A research agenda on issues affecting poor and minority women: a model for understanding their health needs

Abstract

Acquiring data on quality of life indicators such as health, mental health and family roles of poor and minority women remains a low research priority. This paper provides an assessment of current knowledge in this area and an overview of the context in which poor and racial/ethnic women utilize health care services. A model that encompasses the interactive effects of race, gender and class variables is proposed. Such a model is a necessity for understanding the health needs of poor and racial/ethnic women. Suggestions for future research and policy formulation are given.

PIP: Acquiring data on quality of life indicators such as health, mental health and family roles of poor and minority women remains a low research priority. This paper provides an assessment of current knowledge in this area and an overview of the context in which poor and racial/ethnic women utilize health care services. A model that encompasses the interactive effects of race, gender and class variables is proposed. Suggestions for future research and policy formulation include 1) the relationship between occupational hazards and reproductive outcome, 2) the prevalence of Cesarian section and hysterectomy, 3) the effects and context of materials presented in family life/sex education classes in schools, 4) the efficacy of informed consent procedures currently in use, 5) provider and recipients of genetic counseling, and 6) amniocentesis and minorities. In addition, there is a dearth of information about aging in the racial/ethnic subgroup although it is known that these women become poorer earlier and at a greater rate. An inquiry must be made into assessing the nature and extent of chronic stress over time and its impact on health status and functioning. Finally, investigation must be made into health practices such as nutrition, substance use, and exercise, and their relationship to socioeconomic status and influence on health status and functioning.