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Keywords

social stratification; health disparities; non-Latino-white; function; disability

Abstract

Disability is related in definite ways with makers of social stratum, as it can be influenced by and has the potential to contribute to the production and reproduction of social stratification. Intersectional markers of social stratification processes are ignored determinants of health. The Class, Race, Sex (CRS) hypothesis presented here argues that a low-education, racial-minority, and female disadvantage will compound to affect the prevalence and risks of disability. The evidence presented validates the CRS hypothesis by showing that disability prevalence and risk clusters first by class, race, and then sex. The cross-sectional study of community-dwelling adults in the Unites States, between the ages of 45 and 44, uses Public Use Microdata Sample (PUMS) 2010 files. The Lucky Few birth-cohort (born between 1936 and 1945) comes from the decennial 1990 PUMS file. The Early-Baby Boom birth-cohort (born between 1946 and 1955) comes from the decennial 2000 PUMS file. The Late-Baby Boom birth-cohort (born between 1956 and 1965) comes from the American Community Survey (ACS) 2010 PUMS file. Population-weighted disability prevalence and logistic regression models, using a total of 624,510 observations, support the CRS hypothesis. Decreasing health disparities requires that we continue to explore how the age-disability association differs between those at lower and upper socioeconomic stratum.