Mixed Race Studies

Race, Class, and Gender in the United States: An Integrated Study

Macmillan
Ninth Edition
2014
732 pages
Paper Text ISBN-10: 1-4292-4217-5; ISBN-13: 978-1-4292-4217-2

Paula S. Rothenberg, Senior Fellow; The Murphy Institute, City University of New York
Professor Emerita; William Patterson University of New Jersey

Like no other text, this best-selling anthology effectively introduces students to the complexity of race, class, gender, and sexuality in the United States and illustrates how these categories operate and interact in society. The combination of thoughtfully selected readings, deftly written introductions, and careful organization make Race, Class, and Gender in the United States, Ninth Edition, the most engaging and balanced presentation of these issues available today.

In addition to including scholarly selections from authors like Beverly Tatum, Barbara Ehrenreich, Annette Lareau, and Jonathan Kozol, Rothenberg includes historical documents like the Three-Fifths Compromise, firsthand narrative accounts of how these issues have affected the lives of individuals, and popular press pieces reporting on discrimination in everyday life.

This edition includes 28 new selections considering such relevant topics as the citizenship and immigration, transgender identity, the 2010 census, multiracial identity, the 99% and the occupy movement, the tragic story of Rutgers student Tyler Clementi, South Asian Identity post 9/11, multiracial identity, disability, sexual harassment in the teenage years, and much more.

