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. 1994 Aug;29(3):261–274.

The concept of race in Health Services Research: 1966 to 1990.

D R Williams 1
PMCID: PMC1070005  PMID: 8063565

Abstract

OBJECTIVE. This study examined ways in which race/ethnicity has been conceptualized and used in the health services research literature as published in Health Services Research (HSR). DATA SOURCE. All articles published in HSR from its inception in 1966 to 1990. STUDY DESIGN. The analyses were restricted to U.S.-based empirical research on humans or in which human population characteristics are described. This study identifies the terms used for race and/or ethnicity, the frequency with which they occur, and the purposes for which they are utilized. PRINCIPAL FINDINGS. The study documents that race/ethnicity is widely used in the health services literature to stratify or adjust results and to describe the sample or population of the study. Terms used for race are seldom defined and race is frequently employed in a routine and uncritical manner to represent ill-defined social and cultural factors. CONCLUSIONS. Researchers and practitioners must give more careful attention to the conceptualization and measurement of race. An understanding of racial/ethnic differences in patterns of health service utilization will require efforts to catalog and quantify the specific social and cultural factors that are differentially distributed by racial and ethnic status.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andersen R. M., Giachello A. L., Aday L. A. Access of Hispanics to health care and cuts in services: a state-of-the-art overview. Public Health Rep. 1986 May-Jun;101(3):238–252. [PMC free article] [PubMed] [Google Scholar]
  2. Anderson J. G. Causal model of a health services system. Health Serv Res. 1972 Spring;7(1):23–42. [PMC free article] [PubMed] [Google Scholar]
  3. Bashshur R. L., Shannon G. W., Metzner C. A. Some ecological differentials in the use of medical services. Health Serv Res. 1971 Spring;6(1):61–75. [PMC free article] [PubMed] [Google Scholar]
  4. Blendon R. J., Aiken L. H., Freeman H. E., Corey C. R. Access to medical care for black and white Americans. A matter of continuing concern. JAMA. 1989 Jan 13;261(2):278–281. [PubMed] [Google Scholar]
  5. Brandt A. M. Racism and research: the case of the Tuskegee Syphilis Study. Hastings Cent Rep. 1978 Dec;8(6):21–29. [PubMed] [Google Scholar]
  6. Cooper R. A note on the biologic concept of race and its application in epidemiologic research. Am Heart J. 1984 Sep;108(3 Pt 2):715–722. doi: 10.1016/0002-8703(84)90662-8. [DOI] [PubMed] [Google Scholar]
  7. Cooper R., David R. The biological concept of race and its application to public health and epidemiology. J Health Polit Policy Law. 1986 Spring;11(1):97–116. doi: 10.1215/03616878-11-1-97. [DOI] [PubMed] [Google Scholar]
  8. Davies A. R., Ware J. E., Jr, Brook R. H., Peterson J. R., Newhouse J. P. Consumer acceptance of prepaid and fee-for-service medical care: results from a randomized controlled trial. Health Serv Res. 1986 Aug;21(3):429–452. [PMC free article] [PubMed] [Google Scholar]
  9. Dressler W. W. Social class, skin color, and arterial blood pressure in two societies. Ethn Dis. 1991 Winter;1(1):60–77. [PubMed] [Google Scholar]
  10. Fleming G. V. Hospital structure and consumer satisfaction. Health Serv Res. 1981 Spring;16(1):43–63. [PMC free article] [PubMed] [Google Scholar]
  11. Funkhouser S. W., Moser D. K. Is health care racist? ANS Adv Nurs Sci. 1990 Jan;12(2):47–55. doi: 10.1097/00012272-199001000-00008. [DOI] [PubMed] [Google Scholar]
  12. Grazier K. L., Richardson W. C., Martin D. P., Diehr P. Factors affecting choice of health care plans. Health Serv Res. 1986 Feb;20(6 Pt 1):659–682. [PMC free article] [PubMed] [Google Scholar]
  13. Hahn R. A., Mulinare J., Teutsch S. M. Inconsistencies in coding of race and ethnicity between birth and death in US infants. A new look at infant mortality, 1983 through 1985. JAMA. 1992 Jan 8;267(2):259–263. [PubMed] [Google Scholar]
  14. Hahn R. A. The state of federal health statistics on racial and ethnic groups. JAMA. 1992 Jan 8;267(2):268–271. [PubMed] [Google Scholar]
