Scholars cite racist political-economic systems as drivers of health inequities in the United States (i.e., racial capitalism). But how does racial capitalism generate health inequities? I address this open question within the historical context of predatory lending during the 2008 financial crisis. Relevant hypotheses are tested with multiple waves of data from Black and White participants of the National Longitudinal Study of Adolescent to Adult Health (N = 8,877). Across socioeconomic strata, I find that Black participants report higher rates of foreclosure, eviction, repossession, delinquent bills, lost income, and new debts in the wake of the financial crisis. Using structural equation and quasi-experimental models, I then show that Black participants also self-report rapid health declines and increases in prescription drug abuse throughout this period, much of which is explained by chronic financial stress. I conclude that racial capitalism can generate health inequities by ensnaring Black Americans in a toxic web of financial exploitation and stress proliferation.

中文翻译：

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美国的种族资本主义和黑人与白人的健康不平等：以 2008 年金融危机为例


学者们将种族主义政治经济体系视为美国健康不平等的驱动因素（即种族资本主义）。但种族资本主义是如何造成健康不平等的呢？我在 2008 年金融危机期间掠夺性贷款的历史背景下回答了这个悬而未决的问题。相关假设通过全国青少年至成人健康纵向研究 (N = 8,877) 的黑人和白人参与者的多波数据进行了检验。在整个社会经济阶层中，我发现黑人参与者在金融危机后报告了更高的丧失抵押品赎回权、驱逐、收回、拖欠账单、收入损失和新债务的比率。然后，我使用结构方程和准实验模型表明，黑人参与者还自我报告了在此期间健康状况迅速下降和处方药滥用增加，其中大部分是由长期财务压力造成的。我的结论是，种族资本主义会让美国黑人陷入经济剥削和压力扩散的有毒网络，从而造成健康不平等。