New paper: Equally inequitable? A cross-national comparative study of racial health inequalities in the United States and Canada

Tuesday, May 31, 2016
Social Science & Medicine

A new paper published in Social Science & Medicine Volume 161, July 2016, "Equally inequitable? A cross-national comparative study of racial health inequalities in the United States and Canada," by Chantel Ramraj, Faraz Vahid Shahidi, William Darity Jr., Ichiro Kawachi, Daniyal Zuberi, and Arjumand Siddiqi uses the largest nationally representative samples available to compare racial inequalities in health in the United States and Canada. Data were obtained from ten waves of the National Health Interview Survey(n ¼ 162,271,885) and the Canadian Community Health Survey (n ¼ 19,906,131) from 2000 to 2010.

"We estimated crude and adjusted odds ratios, and risk differences across racial groups for a range of health outcomes in each country. Patterns of racial health inequalities differed across the United States and Canada. After adjusting for covariates, black-white and Hispanic-white inequalities were relatively larger in the United States, while aboriginal-white inequalities were larger in Canada. In both countries, socioeconomic factors did not explain inequalities across racial groups to the same extent. In conclusion, while racial inequalities in health exist in both the United States and Canada, the magnitudes of these inequalities as well as the racial groups affected by them, differ considerably across the two countries. This suggests that the relationship between race and health varies as a function of the societal context in which it operates."

Access the full paper here: Equally inequitable? A cross-national comparative study of racial health inequalities in the United States and Canada