Table of Contents ^*Articles new or revised for this edition

• Part I THE SOCIAL CONSTRUCTION OF DIFFERENCE: RACE, CLASS, GENDER, AND SEXUALITY
  • 1 Racial Formations / Michael Omi and Howard Winant
  • 2 The Ethics of Living Jim Crow: An Autobiographical Sketch / Richard Wright
  • 3 Constructing Race, Creating White Privilege / Pem Davidson Buck
  • 4 How Jews Became White Folks / Karen Brodkin
  • 5 “Night to His Day”: The Social Construction of Gender / Judith Lorber
  • 6 The Social Construction of Sexuality / Ruth Hubbard
  • 7 The Invention of Heterosexuality / Jonathan Ned Katz
  • 8 Masculinity as Homophobia / Michael S. Kimmel
  • 9 Disability and the Justification of Inequality in American History / Douglas C. Baynton
  • 10 Deconstructing the Underclass / Herbert Gans
  • 11 Domination and Subordination / Jean Baker Miller
  • Suggestions for Further Reading
• Part II UNDERSTANDING RACISM, SEXISM, HETEROSEXISM, AND CLASS PRIVILEGE
  • 1 Defining Racism: “Can We Talk?” / Beverly Daniel Tatum
  • 2 Color-Blind Racism / Eduardo Bonilla-Silva
  • 3 Smells Like Racism / Rita Chaudhry Sethi
  • 4 Oppression / Marilyn Frye
  • 5 Patriarchy / Allan G. Johnson
  • 6 Homophobia as a Weapon of Sexism / Suzanne Pharr
  • ^*7 The 10 Percent Problem / Kate Clinton
  • 8 White Privilege: Unpacking the Invisible Knapsack / Peggy McIntosh
  • ^*9 Unequal Childhoods: Race, Class, and Family Life / Annette Lareau
  • ^*10 Class in America—2012 / Gregory Mantsios
• Part III Complicating Questions of Identity: Race, Ethnicity, and Immigration
  • 1 A Nation of None and All of the Above / Sam Roberts
  • 2 A New Century: Immigration and the US / MPI Staff, updated by Kevin Jernegan
  • ^*3 Impossible Subjects: Illegal Aliens and the Making of America / Mae Ngai
  • 4 Los Intersticios: Recasting Moving Selves / Evelyn Alsultany
  • ^*5 For many Latinos, Racial Identity Is More Culture than Color / Mireya Navarro
  • ^*6 Testimony / Sonny Singh
  • 7 Asian American? / Sonia Shah
  • 8 The Myth of the Model Minority / Noy Thrupkaew
  • 9 Personal Voices: Facing Up to Race / Carrie Ching
  • Suggestions for Further Readings
• Part IV DISCRIMINATION IN EVERYDAY LIFE
  • 1 The Problem: Discrimination / U.S. Commission on Civil Rights
  • 2 Abercrombie Settles Class-Action Suit
  • 3 Apparel Factory Workers Were Cheated, State Says / Steven Greenhouse
  • 4 Women in the State Police: Trouble in the Ranks / Jonathan Schuppe
  • ^*5 Why Transgender Identification Matters / Rebecca Juro
  • 6 Where “English Only” Falls Short / Stacy A. Teicher
  • 7 Blacks vs. Latinos at Work / Miriam Jordan
  • 8 Manhattan Store Owner Accused of Underpaying and Sexually Harassing Workers / Steven Greenhouse
  • 9 Muslim-American Running Back off the Team at New Mexico State / Matthew Rothschild
  • 10 Tennessee Judge Tells Immigrant Mothers: Learn English or Else / Ellen Barry
  • ^*11 Tucson’s Ousted Mexican-American Studies Director Speaks: The Fight’s Not Over / Julianne Hing
  • 12 My Black Skin Makes My White Coat Vanish / Mana Lumumba-Kasongo
  • 13 The Segregated Classrooms of a Proudly Diverse School / Jeffrey Gettleman
  • 14 Race and Family Income of Students Influence Guidance Counselors’ Advice, Study Finds / Eric Hoover
  • 15 College Choices Are Limited for Students from Needy Families, Report Says / Stephen Burd
  • 16 Wealthy Often Win the Race for Merit-Based College Aid / Jay Mathews
  • 17 On L.I., Raid Stirs Dispute over Influx of Immigrants / Bruce Lambert
  • 18 More Blacks Live with Pollution / Associated Press
  • ^*19 National Study Finds Widespread Sexual Harassment of Students in Grades 7-12 / Jenny Anderson
  • Suggestions for Further Reading
• Part V THE ECONOMICS OF RACE, CLASS, AND GENDER
  • ^*1 Imagine a Country—2012 / Holly Sklar
  • ^*2 Dr King Weeps from His Grave / Cornel West
  • ^*3 Rich People Create Jobs! And Five Other Myths That Must Die for our Economy to Live / Kevin Drum
  • ^*4 It’s Official: The Rich Got Richer: Top Earners Doubled Share of Nation’s Income, Study Finds / Robert Pear
  • ^*5 Study Finds Big Spike in the Poorest in the U.S. / Sabrina Tavernise
  • ^*6 The Making of the American 99% and the Collapse of the Middle Class / Barbara Ehrenreich and John Ehrenreich
  • ^*7 Wealth Gaps Rise to Record Highs Between Whites, Blacks, Hispanics Twenty-to-One: Executive Summary / Rakesh Kochhar, Richard Fry, and Paul Taylor
  • 8 The Economic Reality of Being Asian American / Meizhu Lui and others
