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Period Trends in Self-Rated Health at Midlife: Variations by Race/Ethnicity, Union Status, and Education

Background Research shows rising midlife morbidity among US non-Hispanic white adults, but it is unclear if and how self-rated health of racial/ethnic minority adults has changed in recent years. More research is also needed to understand factors moderating self-rated health trends among middle-aged...

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Published in:Journal of racial and ethnic health disparities 2022-08, Vol.9 (4), p.1243-1261
Main Author: Lamidi, Esther O.
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description Background Research shows rising midlife morbidity among US non-Hispanic white adults, but it is unclear if and how self-rated health of racial/ethnic minority adults has changed in recent years. More research is also needed to understand factors moderating self-rated health trends among middle-aged white adults. Given the racial/ethnic and educational differences in family experiences in recent decades, scholars have called for analysis of union status and educational differentials in self-rated health trends across racial/ethnic groups. Methods We used data from 2000–2018 National Health Interview Survey to analyze racial/ethnic variations in self-rated health trends at midlife across union status and educational groups. Results The findings showed that recent trends in self-rated health differed not just by race/ethnicity, but also by union status and education. Changes in self-rated health were more pronounced among non-Hispanic white men and women than among racial/ethnic minorities. However, not all groups of middle-aged white adults experienced self-rated health decline. Also, worsening self-rated health at midlife extends to some nonwhites. Compared to the health decline among many racial/ethnic/gender and educational groups, married black women with college degree or higher reported significant improvement in their self-rated health over time. Conclusion The findings demonstrate the interactions among race/ethnicity, gender, union status, and education in recent self-rated health trends.
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More research is also needed to understand factors moderating self-rated health trends among middle-aged white adults. Given the racial/ethnic and educational differences in family experiences in recent decades, scholars have called for analysis of union status and educational differentials in self-rated health trends across racial/ethnic groups. Methods We used data from 2000–2018 National Health Interview Survey to analyze racial/ethnic variations in self-rated health trends at midlife across union status and educational groups. Results The findings showed that recent trends in self-rated health differed not just by race/ethnicity, but also by union status and education. Changes in self-rated health were more pronounced among non-Hispanic white men and women than among racial/ethnic minorities. However, not all groups of middle-aged white adults experienced self-rated health decline. Also, worsening self-rated health at midlife extends to some nonwhites. Compared to the health decline among many racial/ethnic/gender and educational groups, married black women with college degree or higher reported significant improvement in their self-rated health over time. 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Racial and Ethnic Health Disparities</addtitle><description>Background Research shows rising midlife morbidity among US non-Hispanic white adults, but it is unclear if and how self-rated health of racial/ethnic minority adults has changed in recent years. More research is also needed to understand factors moderating self-rated health trends among middle-aged white adults. Given the racial/ethnic and educational differences in family experiences in recent decades, scholars have called for analysis of union status and educational differentials in self-rated health trends across racial/ethnic groups. Methods We used data from 2000–2018 National Health Interview Survey to analyze racial/ethnic variations in self-rated health trends at midlife across union status and educational groups. Results The findings showed that recent trends in self-rated health differed not just by race/ethnicity, but also by union status and education. Changes in self-rated health were more pronounced among non-Hispanic white men and women than among racial/ethnic minorities. However, not all groups of middle-aged white adults experienced self-rated health decline. Also, worsening self-rated health at midlife extends to some nonwhites. Compared to the health decline among many racial/ethnic/gender and educational groups, married black women with college degree or higher reported significant improvement in their self-rated health over time. 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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Springer Nature; Sociology Collection
subjects Academic achievement
Adults
Black people
Cultural differences
Education
Epidemiology
Ethnic differences
Ethnic groups
Ethnicity
Gender
Gender differences
Health status
Hispanic people
Medicine
Medicine & Public Health
Middle age
Midlife
Minority & ethnic groups
Minority groups
Morbidity
Part time employment
Quality of Life Research
Race
Self evaluation
Social Inequality
Social Structure
Socioeconomic factors
Trends
Wives
Women
title Period Trends in Self-Rated Health at Midlife: Variations by Race/Ethnicity, Union Status, and Education
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