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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 United States, 2003-2020
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103139
- ISBN
- 9798293849536
- DDC
- 614
- 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
- United States
- 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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■00520260202103139
■006m o d
■007cr#unu||||||||
■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.


