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Structural racism and diminished health returns on education among Palestinian refugees in Lebanon

Sawsan Abdulrahim, Dennis Kunichoff, Yara Asi, Nadine Bahour, Weeam Hammoudeh, David Mills, Osama Tanous, Bram Wispelwey and Mary T. Bassett

Social Science & Medicine, 2025, vol. 367, issue C

Abstract: Drawing on structural racism, eco-social, and weathering theories, we examined whether the association between education and health is diminished among Palestinian refugees in Lebanon (PRL) who live under conditions of structural gendered racism. The study utilized data from a national household survey of PRL conducted by a humanitarian organization in December 2022. In a subsample of 7872 PRL 18 years and older, we assessed the association between education and diabetes, hypertension, and cardiovascular disease (CVD). Adjusted risk-ratios (aRR) were calculated to compare the proportions of the outcomes between each gender and education group of interest, adjusting for age, area of residence, and self-reported socioeconomic status. Analyses were conducted on the entire sample and a subsample of those 55 years and older.

Keywords: Structural racism; Chronic disease; Diminished returns theory; Palestinian refugees in Lebanon (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1016/j.socscimed.2025.117710

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