Analyzing socioeconomic and racial/ethnic patterns in health and health care.

A comment on the exchange between Leyland and Zahniser on racial/ethnic and social class patterns in health, disease, and well-being. Zahniser et al. document the secular trends in the use of cesarean sections and other obstetric operative procedures in the U.S. from 1980 to 1987. They emphasize t...

Full description

Bibliographic Details
Published in:American Journal of Public Health Vol. 83; pp. 1086 - 1088
Main Author: Krieger, Nancy
Format: Article
Published: American Public Health Association August 1993
Subjects:
Online Access:View this record in EBSCOhost
Description
Summary:A comment on the exchange between Leyland and Zahniser on racial/ethnic and social class patterns in health, disease, and well-being. Zahniser et al. document the secular trends in the use of cesarean sections and other obstetric operative procedures in the U.S. from 1980 to 1987. They emphasize the higher rates of procedures among women with private insurance and deduce that racial differences in the likelihood of undergoing such procedures were chiefly attributable to racial differences in insurance status. Leyland argues that class-based differences in rates of obstetric procedures can still exist when everyone has the same insurance cover. Both authors are probably correct and incorrect in some respects. The confusion between them is caused by their inaccurate use of terminology and their limited understanding of the way in which racial discrimination operates in the U.S.