Articlediamond2019

Minorities’ Diminished Returns of Educational Attainment on Hospitalization Risk: National Health Interview Survey (NHIS)

42 citations0/0 files storedHospital Practices and Research

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Health disparities and outcomes Racial and Ethnic Identity Research Public Health and Social Inequalities

Abstract

BACKGROUND: As suggested by the Minorities' Diminished Returns (MDRs) theory, educational attainment shows a weaker protective effect for racial and ethnic minority groups compared to non-Hispanic Whites. This pattern, however, is never shown for hospitalization risk. OBJECTIVES: This cross-sectional explored racial and ethnic variation in the association between educational attainment and hospitalization in the US. METHODS: Data came from the National Health Interview Survey (NHIS 2015). The total sample was 28,959 American adults. Independent variables were educational attainment and hospitalization. The main outcome was hospitalization during the last 12 months. Age, gender, employment, marital status, region, obesity, and the number of cardiovascular conditions were covariates. Race and ethnicity were the effect modifiers. Logistic regression models were utilized to analyze the data. RESULTS: From all participants, 16.2% were Black and 11.6 were Hispanic, with a mean age of 51 years old. Overall, higher education levels were associated with lower odds of hospitalization, independent of all confounders. Educational attainment showed significant interactions with race (OR =1.04, 95% CI = 1.01 - 1.08) and ethnicity (OR = 1.04, 95% CI =1.01 -1.07) on hospitalization, indicating smaller protective effects of educational attainment on hospitalization of Hispanics and Blacks than non-Hispanic Whites. CONCLUSION: The protective effect of educational attainment on population health is smaller for Blacks and Hispanics compared to non-Hispanic Whites. To prevent health disparities, there is a need to minimize diminished returns of educational attainment for racial and ethnic minorities. To do so, there is a need for innovative and bold economic, public, and social policies that do not limit themselves to equalizing socioeconomic status but also help minorities leverage their available resources and gain tangible outcomes.

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References

2005Social determinants of health inequalities 2004The Status Syndrome: How Social Standing Affects Our Health and Longevity 2004“Fundamental Causes” of Social Inequalities in Mortality: A Test of the Theory 2003Widening socioeconomic inequalities in mortality in six Western European countries 2004Are racial disparities in health conditional on socioeconomic status?2018Health Disparities due to Diminished Return among Black Americans: Public Policy Solutions 1998Occupational class and cause specific mortality in middle aged men in 11 European countries: comparison of population based studies Commentary: Unequal inequalities across Europe 2017Unequal Gain of Equal Resources across Racial Groups

Cited by

2020Race, Ethnicity, Socioeconomic Status, and Chronic Lung Disease in the U.S.2020Racial Difference in the Relationship Between Health and Happiness in the United States 2020Understanding America: Unequal Economic Returns of Years of Schooling in Whites and Blacks Race, Years of Schooling, and Economic Wellbeing 2020Blacks’ Diminished Health Returns of Educational Attainment: Health and Retirement Study 2021The relationship between educational attainment and hospitalizations among middle-aged and older adults in the United States

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