  • 9 The Economic Reality of Being Latino/a in the U.S. / Meizhu Lui and others
  • ^*10 Hispanic Children in Poverty Exceed Whites / Sabrina Tavernise
  • ^*11 Gender Gap on Wages is Slow to Close / Motoko Rich
  • 12 Women Losing Ground / Ruth Conniff
  • 13 Lilly’s Big Day / Gail Collins
  • 14 “Savage Inequalities” Revisited / Bob Feldman
  • 15 Cause of Death: Inequality / Alejandro Reuss
  • ^*16 Undocumented Immigrants Find Paths to College, Careers / Gosnia Wozniacka
  • 17 Immigration’s Aftermath / Alejandro Portes
  • ^*18 Inequality Undermines Democracy / Eduardo Porter
  • Suggestions for Further Reading
• Part VI MANY VOICES, MANY LIVES: SOME CONSEQUENCES OF RACE, CLASS, AND GENDER INEQUALITY
  • 1 Civilize Them with a Stick / Mary Brave Bird (Crow Dog) with Richard Erdoes
  • 2 Then Came the War / Yuri Kochiyama
  • 3 Yellow / Frank Wu
  • 4 The Arab Woman and I / Mona Fayad
  • 5 Crossing the Border Without Losing Your Past / Oscar Casares
  • 6 The Event of Becoming / Jewelle L. Gomez
  • 7 This Person Doesn’t Sound White / Ziba Kashef
  • ^*8 In Strangers’ Glances at Family, Tensions Linger / Susan Saulny
  • 9 Family Ties and the Entanglements of Caste / Joseph Berger
  • 10 Pigskin, Patriarchy, and Pain / Don Sabo
  • 11 The Slave Side of Sunday / Dave Zirin
  • 12 He Defies You Still: The Memoirs of a Sissy / Tommi Avicolli
  • 13 Requiem for the Champ / June Jordan
  • ^*14 Against Bullying or On Loving Queer Kids / Richard Kim
  • 15 Before Spring Break, The Anorexic Challenge / Alex Williams
  • 16 The Case of Sharon Kowalski and Karen Thompson: Ableism, Heterosexism, and Sexism / Joan L. Griscom
  • ^*17 Misconceptions Regarding the Body / Jennifer Bartlett
  • 18 C. P. Ellis / Studs Terkel
  • Suggestions for Further Reading
• Part VII HOW IT HAPPENED: RACE AND GENDER ISSUES IN U.S. LAW
  • 1 Indian Tribes: A Continuing Quest for Survival /U.S. Commission on Human Rights
  • 2 An Act for the Better Ordering and Governing of Negroes and Slaves, South Carolina, 1712
  • 3 The “Three-Fifths Compromise”: The U.S. Constitution, Article I, Section 2
  • 4 An Act Prohibiting the Teaching of Slaves to Read
  • 5 Declaration of Sentiments and Resolutions, Seneca Falls Convention, 1848
  • 6 The Antisuffragists: Selected Papers, 1852–1887
  • 7 People v. Hall, 1854
  • 8 Dred Scott v. Sandford, 1857
  • 9 The Emancipation Proclamation / Abraham Lincoln
  • 10 United States Constitution: Thirteenth (1865), Fourteenth (1868), and Fifteenth (1870) Amendments
  • 11 The Black Codes / W. E. B. Du Bois
  • 12 Bradwell v. Illinois, 1873
  • 13 Minor v. Happersett, 1875
  • 14 California Constitution, 1876
  • 15 Elk v. Wilkins, November 3, 1884
  • 16 Plessy v. Ferguson, 1896
  • 17 United States Constitution: Nineteenth Amendment (1920)
  • 18 Korematsu v. United States, 1944
  • 19 Brown v. Board of Education of Topeka, 1954
  • 20 Roe v. Wade, 1973
  • 21 The Equal Rights Amendment (Defeated)
  • 22 Lawrence et al. v. Texas, 2003
  • ^*23 Equal Protection Indeed / The Economist
  • ^*24 Victory: The Triumphant Gay Revolution / Linda Hirshman
  • Suggestions for Further Reading
• Part VIII MAINTAINING RACE, CLASS, AND GENDER HIERARCHIES: REPRODUCING “REALITY”
  • 1 Self-Fulfilling Stereotypes / Mark Snyder
  • 2 Anti-Gay Stereotype / Richard D. Mohr
  • 3 White Lies / Maurice Berger
  • 4 Am I Thin Enough Yet? / Sharlene Hesse-Biber
  • 5 Advertising at the Edge of the Apocalypse / Sut Jhally
  • 6 The Plutocratic Culture: Institutions, Values, and Ideologies / Michael Parenti
  • 7 Media Magic: Making Class Invisible / Gregory Mantsios
  • 8 Still Separate, Still Unequal: America’s Educational Apartheid / Jonathan Kozol
  • 9 Masked Racism: Reflections on the Prison Industrial Complex / Angela Davis
  • Suggestions for Further Reading
• Part IX SOCIAL CHANGE: REVISIONING THE FUTURE AND MAKING A DIFFERENCE
  • 1 Age, Race, Class, and Sex: Women Redefining Difference / Audre Lorde
  • 2 Feminism: A Transformational Politic / bell hooks
  • 3 A New Vision of Masculinity / Cooper Thompson
  • 4 Interrupting the Cycle of Oppression: The Role of Allies as Agents of Change / Andrea Ayvazian
  • 5 Rethinking Volunteerism in America / Gavin Leonard
  • ^*6 The Most Important Thing in the World / Naomi Klein
  • ^*7 Beyond Elections: People Power / Mark Bittman
  • ^*8 Demand the Impossible / Matthew Rothschild
  • Suggestions for Further Reading
• Index

