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Souls
A Critical Journal of Black Politics, Culture, and Society
Volume 18, 2016 - Issue 2-4: African American Representation and the Politics of Respectability
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Featured Articles—Part Two: New Millenium Respectability Politics

Death by a Thousand Cuts: The Health Implications of Black Respectability Politics

Pages 421-445 | Published online: 14 Dec 2016
 

Abstract

The authors introduce the concept of “vigilance,” capturing behaviors that reflect attempts to navigate racialized social spaces on a daily basis. Specifically, vigilant behaviors include care about appearance and language to be treated with respect, avoidance of social spaces, and psychological preparation for potential prejudice and discrimination. Furthermore, these behaviors align with those discussed in Black respectability politics debates. Using data from a population-representative sample of Black adults in Chicago, they report that vigilance is associated with poor physical and mental health indexed through chronic health conditions, depressive symptoms, and self-rated health.

Notes

Evelyn Brooks Higginbotham, Righteous Discontent: The Women’s Movement in the Black Baptist Church (Cambridge: Harvard University Press, 1993), 1880–920.

W. E. B. Du Bois, Darkwater: Voices from Within the Veil (New York: Harcourt, Brace and Howe, 1920).; Philomena Essed, Everyday Racism: Reports from Women of Two Cultures, 1st ed. (Claremont: Hunter House, 1990); Joe R. Feagin and Melvin P. Sikes, Living With Racism: The Black Middle-Class Experience (Boston: Beacon Press, 1994).

David Yi, “Black Armor: Some Black American Men Are Dressing Up to Deflect Negative Attention, as a Conscious Means of Survival,” Mashable, August 8, 2015, http://mashable.com/2015/08/08/black-men-dressing-up-police/#EbsuKJiRskqy (accessed April 19, 2016).

Ibid. “I like to wear hoodies,” he admits. “But when I put it on, there’s so much more suspicion. I don’t feel comfortable wearing comfortable clothes. I’m worried about what will happen to me. I also see how others see me. People clench their purses, women don’t walk the street when I do. I’ll wave hello and no one waves back.”

Feagin and Sikes, Living with Racism.

Cathy J. Cohen, The Boundaries of Blackness: AIDS and the Breakdown of Black Politics (Chicago: University of Chicago Press, 1999); Brittany Cooper, “Stop Poisoning the Race Debate: How ‘Respectability Politics’ Rears its Ugly Head—Again,” Salon, March 18, 2015, http://www.salon.com/2015/03/18/stop_poisoning_the_race_debate_how_respectability_politics_rears_its_ugly_head_again/ (accessed April 19, 2016); Paisley Harris, “Gatekeeping and Remaking: The Politics of Respectability in African American Women’s History and Black Feminism,” Journal of Women’s History 15 (2003): 212–20; Shannon M. Houston, “Respectability Will Not Save Us: Black Lives Matter Is Right to Reject the ‘Dignity and Decorum’ Mandate Handed Down to Us from Slavery,” Salon, August 25, 2015, http://www.salon.com/2015/08/25/respectability_will_not_save_us_black_lives_matter_is_right_to_reject_the_dignity_and_decorum_mandate_handed_down_to_us_from_slavery/ (accessed April 19, 2016); Christopher Lebron, “I’m Fine How I Am: A Response to Randall Kennedy’s Defense of Respectability Politics,” Boston Review, September 25, 2015, https://bostonreview.net/books-ideas/chris-lebron-response-randall-kennedy-respectability-politics (accessed April 19, 2016); Khalil Gibran Muhammad, The Condemnation of Blackness: Race, Crime, and the Making of Modern Urban America (Cambridge: Harvard University Press, 2011); Kosisochukwu Nnebe, “The Modern Black Woman and the Politics of Respectability,” For Harriet, February 24, 2014, http://www.forharriet.com/2014/02/the-modern-black-woman-and-politics-of.html#axzz46sNrvuvW (accessed April 19, 2016); Mary E. Pattillo, Black on the Block: The Politics of Race and Class in the City (Chicago: University of Chicago Press, 2007); Schomburg Center, Stage for Debate: Respectability and Politics. February 2, 2016. http://livestream.com/schomburgcenter/events/4710955 (accessed April 19, 2016); E. Frances White, Dark Continent of Our Bodies: Black Feminism and Politics of Respectability (Philadelphia: Temple University Press, 2001).

