of countries and relies on one measure of health.

Originality/value of chapter - The chapter represents a first step in a research agenda to understand health inequalities within and across societies.

Original languageEnglish
Title of host publicationSocial Determinants, Health Disparities and Linkages to Health and Health Care
PublisherEmerald Group Publishing Ltd.
Pages299-317
Number of pages19
ISBN (Print)9781781905876
DOIs
Publication statusPublished - 2014

Publication series

NameResearch in the Sociology of Health Care
Volume31

Bibliographical note

Funding Information: This work was supported by grants from the National Institutes of Health (1R03HD066013-01), the Robert Wood Johnson Foundation, and a National Science Foundation Graduate Research Fellowship under Grant No. DGE-1247312. Views expressed are those of the authors, not the funding agencies. The authors are grateful to Bernice A. Pescosolido for comments on a previous version. Publisher Copyright: Copyright © 2013 by Emerald Group Publishing Limited.

Other keywords

  • Cross-national
  • Health
  • Race/ethnicity
  • Research
  • Stratification

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