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Health Power Resources: An Examination of Black-White Self-Rated Health Disparities in the United States, 2003-2020
Health Power Resources: An Examination of Black-White Self-Rated Health Disparities in the...
Health Power Resources: An Examination of Black-White Self-Rated Health Disparities in the United States, 2003-2020

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103139
ISBN  
9798293849536
DDC  
614
저자명  
Franzoni, Zachary Robert.
서명/저자  
Health Power Resources: An Examination of Black-White Self-Rated Health Disparities in the United States, 2003-2020
발행사항  
[Sl] : The University of Utah, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
171 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
주기사항  
Advisor: Reynolds, Megan Marie.
학위논문주기  
Thesis (D.Phil.)--The University of Utah, 2025.
초록/해제  
요약The durability of health inequalities among Black Americans has continuously challenged population health researchers. Although overall levels of morbidity and mortality have lessened over the last two decades, health inequalities between Black and White Americans have remained consistent. Recent research efforts move beyond individual and community boundaries to scrutinize systemic and structural determinants that underpin racial health inequalities at a population-wide scale. Yet, in effect, this body of research has not explicitly addressed overlooked factors that directly impinge upon the foci of structural approaches - that is, power relations. This dissertation contributes to research on racial health inequalities by examining the impact of state-level power relations on the distribution of self-rated health (SRH) outcomes for Black and White Americans (2003-2020). By utilizing the theory of health power resources (HPR), these efforts will consider the consolidation of U.S. state-level power across (a) Democratic/independent political parties, (b) labor unions, and (c) electorates. Findings indicate that these power relations measures are associated with better SRH outcomes for White Americans, both independently and in combination, even after accounting for individual- and state-level factors. Mediation analyses further reveal that structural racism factors-including B:W poverty, education, homeownership ratios, and pollution exposure ratios- benefit White Americans by enhancing their SRH outcomes. Lastly, the study finds that the relationship between state-level power relations and SRH outcomes for both Black and White Americans is moderated by gender under certain circumstances. Overall, this dissertation demonstrates that power relations are fundamental to shaping population health, operating alongside and through other structural factors in complex ways. By centering power as a critical determinant of racial health inequalities, this work advances our understanding of how systemic forces sustain health advantages for certain social groups in the United States.
일반주제명  
Public health
일반주제명  
Political science
일반주제명  
American studies
키워드  
Self-rated health
키워드  
Health power resources
키워드  
United States
키워드  
Health inequalities
기타저자  
The University of Utah Sociology
기본자료저록  
Dissertations Abstracts International. 87-03B.
전자적 위치 및 접속  
로그인 후 원문을 볼 수 있습니다.

MARC

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■020    ▼a9798293849536
■035    ▼a(MiAaPQ)AAI31993821
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a614
■1001  ▼aFranzoni,  Zachary  Robert.
■24510▼aHealth  Power  Resources:  An  Examination  of  Black-White  Self-Rated  Health  Disparities  in  the  United  States,  2003-2020
■260    ▼a[Sl]▼bThe  University  of  Utah▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a171  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  B.
■500    ▼aAdvisor:  Reynolds,  Megan  Marie.
■5021  ▼aThesis  (D.Phil.)--The  University  of  Utah,  2025.
■520    ▼aThe  durability  of  health  inequalities  among  Black  Americans  has  continuously  challenged  population  health  researchers.  Although  overall  levels  of  morbidity  and  mortality  have  lessened  over  the  last  two  decades,  health  inequalities  between  Black  and  White  Americans  have  remained  consistent.  Recent  research  efforts  move  beyond  individual  and  community  boundaries  to  scrutinize  systemic  and  structural  determinants  that  underpin  racial  health  inequalities  at  a  population-wide  scale.  Yet,  in  effect,  this  body  of  research  has  not  explicitly  addressed  overlooked  factors  that  directly  impinge  upon  the  foci  of  structural  approaches  -  that  is,  power  relations.  This  dissertation  contributes  to  research  on  racial  health  inequalities  by  examining  the  impact  of  state-level  power  relations  on  the  distribution  of  self-rated  health  (SRH)  outcomes  for  Black  and  White  Americans  (2003-2020).  By  utilizing  the  theory  of  health  power  resources  (HPR),  these  efforts  will  consider  the  consolidation  of  U.S.  state-level  power  across  (a)  Democratic/independent  political  parties,  (b)  labor  unions,  and  (c)  electorates.    Findings  indicate  that  these  power  relations  measures  are  associated  with  better  SRH  outcomes  for  White  Americans,  both  independently  and  in  combination,  even  after  accounting  for  individual-  and  state-level  factors.  Mediation  analyses  further  reveal  that  structural  racism  factors-including  B:W  poverty,  education,  homeownership  ratios,  and  pollution  exposure  ratios-  benefit  White  Americans  by  enhancing  their  SRH  outcomes.  Lastly,  the  study  finds  that  the  relationship  between  state-level  power  relations  and  SRH  outcomes  for  both  Black  and  White  Americans  is  moderated  by  gender  under  certain  circumstances.  Overall,  this  dissertation  demonstrates  that  power  relations  are  fundamental  to  shaping  population  health,  operating  alongside  and  through  other  structural  factors  in  complex  ways.  By  centering  power  as  a  critical  determinant  of  racial  health  inequalities,  this  work  advances  our  understanding  of  how  systemic  forces  sustain  health  advantages  for  certain  social  groups  in  the  United  States.
■590    ▼aSchool  code:  0240.
■650  4▼aPublic  health
■650  4▼aPolitical  science
■650  4▼aAmerican  studies
■653    ▼aSelf-rated  health
■653    ▼aHealth  power  resources
■653    ▼aUnited  States
■653    ▼aHealth  inequalities
■690    ▼a0573
■690    ▼a0615
■690    ▼a0323
■690    ▼a0769
■71020▼aThe  University  of  Utah▼bSociology.
■7730  ▼tDissertations  Abstracts  International▼g87-03B.
■790    ▼a0240
■791    ▼aD.Phil.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357147▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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