title: Intergroup relations and health disparities: a social psychological perspective.
abstract: OBJECTIVE
  This article considers how the social psychology of intergroup processes helps to explain the presence and persistence of health disparities between members of socially advantaged and disadvantaged groups.
  
  
  METHODS
  Social psychological theory and research on intergroup relations, including prejudice, discrimination, stereotyping, stigma, prejudice concerns, social identity threat, and the dynamics of intergroup interactions, is reviewed and applied to understand group disparities in health and health care. Potential directions for future research are considered.
  
  
  RESULTS
  Key features of group relations and dynamics, including social categorization, social hierarchy, and the structural positions of groups along dimensions of perceived warmth and competence, influence how members of high status groups perceive, feel about, and behave toward members of low status groups, how members of low status groups construe and cope with their situation, and how members of high and low status groups interact with each other. These intergroup processes, in turn, contribute to health disparities by leading to differential exposure to and experiences of chronic and acute stress, different health behaviors, and different quality of health care experienced by members of advantaged and disadvantaged groups. Within each of these pathways, social psychological theory and research identifies mediating mechanisms, moderating factors, and individual differences that can affect health.
  
  
  CONCLUSIONS
  A social psychological perspective illuminates the intergroup, interpersonal, and intrapersonal processes by which structural circumstances which differ between groups for historical, political, and economic reasons can lead to group differences in health.
authors: Department of Psychological and Brain Sciences, University of California, Santa Barbara, CA 93106, USA. major@psych.ucsb.edu
authors: Brenda
authors: B
authors: Major
authors: Wendy Berry
authors: WB
authors: Mendes
authors: John F
authors: JF
authors: Dovidio
mesh_terms: D006126:Group Processes; D015438:Health Behavior; D054624:Health Status Disparities; D006801:Humans; D007398:Interpersonal Relations; D010817:Physician-Patient Relations; D011287:Prejudice / Q000523:psychology; D011582:Psychological Theory; D011593:Psychology, Social; D012923:Social Class; D012933:Social Identification; D013240:Stereotyping; D013315:Stress, Psychological
references: Psychol Bull. 2009 Jul;135(4):531-54
references: 19586161
references: J Exp Soc Psychol. 2010 Mar 1;46(2):436-440
references: 20228874
references: J Health Soc Behav. 2010 Dec;51(4):458-77
references: 21131621
references: Int J Obes Relat Metab Disord. 2001 Aug;25(8):1246-52
references: 11477511
references: Soc Sci Med. 2008 Aug;67(3):478-86
references: 18508171
references: J Pers Soc Psychol. 1999 Jan;76(1):114-28
references: 9972557
references: Psychol Rev. 2008 Apr;115(2):336-56
references: 18426293
references: JAMA. 2011 Sep 7;306(9):942-51
references: 21900134
references: J Pers Soc Psychol. 2002 Oct;83(4):896-918
references: 12374443
references: J Health Soc Behav. 2006 Jun;47(2):173-87
references: 16821510
references: Psychol Rev. 2006 Oct;113(4):862-86
references: 17014306
references: J Pers Soc Psychol. 2008 Feb;94(2):278-91
references: 18211177
references: Health Educ Res. 2008 Jun;23(3):454-66
references: 18349033
references: J Pers Soc Psychol. 2007 Dec;93(6):1011-27
references: 18072851
references: Annu Rev Psychol. 2011;62:501-30
references: 20636127
references: J Gen Intern Med. 2010 May;25 Suppl 2:S169-77
references: 20352514
references: J Pers Soc Psychol. 2010 Nov;99(5):785-801
references: 20677890
references: Psychol Sci. 2006 Apr;17(4):332-8
references: 16623691
references: Am J Public Health. 2012 May;102(5):945-52
references: 22420809
references: J Pers Soc Psychol. 2009 Jul;97(1):17-41
references: 19586237
references: Int J Behav Med. 2006;13(1):60-8
references: 16503842
references: J Behav Med. 2009 Feb;32(1):20-47
references: 19030981
references: Pers Soc Psychol Bull. 2011 Feb;37(2):151-64
references: 21239591
references: Pers Soc Psychol Rev. 2010 May;14(2):214-37
references: 20220208
references: Science. 2011 Mar 18;331(6023):1447-51
references: 21415354
references: Am J Public Health. 2003 Feb;93(2):194-9
references: 12554569
references: Du Bois Rev. 2011 Apr 1;8(1):199-218
references: 24761152
references: Health Psychol. 2011 May;30(3):351-9
references: 21553979
references: Psychol Bull. 2005 Mar;131(2):202-23
references: 15740417
references: Du Bois Rev. 2011 Spring;8(1):95-113
references: 29887911
references: Pers Soc Psychol Rev. 2009 Nov;13(4):243-68
references: 19778939
references: Dev Psychol. 2014 Jul;50(7):1897-909
references: 24798504
references: J Gen Intern Med. 2007 Sep;22(9):1231-8
references: 17594129
references: Health Psychol. 2001 Sep;20(5):315-25
references: 11570645
references: Science. 2009 Apr 17;324(5925):400-3
references: 19372432