Abstract：
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.
摘要：
学者们将种族主义政治经济制度作为美国健康不平等的驱动因素(即，种族资本主义）。但是种族资本主义如何产生健康不平等？我在2008年金融危机期间掠夺性贷款的历史背景下解决了这个悬而未决的问题。使用来自全国青少年与成人健康纵向研究（N=8,877）的黑人和白人参与者的多波数据对相关假设进行了测试。在社会经济阶层中，我发现黑人参与者报告的丧失抵押品赎回权率更高，驱逐,收回,拖欠账单,收入损失,以及金融危机后的新债务。利用结构方程和准实验模型，然后，我表明，黑人参与者也自我报告在此期间健康迅速下降，处方药滥用增加，其中很大一部分原因是长期的财务压力。我得出的结论是，种族资本主义可以通过使美国黑人陷入金融剥削和压力扩散的有毒网络中来产生健康不平等。