Mychal Smith, “Respectability Politics Won’t Save Us: On the Death of Jonathan Ferrell,” The Nation, September 16, 2013, http://www.thenation.com/article/respectability-politics-wont-save-us-death-jonathan-ferrell/ (accessed April 19, 2016); The first definition of the “politics of respectability” was introduced in Higginbotham’s Righteous Discontent (1993), where the author described how working- and middle-class Black women engaged in these behaviors through the Black Baptist church club movement. Although, what Higginbotham described as a necessary strategy for Black advancement during the post-Reconstruction 1890s era has been reinterpreted, misinterpreted, and debated by many (Kimberly Foster, “Wrestling with Respectability in the Age of #BlackLivesMatter: A Dialogue,” For Harriet, October 13, 2015, http://www.forharriet.com/2015/10/wrestling-with-respectability-in-age-of.html#axzz46sNrvuvW (accessed April 19, 2016)).

Rodney Clark, Ramona A. Benkert, and John M. Flack, “Large Arterial Elasticity Varies as a Function of Gender and Racism-Related Vigilance in Black Youth,” Journal of Adolescent Health 39 (2006): 562–69; Margaret T. Hicken, Hedwig Lee, Jennifer Ailshire, Sarah A. Burgard, and David R. Williams, “Every Shut Eye Ain’t Sleep: The Role of Racism-Related Vigilance in Racial/Ethnic Disparities in Sleep Difficulty,” Race and Social Problems 5 (2013): 100–12; Margaret T. Hicken, Hedwig Lee, Jeffrey Morenoff, James S. House, David R. Williams, “Racial/Ethnic Disparities in Hypertension Prevalence: Reconsidering the Role of Chronic Stress,” American Journal of Public Health 104 (2014): 117–23; Mary S. Himmelstein, Danielle M. Young, Diana T. Sanchez, and James S. Jackson, “Vigilance in the Discrimination-Stress Model for Black Americans,” Psychology & Health 30 (2015): 253–67.

Erving Goffman, The Presentation of Self in Everyday Life (Garden City, NY: Doubleday, 1959).

Randall Kennedy, “Lifting as We Climb: A Progressive Defense of Respectability Politics,” Harper’s Magazine, October 2015, https://harpers.org/archive/2015/10/lifting-as-we-climb/ (accessed April 19, 2016). Furthermore, recent discussions have included presentation of self to increase political currency. In a Washington Post article veteran civil right leader, Barbara Reynolds (“I Was a Civil Rights Activist in the 1960s. But It’s Hard For Me to Get Behind Black Lives Matter,” Washington Post, August 24, 2015, https://www.washingtonpost.com /posteverything/wp/2015/ 08/24/i-was-a-civil-rights activist-in-the-1960s-but-its-hard-for-me-to-get-behind-black-lives-matter/?postshare = 5221440433170944 [accessed April 19, 2016]), opined against the lack of respectability politics behaviors being used in the Black Lives Matter movement with regard to a lack of attention to “proper” presentation of self: “In the 1960s, activists confronted white mobs and police with dignity and decorum, sometimes dressing in church clothes and kneeling in prayer during protests to make a clear distinction between who was evil and who was good. But at protests today, it is difficult to distinguish legitimate activists from the mob actors who burn and loot. The demonstrations are peppered with hate speech, profanity, and guys with sagging pants that show their underwear. Even if the BLM activists aren’t the ones participating in the boorish language and dress, neither are they condemning it.”

