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.