  15. Hetherington R. W., Hopkins C. E. Symptom sensitivity: its social and cultural correlates. Health Serv Res. 1969 Spring;4(1):63–75. [PMC free article] [PubMed] [Google Scholar]
  16. Holloway J. J., Medendorp S. V., Bromberg J. Risk factors for early readmission among veterans. Health Serv Res. 1990 Apr;25(1 Pt 2):213–237. [PMC free article] [PubMed] [Google Scholar]
  17. Horgan C. M. The demand for ambulatory mental health services from specialty providers. Health Serv Res. 1986 Jun;21(2 Pt 2):291–319. [PMC free article] [PubMed] [Google Scholar]
  18. Jette A. M., Cummings K. M., Brock B. M., Phelps M. C., Naessens J. The structure and reliability of health belief indices. Health Serv Res. 1981 Spring;16(1):81–98. [PMC free article] [PubMed] [Google Scholar]
  19. Jones C. P., LaVeist T. A., Lillie-Blanton M. "Race" in the epidemiologic literature: an examination of the American Journal of Epidemiology, 1921-1990. Am J Epidemiol. 1991 Nov 15;134(10):1079–1084. doi: 10.1093/oxfordjournals.aje.a116011. [DOI] [PubMed] [Google Scholar]
  20. Keeler E. B., Sloss E. M., Brook R. H., Operskalski B. H., Goldberg G. A., Newhouse J. P. Effects of cost sharing on physiological health, health practices, and worry. Health Serv Res. 1987 Aug;22(3):279–306. [PMC free article] [PubMed] [Google Scholar]
  21. Klag M. J., Whelton P. K., Coresh J., Grim C. E., Kuller L. H. The association of skin color with blood pressure in US blacks with low socioeconomic status. JAMA. 1991 Feb 6;265(5):599–602. [PubMed] [Google Scholar]
  22. Mick S. S., Worobey J. L. The future role of foreign medical graduates in U.S. medical practice: projections into the 1990s. Health Serv Res. 1986 Apr;21(1):85–106. [PMC free article] [PubMed] [Google Scholar]
  23. Miller S. M. Race in the health of America. Milbank Q. 1987;65 (Suppl 2):500–531. [PubMed] [Google Scholar]
  24. Moore J. R., Jr Accuracy of a health interview survey in measuring chronic illness prevalence. Health Serv Res. 1975 Summer;10(2):162–167. [PMC free article] [PubMed] [Google Scholar]
  25. Osborne N. G., Feit M. D. The use of race in medical research. JAMA. 1992 Jan 8;267(2):275–279. [PubMed] [Google Scholar]
  26. Robinson J. C. Racial inequality and the probability of occupation-related injury or illness. Milbank Mem Fund Q Health Soc. 1984 Fall;62(4):567–590. [PubMed] [Google Scholar]
  27. Sawyer D. O. Assessing access constraints on system equity: source of care differences in the distribution of medical services. Health Serv Res. 1982 Spring;17(1):27–44. [PMC free article] [PubMed] [Google Scholar]
  28. Starfield B., Budetti P. P. Child health status and risk factors. Health Serv Res. 1985 Feb;19(6 Pt 2):817–886. [PMC free article] [PubMed] [Google Scholar]
  29. Treviño F. M. Standardized terminology for hispanic populations. Am J Public Health. 1987 Jan;77(1):69–72. doi: 10.2105/ajph.77.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Wenneker M. B., Epstein A. M. Racial inequalities in the use of procedures for patients with ischemic heart disease in Massachusetts. JAMA. 1989 Jan 13;261(2):253–257. [PubMed] [Google Scholar]
  31. Wilkinson D. Y., King G. Conceptual and methodological issues in the use of race as a variable: policy implications. Milbank Q. 1987;65 (Suppl 1):56–71. [PubMed] [Google Scholar]
  32. Williams D. R., Lavizzo-Mourey R., Warren R. C. The concept of race and health status in America. Public Health Rep. 1994 Jan-Feb;109(1):26–41. [PMC free article] [PubMed] [Google Scholar]
  33. Wolf R. S. A social systems model of nursing home use. Health Serv Res. 1978 Summer;13(2):111–128. [PMC free article] [PubMed] [Google Scholar]
  34. Yankauer A. Hispanic/Latino--what's in a name? Am J Public Health. 1987 Jan;77(1):15–17. doi: 10.2105/ajph.77.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Yu E. S., Liu W. T. US National Health Data on Asian Americans and Pacific Islanders: a research agenda for the 1990s. Am J Public Health. 1992 Dec;82(12):1645–1652. doi: 10.2105/ajph.82.12.1645. [DOI] [PMC free article] [PubMed] [Google Scholar]

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