Cooper, “Stop Poisonoing the Race Debate.”

Leah Donnella, “Where Does the ‘Pull Up Your Pants’ School of Black Politics Come From?” NPR, October 22, 2015. http://www.npr.org/sections/codeswitch/2015/10/22/450821244/where-does-the-pull-up-your-pants-school-of-black-politics-come-from (accessed April 19, 2016).

Ellis Cose, The Rage of a Privileged Class, 1st ed. (New York: HarperCollins, 1993); Joe R. Feagin, “The Continuing Significance of Race—Antiblack Discrimination in Public Places,” American Sociological Review 56 (1991): 101–16; Feagin and Sikes, Living with Racism; Jennifer Lee, “The Salience of Race in Everyday Life - Black Customers’ Shopping Experiences in Black and White Neighborhoods,” Work and Occupations 27 (2000): 353–76; Amani Nuru-Jeter, Tyan P. Dominguez, Wizdom P. Hammond, Janxin Leu, Marilyn Skaff, Susan Egerter, Camara P. Jones, and Paula Braveman, “‘It’s the Skin You’re In’: African-American Women Talk About Their Experiences of Racism. An Exploratory Study to Develop Measures of Racism for Birth Outcome Studies,” Maternal and Child Health Journal 13 (2009): 29–39.

William E. Cross and Linda Strauss, “The Everyday Functions of African American Identity,” in Prejudice: The Target’s Perspective, edited by Janet K. Swim and Charles Stangor (San Diego: Academic Press, 1998), 267–79; Goffman, The Presentation of Self in Everyday Life; Douglas Guiffrida, “African American Student Organizations as Agents of Social Integration,” Journal of College Student Development 44 (2003): 304–19; Susan. R. Rosenbloom and Niobe Way, “Experiences of Discrimination Among African American, Asian American, and Latino Adolescents in an Urban High School,” Youth & Society 35 (2004): 420–51.

Roxanna Harlow, “‘Race Doesn’t Matter, But …”: The Effect of Race on Professors’ Experiences and Emotion Management in the Undergraduate College Classroom,” Social Psychology Quarterly 66 (2003): 348–63.; Kristie A. Ford, “Race, Gender, and Bodily (Mis)Recognitions: Women of Color Faculty Experiences with White Students in the College Classroom,” Journal of Higher Education 82 (2011): 444–78.

Ford, “Race, Gender, and Bodily (Mis)Recognitions,” 467.

Lisa G. Aspinwall and Shelley E. Taylor, “A Stitch in Time: Self-Regulation and Proactive Coping,” Psychological Bulletin 121 (1997): 417–36; Prudence L. Carter, “‘Black’ Cultural Capital, Status Positioning, and Schooling Conflicts for Low-Income African American Youth,” Social Problems 50 (2003): 136–55; Robyn K. Mallett and Janet K. Swim, “Making the Best of a Bad Situation: Proactive Coping with Racial Discrimination,” Basic and Applied Social Psychology 31 (2009): 304–16; Janet K. Swim and Charles Stangor, Prejudice: The Target’s Perspective (San Diego: Academic Press, 1998).

O’Shan D. Gadsden, “Adjusting to a New Racial Climate: Maintenance of Personal Integrity,” Journal of Religion & Health 44 (2005): 263–66.

Lee, “The Salience of Race in Everyday Life.”

Ibid., 368.

Rod K. Brunson and Jody Miller, “Young Black Men and Urban Policing in the United States,” British Journal of Criminology 46 (2006): 613–40; Lee, “The Salience of Race in Everyday Life.”

Daphna Oyserman and Janet K. Swim, “Stigma: An Insider’s View,” Journal of Social Issues 57 (2001): 1–14.

