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. 2020 Feb 7;10:100555. doi: 10.1016/j.ssmph.2020.100555

Table 1.

Articulating Systems of Exposure with four examples from the health inequalities literature.

System of Exposure Scale System Patterning Patterning Over the Life-Course System Enforce-ment Comparison of Place–Time Population Coordinates Outcome(s) Found Variation in System of Exposure?
Beltrán-Sánchez, Alberto and Riosmena, Wong, (2016) SES gradient X Ethnic hierarchy Nation Intersectional: Continuous SES gradient X Ordinal ethnic hierarchy Cumulative, with discontinuity in exposure upon immigration De facto Spatial: (Mexico, Mexican-born 2006); (U.S., Mexican-born 1999–2010); (U.S., U.S.-born Mexican American 1999–2010); (U.S., U.S.-born Non-Hispanic White 1999–2010) Prevalence of metabolic syndrome Yes
Lauderdale (2006) Ethnic hierarchy Nation Ordinal ethnic hierarchy Critical period De facto Temporal: (California 2000-2001) (California 2001-2002) Incidence of low birth weight and pre-term birth Yes
Krieger, Chen, Coull, Waterman, and Beckfield (2013) Racial hierarchy Region Gradient Critical period De jure and de facto Temporal: (Jim Crow polity 1940-1964); (Jim Crow polity 1965–2006) vs. (Non-Jim Crow polity 1940-1964); (Non-Jim Crow polity 1965–2006) Incidence of infant death Yes
Novak, Geronimus, & Martinez-Cardoso (2017) Immigration status X Ethnic hierarchy State Intersectional: Dichotomous immigration status X Ordinal ethnic hierarchy Critical period De jure and de facto Temporal: (Iowa 2007-2008); (Iowa 2008-2009) Incidence of low birth weight Yes

Note: The “X” indicates an interaction between two systems of exposure.