The concept of race in Health Services Research: 1966 to 1990.
OBJECTIVE
This study examined ways in which race/ethnicity has been conceptualized and used in the health services research literature as published in Health Services Research (HSR).


METHODS
All articles published in HSR from its inception in 1966 to 1990.


METHODS
The analyses were restricted to U.S.-based empirical research on humans or in which human population characteristics are described. This study identifies the terms used for race and/or ethnicity, the frequency with which they occur, and the purposes for which they are utilized.


RESULTS
The study documents that race/ethnicity is widely used in the health services literature to stratify or adjust results and to describe the sample or population of the study. Terms used for race are seldom defined and race is frequently employed in a routine and uncritical manner to represent ill-defined social and cultural factors.


CONCLUSIONS
Researchers and practitioners must give more careful attention to the conceptualization and measurement of race. An understanding of racial/ethnic differences in patterns of health service utilization will require efforts to catalog and quantify the specific social and cultural factors that are differentially distributed by racial and ethnic status.
Williams
D R
DR
Department of Sociology, University of Michigan, Ann Arbor 48106.
D005006:Ethnicity; D006302:Health Services Research / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D010506:Periodicals as Topic / Q000706:statistics & numerical data; D011287:Prejudice; D044469:Racial Groups; D015203:Reproducibility of Results; D012107:Research Design; D012959:Socioeconomic Factors; D009626:Terminology as Topic; D014481:United States