Social scientists have, for decades, described the anticipation of racial discrimination as a feature of Black American life (e.g., Du Bois, Anderson, and Eaton; Feagin; Feagin and Sikes). This type of discrimination-related anticipatory stress has been identified in different disciplinary literatures (Grace Carroll, Environmental Stress and African Americans: The Other Side of the Moon [Westport, CT: Praeger, 1998]; Robert T. Carter, “Racism and Psychological and Emotional Injury: Recognizing and Assessing Race-Based Traumatic Stress,” Counseling Psychologist 35 [2007]: 13–105; Clark Rodney, Ramona A. Benkert, John M. Flack, “Large Arterial Elasticity Varies”; Cross and Strauss, “The Everyday Functions of African Identity”; W. E. B. Du Bois, Elijah Anderson, and Isabel Eaton, The Philadelphia Negro : A Social Study, 1996 Edition [Philadelphia: University of Pennsylvania Press, 1996]; Feagin, “The Continuing Significance of Race”; Anderson J. Franklin and Nancy Boyd-Franklin, “Invisibility Syndrome: A Clinical Model of the Effects of Racism on African-American Males,” American Journal of Orthopsychiatry 70 [2000]: 33–41; Nuru-Jeter Amani, Tyan Parker Dominguez, Wizdom Powell Hammond, Janxin Leu, Marilyn Skaff, Susan Egerter, Camara P. Jones, and Paula Braveman, “‘It’s the Skin You’re In’”; Chester Pierce, “Psychiatric Problems of the Black Minority,” in American Handbook of Psychiatry, edited by Silvano Arieti (New York: Basic Books, 1974), 512–23; Elizabeth C. Pinel, “Stigma Consciousness: The Psychological Legacy of Social Stereotypes,” Journal of Personality and Social Psychology 76(1) [1999]: 114–28; Claude Steele, Whistling Vivaldi: And Other Clues to How Stereotypes Affect Us, 1st ed., Issues of Our Time [New York: W.W. Norton & Company, 2010]). Often identified by various terminologies, these references to vigilance all reflect, to some extent, a state of persistent worry or threat and preparation for possible experiences with interpersonal discrimination on a day-to-day basis.

Goffman, The Presentation of Self in Everyday Life; Shelly P. Harrell, “A Multidimensional Conceptualization of Racism-Related Stress: Implications for the Well-Being of People of Color,” American Journal of Orthopsychiatry 70 (2000): 42–57.

Michelle Alexander, The New Jim Crow: Mass Incarceration in the Age of Colorblindness (New York: New Press, 2010); Lawrence D. Bobo, James R. Kluegel, and Ryan A. Smith, “Laissez-Faire Racism: The Crystallization of a Kinder, Gentler, Antiblack Ideology,” in Racial Attitudes in the 1990s: Continuity and Change, edited by Steven A. Tuch and Jack K. Martin (Greenwood: Praeger, 1997), 15–44; Lawrence D. Bobo, “Somewhere Between Jim Crow & Post-Racialism: Reflections on the Racial Divide in America Today,” Daedalus 140 (2011): 11–36; Lawrence D. Bobo and Camille Z. Charles, “Race in the American Mind: From the Moynihan Report to the Obama Candidacy,” Annals of the American Academy of Political and Social Science 621 (2009): 243–59; Lawrence D. Bobo and Cybelle Fox, “Race, Racism, and Discrimination: Bridging Problems, Methods, and Theory in Social Psychological Research,” Social Psychology Quarterly 66 (2003): 319–32; Eduardo Bonilla-Silva, Racism Without Racists: Color-Blind Racism and the Persistence of Racial Inequality in the United States, 2nd ed. (Lanham, MD: Rowman & Littlefield Publishers, 2006); Camille Zubrinsky Charles, “The Dynamics of Racial Residential Segregation,” Annual Review of Sociology 23 (2003): 167–207; Feagin, “The Continuing Significance of Race”; Feagin and Sikes, Living with Racisim; Harrell, “A Multidimensional Conceptualization of Racism”; Douglas S. Massey and Nancy A. Denton, American Apartheid: Segregation and the Making of the Underclass (Cambridge: Harvard University Press, 1993); Albert. J. Meehan and Michael C. Ponder, “Race and Place: The Ecology of Racial Profiling African American Motorists,” Justice Quarterly 19 (2002): 399–430; Amani Nuru-Jeter, Tyan P. Dominguez, Wizdom P. Hammond, Janxin Leu, Marilyn Skaff, Susan Egerter, Camara P. Jones, and Paula Braveman, “‘It’s the Skin You’re In’”; Gary Orfield, Susan E. Eaton, and Harvard Project on School Desegregation, Dismantling Desegregation: The Quiet Reversal of Brown v. Board of Education (New York: New Press, 1996); Michael R. Smith and Matthew Petrocelli, “Racial Profiling? A Multivariate Analysis of Police Traffic Stop Data,” Police Quarterly 4 (2001): 4–27; Karolyn Tyson, Integration Interrupted: Tracking, Black Students, and Acting White After Brown (New York: Oxford University Press, 2011); David. R. Williams and Harold Neighbors, “Racism, Discrimination and Hypertension: Evidence and Needed Research,” Ethnicity and Disease 11 (2001): 800–16.

