Blacks in the United States have the highest rates of hypertension in the world, and their cardiovascular disease mortality rates are higher than for any other population group as a result of traditional risk factors such as obesity and stronger family history. However, additional underlying factors, such as social determinants of health (e.g., socioeconomic status [SES]) and macrosocial factors (e.g., racism), also correlate with adverse health outcomes. This study investigated whether the interaction between SES mobility over the lifecourse and lifetime racial discrimination influenced the extent to which hypertension contributed to the cardiovascular disease health disparities observed among Blacks in the Jackson Heart Study (JHS). Using a socioecological framework, cross-sectional data collected from the baseline period on a cohort of 5,302 JHS participants were analyzed with multiple regression techniques. The study findings indicated that SES mobility, as measured by education, predicted both the racial discrimination exposure and the burden that individuals experience. However, neither SES mobility nor racial discrimination had any effect in moderating the relationship between hypertension and cardiovascular disease when examined individually or collectively. This study examined a new approach for measuring the influence of racial discrimination on health outcomes. Multidisciplinary public health and research partners should continue to advance understanding of the complex health impact of such experiences on individuals and the dynamics that create racial factors in order to effect social change.

The aim of this essay is to gain a better understanding of the difficulties highly educated migrant women face in trying to find work that matches their education. Furthermore, the study examines the consequences failing to find a suitable job might cause. Stratification and intersectionality have been used as theoretical framework in order to analyze the way in which mechanisms of exclusion and various intersections influence these women’s work opportunities. The results show that language, age and priorities regarding family play a major part in the possible hardship along the road to a job matching that of their education. This also had a negative effect on some of the informant’s health, self-confidence and career. / Studiens syfte är att få en djupare kunskap om vilka svårigheter och hinder som gör att vissahögutbildade migrantkvinnor inte återvänder till en sysselsättning som matchar deras kompetens. Studien undersöker också vilka förväntningar kvinnorna hade om arbets möjligheter i Sverige samt konsekvenser som uppstår av att de inte lyckas återvända till deras tidigare sysselsättning. Stratifiering och intersektionalitet har använts som teoretiskt ramverk för att analysera hur utestängningsmekanismer och olika intersektioner påverkar kvinnornas arbetsmöjligheter. Resultat visar att språk, ålder och prioritering av familjen spelade en betydande roll för misslyckandet av att återvända till ett matchande yrke. Detta ledde till negativa konsekvenser som påverkade flera av informanternas hälsa, självförtroende och karriär.