“Douglas Massey and Stefanie Brodmann provide an ambitious and rigorous examination of how inequality exerts its influence in the lives of young Americans. Analyzing a national longitudinal study and focusing on multiple social contexts—including school, religion, peers, and neighborhoods—the authors discover important new facts and evaluate competing explanations for a diverse set of outcomes. Whether about depression, crime, sexual behavior, obesity, drinking, or human capital attainment, the results are fascinating. Spheres of Influence should be required reading for social scientists and policymakers seeking comprehensive knowledge on the social ecology of class and race inequality.”

—Robert J. Sampson,  Henry Ford II Professor of the Social Sciences, Harvard University

“Spheres of Influence is a pathbreaking book exposing the vast complexities in how race and class intersect in affecting development and well-being as people move from adolescence into adulthood in the United States. The comprehensiveness of the theory and findings about the ways that highly diverse social ecologies of family, school, neighborhood, peers, and religion set the stage for vast inequalities in social outcomes is unparalleled.”

—Lauren J. Krivo, professor of sociology and criminal Justice, Rutgers University

The black-white divide has long haunted the United States as a driving force behind social inequality. Yet, the civil rights movement, the increase in immigration, and the restructuring of the economy in favor of the rich over the last several decades have begun to alter the contours of inequality. Spheres of Influence, co-authored by noted social scientists Douglas S. Massey and Stefanie Brodmann, presents a rigorous new study of the intersections of racial and class disparities today. Massey and Brodmann argue that despite the persistence of potent racial inequality, class effects are drastically transforming social stratification in America.

This data-intensive volume examines the differences in access to material, symbolic, and emotional resources across major racial groups. The authors find that the effects of racial inequality are exacerbated by the class differences within racial groups. For example, when measuring family incomes solely according to race, Massey and Brodmann found that black families’ average income measured $28,400, compared to Hispanic families’ $35,200. But this gap was amplified significantly when class differences within each group were taken into account. With class factored in, inequality across blacks’ and Hispanics’ family incomes increased by a factor of almost four, with lower class black families earning an average income of only $9,300 compared to $97,000 for upper class Hispanics. Massey and Brodmann found similar interactions between class and racial effects on the distribution of symbolic resources, such as occupational status, and emotional resources, such as the presence of a biological father—across racial groups. Although there are racial differences in each group’s access to these resources, like income, these disparities are even more pronounced once class is factored in.

The complex interactions between race and class are apparent in other social spheres, such as health and education. In looking at health disparities across groups, Massey and Brodmann observed no single class effect on the propensity to smoke cigarettes. Among whites, cigarette smoking declined with rising class standing, whereas among Hispanics it increased as class rose. Among Asians and blacks, there was no class difference at all. Similarly, the authors found no single effect of race alone on health: Health differences between whites, Asians, Hispanics, and blacks were small and non-significant in the upper class, but among those in the lower class, intergroup differences were pronounced.

As Massey and Brodmann show, in the United States, a growing kaleidoscope of race-class interactions has replaced pure racial and class disadvantages. By advancing an ecological model of human development that considers the dynamics of race and class across multiple social spheres, Spheres of Influence sheds important light on the factors that are currently driving inequality today.

DOUGLAS S. MASSEY is Henry G. Bryant Professor of Sociology and Public Affairs at the Woodrow Wilson School.

STEFANIE BRODMANN is an economist at the Social Protection and Labor Unit of the World Bank.

Health and medical services should meet individuals’ needs regardless of gender, but in both subtle and overt ways this is very often not the case. Gender biases result not only in flawed access to care but also in insufficient medical research, uninformed diagnoses, and gaps in covering critical needs.

In Health Care and Gender, Charlotte Muller provides a contemporary assessment of the forces that sustain gender biases in the health and medical professions. Beginning with an analysis of gender comparisons in health care usage and adequacy of treatment, Muller discusses the experiences of many different women: working women with insurance coverage, the poor dependent on Medicaid, and the elderly. She also focuses on the issues facing women of reproductive age and shows how poverty or extremely volatile political and ethical controversy may impede their search for basic maternity and family planning services.

Drawing on a large body of evidence from medical, health, and behavioral literature and from national statistics, Health Care and Gender probes a timely and crucial topic. For scholars, analysts, and policy makers interested in women’s studies, health and medical care, gerontology, consumer and labor economics, and social justice. Muller’s thorough analysis looks to the future by presenting agendas for reform, research, and evaluation.

CHARLOTTE F. MULLER is director of the Divisions of Health Economics, Department of Community Medicine, and the professor in the Ritter Department of Geriatrics and Adult Medicine at the Mount Sinai School of Medicine.