Feagin and Sikes, Living with Racism, 295.

Nuru-Jeter, Dominguez, Hammond, Leu, Skaff, Egerter, Jones, and Braveman, “‘It’s the Skin You’re In,‘” 35.

Ta-Nahisi Coates, “The Rage of the Privileged Class,” The Atlantic, October 1, 2012, http://www.theatlantic.com/politics/archive/2012/10/the-rage-of-the-privileged-class/263095/ (accessed April 19, 2016); Ta-Nahisi Coates, “Kim Novak’s Bid to Be Twice as Good,” The Atlantic, March 4, 2014, http://www.theatlantic.com/entertainment/archive/2014/03/kim-novaks-bid-to-be-twice-as-good/284194/ (accessed April 19, 2016).

Kennedy, “Lifting as We Climb”; Du Bois, Darkwater.

Coates, “Kim Novak’s Bid to Be Twice as Good.”

Jos F. Brosschot, “Markers of Chronic Stress: Prolonged Physiological Activation and (Un)Conscious Perseverative Cognition,” Neuroscience & Biobehavioral Reviews 35 (2010): 46–50; Jos F. Brosschot, William Gerin, and Julian F. Thayer, “The Perseverative Cognition Hypothesis: A Review of Worry, Prolonged Stress-Related Physiological Activation, and Health,” Journal of Psychosomatic Research 60 (2006): 113–24; Jos F. Brosschot, Suzanne Pieper, and Julian F. Thayer, “Expanding Stress Theory: Prolonged Activation and Perseverative Cognition,” Psychoneuroendocrinology 30 (2005): 1043–49.

Jens Gaab, Nicolas Rohleder, Urs M. Nater, and Ulrike Ehlert, “Psychological Determinants of the cortisol Stress Response: The Role of Anticipatory Cognitive Appraisal,” Psychoneuroendocrinology 30 (2005): 599–610; Timothy W. Smith, John M. Ruiz, and Burt N. Uchino, “Vigilance, Active Coping, and Cardiovascular Reactivity During Social Interaction in Young Men,” Health Psychology 19 (2000): 382–92; Christian E. Waugh, Sommer Panage, Wendy B. Mendes, and Ian H. Gotlib, “Cardiovascular and Affective Recovery from Anticipatory Threat,” Biological Psychology 84 (2010): 169–75.

Bruce S. McEwen, “Stress, Adaptation, and Disease: Allostasis and Allostatic Load,” Annals of the New York Academy of Medicine 860 (1998): 33–44.; Bruce S. McEwen, “Mood Disorders and Allostatic Load,” Biological Psychiatry 54 (2003): 200–07; Jay Schulkin, Bruce S. McEwen, and Phillip W. Gold, “Allostasis, Amygdala, and Anticipatory Angst,” Neuroscience and Biobehavioral Reviews 18 (1994): 385–96.