The Racial Discrimination Embedded in Modern Medicine

Newsweek
2015-10-20

Lindsey Konkel

Minutes separated Are’Yana Hill from death as she struggled to breathe in the hallway of her San Francisco high school. The 18-year-old had lived with asthma attacks since before she could talk, and on that day, in April 2014, she could not speak. She thrust the rescue inhaler she carried in her backpack between her lips and inhaled. No relief. It felt, she thought, as if a charley horse had formed in her chest, knotting her lungs—each gasp trammeled by tightening airways. Her pursed lips turned gray, and all she could think about was her unborn baby. Hill, eight months pregnant, clutched her inhaler and prayed for paramedics to arrive.

“I take my medicine every day. I do everything the doctors tell me. I’ve tried every single thing, and I still have attacks,” Hill said a little more than a year later, as a nurse at San Francisco General Hospital’s Asthma Clinic placed a stethoscope on her back, between her shoulders. Her wheezing was barely audible. Each expiration sounded like the whistle of a distant tea kettle.

The attack in 2014 put Hill in the hospital. Asthma attack patients in the emergency room are often given oxygen and albuterol or other medications to relax the airways through a nebulizer mask. These treatments typically last a couple of hours, but Hill’s airways weren’t opening. She breathed through a nebulizer continuously for a week while the doctors closely monitored her pregnancy. Hill has brittle asthma—severe and unpredictable attacks that are poorly controlled, even with medication. Two weeks after she left the hospital, her son was born, healthy. Others are not as lucky…

…In the U.S. medical community, studying racial differences in disease susceptibility and response to treatments remains controversial. Race and ethnicity are social constructs that have been used to marginalize and exploit. Scientifically, race serves only as a crude proxy for what experts call genetic ancestry—the diverse signatures that arose in the genetic code as our ancestors traversed the globe.

Some experts worry that a focus on finding genetic differences obscures the need to address the socioeconomic disparities that lead to uneven access to health care in the U.S. “Focusing on inclusion in clinical trials is a great way to ignore the fact that large numbers of poor and minority people are getting less than optimal health care,” says Dr. Otis Brawley, chief medical officer for the American Cancer Society.

Yet because of its social baggage, race remains a powerful tool for studying patterns of disease and health, according to Sam Oh, an epidemiologist in Burchard’s laboratory at UCSF. A person’s self-identified race or ethnicity can offer important clues beyond genetic ancestry about important cultural, socioeconomic and environmental factors that may influence disease risk…

Read the entire article here.

Public Symposium — DNA and Indigeneity

Intellectual Property Issues in Cultural Heritage (IPinCH)
Simon Fraser University Harbour Centre
Vancouver, British Columbia, Canada
2015-10-22, 12:30-17:30 PDT (Local Time)

On October 22 at 12:30 pm, join us for the DNA and Indigeneity: The Changing Role of Genetics in Indigenous Rights, Tribal Belonging, and Repatriation conference in downtown Vancouver. This event will bring together an international and interdisciplinary group of archaeologists, anthropologists, bioethicists, geneticists, and representatives from Indigenous organizations to explore the promise and perils of using biological and genetic information to inform understandings of identity. Ultimately, this event will investigate the degree to which biology and genetics currently inform these areas, and—perhaps most importantly—identify the limitations of this approach.

The public symposium will be held at Simon Fraser University Harbour Centre in downtown Vancouver and is free for all to attend (make sure you RSVP). The symposium will include presentations that weave together perspectives from anthropology, bioethics, and genetics.

For more information, click here.

Human Variation: A Genetic Perspective on Diversity, Race, and Medicine

Cold Spring Harbor Laboratory Press
2014
131 pages
(21 4C, 5B&W), index
Hardcover ISBN: 978-1-621820-90-1
Paperback ISBN: 978-1-936113-25-5

Edited by:

Aravinda Chakravarti, Professor of Medicine, Pediatrics, Molecular Biology & Genetics, and, Biostatistics
Johns Hopkins University School of Medicine, Institute of Genetic Medicine

Since the appearance of modern humans in Africa around 200,000 years ago, we have migrated around the globe and accumulated genetic variations that affect various traits, including our appearance, skin color, food tolerance, and susceptibility to different diseases. Large-scale DNA sequencing is now allowing us to map the patterns of human genetic variation more accurately than ever before, trace our ancestries, and develop personalized therapies for particular diseases. It is also reinforcing the idea that human populations are far from homogeneous, are highly intermixed, and do not fall into distinct races or castes that can be defined genetically.

This book provides a state-of-the-art view of human genetic variation and what we can infer from it, surveying the genetic diversity seen in Africa, Europe, the Americas, and India. The contributors discuss what this can tell us about human history and how it can be used to improve human health. They also caution against assumptions that differences between individuals always stem from our DNA, stressing the importance of nongenetic forces and pointing out the limits of our knowledge. The book is thus essential reading for all human geneticists and anyone interested in how we differ and what this means.

