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The author uses four waves of panel data from the Coronary Artery Risk Development in Young Adults study and random-intercept multilevel models to address three research questions critical to understanding the skin color\u2013health relationship among African American adults ( n = 1,680): What is the relationship between skin color and two global measures of health (cumulative biological risk and self-rated health)? To what extent are these relationships gendered? Do socioeconomic characteristics, stressors, and discrimination help explain the skin color\u2013health relationship? The findings indicate that dark-skinned women experience more physiological deterioration and self-report worse health than lighter skinned women. These associations are not evident among men, and socioeconomic factors, stressors, and discrimination do not explain the dark-light disparity in physiological deterioration among women. Differences in self-ratings of health among women, however, are generally explained by education and income. The results of this study highlight heterogeneity in determinants of health among African Americans. They also provide a more nuanced understanding of health inequality by identifying particularly disadvantaged members of racial groups that are often assumed to have monolithic experiences.<\/jats:p>","DOI":"10.1177\/2332649218793670","type":"journal-article","created":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T10:47:49Z","timestamp":1537440469000},"page":"370-387","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Light Privilege? 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