Brosschot, “Markers of Chronic Stress”; Suzanne Pieper and Jos F. Brosschot, “Prolonged Stress-Related Cardiovascular Activation: Is There Any?,” Annals of Behavioral Medicine 30 (2005): 91–103.

James M. Jones, Prejudice and Racism, Topics in Social Psychology (Reading, PA: Addison-Wesley, 1972); James M. Jones, Prejudice and Racism. 2nd ed, McGraw-Hill Series in Social Psychology (New York: McGraw-Hill Companies, 1997); Derald Wing Sue, Microaggressions in Everyday Life: Race, Gender, and Sexual Orientation (Hoboken, NJ: Wiley, 2010); Derald Wing Sue, Christina M. Capodilupo, Gina C. Torino, Jennifer M. Bucceri, Aisha M. B. Holder, Kevin L. Nadal, and Marta Esquilin, “Racial Microaggressions in Everyday Life—Implications for Clinical Practice,” American Psychologist 62 (2007): 271–86; David R. Williams, Dolly A. John, Daphna Oyserman, John Sonnega, Selina A. Mohammed, and James S. Jackson, “Research on Discrimination and Health: An Exploratory Study of Unresolved Conceptual and Measurement Issues,” American Journal of Public Health 102 (2012): 975–78.

David A. Graham, “Sandra Bland and the Long History of Racism in Waller County, Texas,” The Atlantic, July 21, 2015. http://www.theatlantic.com/politics/archive/ 2015/07/sandra-bland-waller-county-racism/398975/ (accessed April 19, 2016).

Pamela J. Sawyer, Brenda Major, Bettina J. Casad, Sarah S. Townsend, and Wendy Berry Mendes, “Discrimination and the Stress Response: Psychological and Physiological Consequences of Anticipating Prejudice in Interethnic Interactions,” American Journal of Public Health 102 (2012): 1020–26.

Hicken, Lee, Morenoff, House, and Williams, “Every Shut Eye Ain’t Sleep.”

Francesco P. Cappuccio, Lanfranco D’Elia, Pasquale Strazzullo, and Michelle Miller, “Quantity and Quality of Sleep and Incidence of Type 2 Diabetes: A Systematic Review and Meta-Analysis,” Diabetes Care 33 (2010): 414–20; Kristen L. Knutson and Eve Cauter, “Associations Between Sleep Loss and Increased Risk of Obesity and Diabetes,” Molecular and Biophysical Mechanisms of Arousal, Alertness, and Attention 1129 (2008): 287–304; Lena Mallon, Jan-Erik Broman, and Jerker Hetta, “Sleep Complaints Predict Coronary Artery Disease Mortality in Males: A 12-Year Follow-Up Study of a Middle-Aged Swedish Population,” Journal of Internal Medicine 251 (2002): 207–16; Barbara Phillips and David M. Mannino, “Do Insomnia Complaints Cause Hypertension or Cardiovascular Disease?,” Journal of Clinical Sleep Medicine 3 (2007): 489–94.

Hicken, Lee, Morenoff, House, and Williams, “Racial/Ethnic Disparities in Hypertension Prevalence.”

Ibid.

For data access, see: http://isr.umich.edu/ccahs/

Eduardo Bonilla-Silva, “The 2008 Elections and the Future of Anti-Racism in 21st Century Amerika or How We Got Drunk with Obama’s Hope Liquor and Failed to See Reality,” Humanity & Society 34 (2010): 222–32; Jason Gainous, “The New “New Racism” Thesis Limited Government Values and Race-Conscious Policy Attitudes,” Journal of Black Studies 43 (2012): 251–73; Ian Haney-López, Dog Whistle Politics: How Coded Racial Appeals Have Reinvented Racism and Wrecked the Middle Class (Oxford: Oxford University Press, 2014).