Contents

• Preface
• Perspectives on Human Variation through the Lens of Diversity and Race / Aravinda Chakravarti
• What Type of Person Are You? Old-Fashioned Thinking Even in Modern Science / Kenneth M. Weiss and Brian W. Lambert
• Social Diversity in Humans: Implications and Hidden Consequences for Biological Research / Troy Duster
• Demographic Events and Evolutionary Forces Shaping European Genetic Diversity / Krishna R. Veeramah and John Novembre
• Genetic Variation and Adaptation in Africa: Implications for Human Evolution and Disease / Felicia Gomez, Jibril Hirbo and Sarah A. Tishkoff
• A Genomic View of Peopling and Population Structure of India / Partha P. Majumder and Analahba Basu
• How Genes Have Illuminated the History of Early Americans and Latino Americans / Andres Ruiz-Linares
• Can Genetics Help Us Understand Indian Social History? / Romila Thapar
• Race in Biological and Biomedical Research / Richard S. Cooper
• Personalized Medicine and Human Genetic Diversity / Yi-Fan Lu, David B. Goldstein, Misha Angrist, and Gianpiero Cavalleri
• Index

Race Correction and Inequalities in Medicine

ANTH 1310 S01: International Health: Anthropological Perspectives
Brown University, Providence, Rhode Island
2015-10-02

Methma Udawatta

The history of medicine is fraught with unnecessary racialization. In “The Diseased Heart of Africa: Medicine, Colonialism, and the Black Body,” Comaroff writes about how the black body became “associated with degradation, disease, and contagion” and how colonial medicine “link[ed] racial intercourse with the origin of sickness.” These overtly racist ideas have decreased in influence over time. However, even today, the remainders of these ideas still manifest themselves in racial inequalities in treatment and access to medical resources, and in the general racialization of medicine, both in the U.S. and around the world.

Smedley and Smedley write about the consistent racial and ethnic disparities in health care in their paper, “Race as Biology is Fiction, Racism as a Social Problem is Real.” They report a series of shocking statistics, which include that Africans Americans and Hispanics in the U.S. tend to receive lower quality health care across many different disease areas, African Americans are more likely than whites to “receive less desirable services, such as amputation,” and that these disparities are “found across a wide range of clinical settings including public and private hospitals, teaching and nonteaching hospitals.…” Similarly, Livingston details a scenario where a patient O (a black man) is expected to endure an incredible amount of pain during a bone-marrow biopsy without making any sounds of pain. When Mr. J (a white man) undergoes a similar bone marrow aspiration, Dr. A holds his hand and the Motswana nurse comforts him. Livingston writes that “his whiteness apparently creates different expectations around his stoicism.” Smedley and Smedley write that racialized science (and any science that looks for differences between racial groups) can only maintain and reinforce existing inequalities. Although many racial disparities in health are also the product of socioeconomic differences, Smedley and Smedley argue that when we accept this concept, there is the implicit idea that these socioeconomic differences are acceptable…

Read the entire article here.

Race as Biology Is Fiction, Racism as a Social Problem Is Real: Anthropological and Historical Perspectives on the Social Construction of Race

American Psychologist
Volume 60, Number 1, January 2005
pages 16–26
DOI: 10.1037/0003-066X.60.1.16

Audrey Smedley
Virginia Commonwealth University Institute of Medicine

Brian D. Smedley
Virginia Commonwealth University Institute of Medicine

Racialized science seeks to explain human population differences in health, intelligence, education, and wealth as the consequence of immutable, biologically based differences between “racial” groups. Recent advances in the sequencing of the human genome and in an understanding of biological correlates of behavior have fueled racialized science, despite evidence that racial groups are not genetically discrete, reliably measured, or scientifically meaningful. Yet even these counterarguments often fail to take into account the origin and history of the idea of race. This article reviews the origins of the concept of race, placing the contemporary discussion of racial differences in an anthropological and historical context.

Read the entire article here.

Changes in racial categorization over time and health status: an examination of multiracial young adults in the USA

Ethnicity & Health
Published online: 2015-06-08
DOI: 10.1080/13557858.2015.1042431

Karen M. Tabb, Assistant Professor of Social Work
University of Illinois, Urbana-Champaign

• Objective: Multiracial (two or more races) American health related to racial stability over the life course is a pressing issue in a burgeoning multi-ethnic and multicultural global society. Most studies on multiracial health are cross-sectional and thus focus on racial categorization at a single time point, so it is difficult to establish how health indicators change for multiracials over time. Accordingly the central aim of this paper was to explore if consistency in racial categories over time is related to self-rated health for multiracial young adults in the USA.
• Methods: Data were drawn from the National Longitudinal Study of Adolescent Health (Add Health) survey (N = 7957). Weighted multivariate logistic regression was used to exam health status in early adulthood between individuals who switched racial categories between Waves 1 and 3 compared to those who remained in the same racial categories.
• Results: There were significant differences in report of self-rated health when comparing consistent monoracial adults with multiracial adults who switch racial categories over time. Diversifying (switching from one category to many categories) multiracial respondents are less likely to report fair/poor self-rated health compared to single-race minority young adults in the fully adjusted model (OR = 0.20; 95% CI [0.06–0.60]).
• Conclusion: These results demonstrate the importance of critically examining changes in racial categories as related to health status over time. Furthermore, these results demonstrate how the switch in racial categories during adolescence can explain some variations in health status during young adulthood.

