Skip to main content

Sick And Tired Of Being Excluded: Structural Racism In Disenfranchisement As A Threat To Population Health Equity.

Publication ,  Journal Article
Homan, PA; Brown, TH
Published in: Health affairs (Project Hope)
February 2022

Theoretical research suggests that racialized felony disenfranchisement-a form of structural racism-is likely to undermine the health of Black people, yet empirical studies on the topic are scant. We used administrative data on disproportionate felony disenfranchisement of Black residents across US states, linked to geocoded individual-level health data from the 2016 Health and Retirement Study, to estimate race-specific regression models describing the relationship between racialized disenfranchisement and health among middle-aged and older adults, adjusting for other individual- and state-level factors. Results show that living in states with higher levels of racialized disenfranchisement is associated with more depressive symptoms, more functional limitations, more difficulty performing instrumental activities of daily living, and more difficulty performing activities of daily living among Black people. However, there are no statistically significant relationships between racialized disenfranchisement and health among White people. These findings suggest that policies aiming to mitigate disproportionate Black felony disenfranchisement not only are essential for political inclusion but also may be valuable tools for improving population health equity.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Health affairs (Project Hope)

DOI

EISSN

1544-5208

ISSN

0278-2715

Publication Date

February 2022

Volume

41

Issue

2

Start / End Page

219 / 227

Related Subject Headings

  • United States
  • Systemic Racism
  • Racism
  • Population Health
  • Middle Aged
  • Humans
  • Health Policy & Services
  • Health Equity
  • Aged
  • Activities of Daily Living
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Homan, P. A., & Brown, T. H. (2022). Sick And Tired Of Being Excluded: Structural Racism In Disenfranchisement As A Threat To Population Health Equity. Health Affairs (Project Hope), 41(2), 219–227. https://doi.org/10.1377/hlthaff.2021.01414
Homan, Patricia A., and Tyson H. Brown. “Sick And Tired Of Being Excluded: Structural Racism In Disenfranchisement As A Threat To Population Health Equity.Health Affairs (Project Hope) 41, no. 2 (February 2022): 219–27. https://doi.org/10.1377/hlthaff.2021.01414.
Homan PA, Brown TH. Sick And Tired Of Being Excluded: Structural Racism In Disenfranchisement As A Threat To Population Health Equity. Health affairs (Project Hope). 2022 Feb;41(2):219–27.
Homan, Patricia A., and Tyson H. Brown. “Sick And Tired Of Being Excluded: Structural Racism In Disenfranchisement As A Threat To Population Health Equity.Health Affairs (Project Hope), vol. 41, no. 2, Feb. 2022, pp. 219–27. Epmc, doi:10.1377/hlthaff.2021.01414.
Homan PA, Brown TH. Sick And Tired Of Being Excluded: Structural Racism In Disenfranchisement As A Threat To Population Health Equity. Health affairs (Project Hope). 2022 Feb;41(2):219–227.

Published In

Health affairs (Project Hope)

DOI

EISSN

1544-5208

ISSN

0278-2715

Publication Date

February 2022

Volume

41

Issue

2

Start / End Page

219 / 227

Related Subject Headings

  • United States
  • Systemic Racism
  • Racism
  • Population Health
  • Middle Aged
  • Humans
  • Health Policy & Services
  • Health Equity
  • Aged
  • Activities of Daily Living