John Mirowsky and Catherine E. Ross, Social Causes of Psychological Distress, 2nd ed. (New Brunswick, NJ: Aldine Transaction, 2003).

Ibid.

Lenore Sawyer Radloff, “The CES-D Scale: A Self-Report Depression Scale for Research in the General Population,” Applied Psychological Measurement 1 (1977): 385–401.

Ellen L. Idler and Yael Benyamini, “Self-Rated Health and Mortality: A Review of Twenty-Seven Community Studies,” Journal of Health and Social Behavior 38 (1997): 21–37.

Ingeborg Eriksson, Anna-Lena Unden, and Stig Elofsson, “Self-Rated Health. Comparisons between Three Different Measures. Results from a Population Study,” International Journal of Epidemiology 30 (2001): 326–33.

Rodney, Benkert, and Flack, “Large Arterial Elasticity Varies”; Himmelstein, Young, Sanchez, and Jackson, “Vigilance in the Discrimination Strees Model for Black Americans.”

Philomena Essed, Understanding Everyday Racism: An Interdisciplinary Theory, Sage Series on Race and Ethnic Relations (Newbury Park, CA: Sage, 1991); Feagin, “The Continuing Significance of Race”; Feagin and Sikes, Living with Racism.

Cleopatra M. Abdou, Adan W. Fingerhut, James S. Jackson, and Felicia Wheaton, “Healthcare Stereotype Threat in Older Adults in the Health and Retirement Study,” American Journal of Preventive Medicine 50 (2016): 191–98; Joshua Aronson, Diana Burgess, Sean M. Phelan, and Lindsay Juarez, “Unhealthy Interactions: The Role of Stereotype Threat in Health Disparities,” American Journal of Public Health 103 (2013): 50–56; Diana J. Burgess, Jennifer Warren, Sean Phelan, John Dovidio, and Michelle van Ryn, “Stereotype Threat and Health Disparities: What Medical Educators and future Physicians Need to Know,” Journal of General Internal Medicine 25, Suppl. 2 (2010): S169–77.

Donald B. Rubin, Multiple Imputation for Nonresponse in Surveys, Wiley Series in Probability and Mathematical Statistics Applied Probability and Statistics (New York: Wiley, 1987); StataCorp. STATA Multiple-Imputation Reference Manual Release 14 (College Station, TX: StataCorp LP. 2015).

Clare Robertson, Anne L. Langston, Sally Stapley, Elaine McColl, Marion K. Campbell, William D. Fraser, Graeme MacLennan, Peter L. Selby, Stuart H. Ralston, Peter M. Fayers, and The PRISM Trial Group, “Meaning Behind Measurement: Self-Comparisons Affect Responses to Health-Related Quality of Life Questionnaires,” Quality of Life Research 18 (2009): 221–30.

Geoffrey Rose, “Sick Individuals and Sick Populations,” International Journal of Epidemiology 30 (2001): 427–32.

Vincent Lorant, Denise Deliège, William Eaton, Annie Robert, Pierre Philippot, and Marc Ansseau, “Socioeconomic Inequalities in Depression: A Meta-Analysis,” American Journal of Epidemiology 157 (2003): 98–112.

Centers for Disease Control and Prevention, “CDC Health Disparities & Inequalities Report—United States, 2011,” Morbidity & Mortality Weekly Report 60 (2011): 1–116; “CDC Health Disparities & Inequalities Report—United States, 2013,” Morbidity & Mortality Weekly Report 62 (2013): 1–187.

Pinka Chatterji, Heesoo Joo, and Kajal Lahiri, “Beware of Being Unaware: Racial/Ethnic Disparities in Chronic Illness in the USA,” Health Economics 21 (2012): 1040–60.

Centers for Disease Control and Prevention, “CDC Health Disparities and Inequality Report” (2011, 2013); Linda K. George and Scott M. Lynch, “Race Differences in Depressive Symptoms: A Dynamic Perspective on Stress Exposure and Vulnerability,” Journal of Health and Social Behavior 44 (2003): 353–69.