Read or purchase the article here.

Esther Cepeda: The complexities of race and ethnicity

GazetteXtra
Janesville, Wisconsin
2015-10-17

Esther Cepeda, Columnist
Washington Post Writers Group

CHICAGO

Our society gives a lot of lip service to the importance of diversity in fields such as science, medicine and technology because multicultural people bring unique viewpoints, varied life experiences and new ideas.

Rarely do we come upon an ideal example of how this plays out in real life.

Karen M. Tabb Dina, an assistant professor at the University of Illinois at Urbana-Champaign, recently published a paper in the journal Ethnicity and Health that found that adults who identified as one race when they were young but now identify as multiracial report being healthier compared with those who continue to identify as monoracial.

The idea for this study came 10 years ago when Tabb Dina was a health policy researcher in low-income communities studying how race and ethnicity impact long-term health. She noticed that the way some of her patients identified racially didn’t always match the way their medical records categorized them.

Identity is a complex and often thorny issue. There are many reasons—including education level, geographic location and gender—why someone with a multiracial background would choose to identify as a single race or multiracial, and why that could change throughout a lifetime…

Read the entire article here.

Health Care, Research Failing to Adapt to U.S.’s Growing Multiracial Population

School of Social Work
University of Illinois, Urbana-Champaign
2015-10-12

Data collection methods in research and health care settings have lagged behind in adapting to the rapidly growing population of multiracials, according to studies led by social work professor Karen M. Tabb Dina

Multiracial people who change their racial identity from a single race to multiracial over time may be healthier than their minority peers who consistently identify as monoracial, new research suggests.

Despite the U.S.’s rapidly growing population of multiracial individuals, researchers and health care systems continue to use outdated approaches to racial categorization that force people to classify themselves as monoracial, which may be masking the incidence of health conditions and obscuring disparities in health care access and utilization among multiracial populations, a University of Illinois scholar said.

Social work professor Karen M. Tabb Dina is the lead author of two recent studies that explored issues of racial identity and its impact on health care access and utilization among nearly 8,000 U.S. young people.

The subjects in both of Tabb Dina’s studies were participants in the National Longitudinal Study of Adolescent Health, one of the first surveys to allow respondents to identify themselves as multiracial using two or more racial categories, Tabb Dina said.

Participants in the Adolescent Health survey were asked about their racial background during the first wave of data collection in 1994 and again during the third wave, conducted in 2002.

Of the 7 percent of participants identified as multiracial at either wave, only 20 percent of these people selected the same racial categories both times, Tabb Dina found.

Read the entire article here.

Disparities in Health Services Use Among Multiracial American Young Adults

Journal of Immigrant and Minority Health
First online: 2015-09-29
8 pages
DOI: 10.1007/s10903-015-0289-7

Karen M. Tabb, Assistant Professor of Social Work
University of Illinois, Urbana-Champaign

Christopher R. Larrison, Associate Professor of Social Work
University of Illinois, Urbana-Champaign

Shinwoo Choi
School of Social Work
University of Illinois, Urbana-Champaign

Hsiang Huang, Instructor of Psychiatry
Cambridge Health Alliance
Harvard Medical School

Addressing disparities in health services utilization remains critical for improving minority health; however, most studies do not report on the health service use of multiracial young adults (age 22–34). This study compares past year health service use of self-identified multiracial (two or more races) young adults with monoracial White young adults. Weighted survey data from Add Health (N = 7296) and multivariate logistic regression analyses were used. Compared to monoracial White young adults, Black-White multiracial [OR 0.40, 95 % CI (0.17–0.90)] and Black-Native American multiracial [OR 0.23, 95 % CI (0.09–0.63)] young adults are less likely to report primary care service use in the past year. Multiracial young adults have different health care service utilization than their White monoracial peers with Black-Native American young adults appearing to be particularly vulnerable to under-utilization of primary care services. It is important to examine multiracial subgroups when studying patterns of health services utilization.