Hicken, Lee, Morenoff, House, and Williams, “Every Shut Eye Ain’t Sleep”; Hicken, Lee, Morenoff, House, and Williams, “Racial/Ethnic Disparities in Hypertension Prevalence.”

Nao Hagiwara, Courtney J. Alderson, and Jessica M. McCauley, “‘We Get What We Deserve’: The Belief in a Just World and its Health Consequences for Blacks,” Journal of Behavioral Medicine 38 (2015): 912–21; Naa Oyo Kwate and Ilan H. Meyer, “The Myth of Meritocracy and African American Health,” American Journal of Public Health 100 (2010): 1831–34.

Kwate and Meyer, “The Myth of Meritocracy”; Veronica Y. Womack, “Respectability Politics Are Making Black Americans Sick,” Quartz, April 17, 2016. http://qz.com/663520/respecta bility-politics-are-making-black-americans-sick/ (accessed April 19, 2016).

Kira Hudson Banks and Laura P. Kohn-Wood, “Gender, Ethnicity and Depression: Intersectionality in Mental Health Research with African American Women,” African American Research Perspectives 8 (2002): 174–200; Brea L. Perry, Kathi L. H. Harp, and Carrie B. Oser, “Racial and Gender Discrimination in the Stress Process: Implications for African American Women’s Health and Well-Being,” Sociological Perspectives 56 (2003): 25–48; Debra Umberson, Kristi Williams, Patricia A Thomas, Hui Liu, and Mieke Beth Thomeer, “Race, Gender, and Chains of Disadvantage Childhood Adversity, Social Relationships, and Health,” Journal of Health and Social Behavior 55 (2014): 20–38.

James S. Jackson, Katherine M. Knight, and Jane A. Rafferty, “Race and Unhealthy Behaviors: Chronic Stress, the HPA Axis, and Physical and Mental Health Disparities Over the Life Course,” American Journal of Public Health 100 (2010): 933–39; Briana Mezuk, Cleopatra M. Abdou, Darrell Hudson, Kiarri N. Kershaw, Jane A. Rafferty, Hedwig Lee, and James S. Jackson, “‘White Box’ Epidemiology and the Social Neuroscience of Health Behaviors: The Environmental Affordances Model,” Society and Mental Health 3 (2013): 79–95.

Elijah Anderson, Street Wise: Race, Class, and Change in an Urban Community (Chicago: University of Chicago Press, 1990).

Ibid., 198.

Geeta Gandbhir and Blair Foster, “‘A Conversation With My Black Son,‘” The New York Times, March 17, 2015, http://www.nytimes.com/2015/03/17/opinion/a-conversation-with-my-black-son.html (accessed July 25, 2016).; Katie Zavadski, “25 Activities Black People Should Avoid Around Cops,” New York Magazine, December 4, 2014, http://nymag.com/daily/intelligencer/2014/12/25-things-black-people-shouldnt-do-around-cops.html?mid=twitter_nymag (accessed July 25, 2016).

William Ryan, Blaming the Victim. Revised, updated ed. (New York: Vintage Books, 1976).

Additional information

Notes on contributors

Hedwig Lee

Hedwig Lee is an Associate Professor of Sociology at the University of Washington in Seattle. She is also a faculty affiliate of the Center for Research on Demography and Ecology, the West Coast Poverty Center, and the Center for Statistics and the Social Sciences. She is broadly interested in the social determinants and consequences of population health and health disparities.

Margaret Takako Hicken

Margaret Takako Hicken is a Research Assistant Professor in the Institute for Social Research at the University of Michigan. She is also a faculty affiliate at the Population Studies Center and the Division of Nephrology in the Department of Internal Medicine. She is interested in the ways in which structural and cultural forms of racism are transduced into health inequities.

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