Words and Deeds: Presidential Discussion of Minority Health, Public Policies, and Minority Perceptions

J Health Polit Policy Law. 2017 Oct;42(5):841-863. doi: 10.1215/03616878-3940459. Epub 2017 Jun 29.

Abstract

What are the different rhetorical approaches presidents used to address minority health inequality? More importantly, how have the efforts of presidents impacted minorities' perceptions of health? I offer a historical perspective that describes the three major periods of presidential engagement in discussions of minority health since the 1960s. I couple this historical overview with an empirical assessment that introduces a novel and extensive dataset of every presidential discussion of minority health spanning five decades (1960-2016). This study finds that, since the early 1990s, presidents have transported their discussion of minority health beyond the confines of Washington, DC, traveling to speak to local communities throughout the nation that have a disproportionate number of blacks and Latinos. Moreover, a presidential discussion of minority health leads to greater salience on this issue and thus increases public health awareness. This work suggests that presidential messaging on minority health provides a framework for minority groups to understand and discuss the health disparities that may plague their communities.

Keywords: minority health disparities; presidential politics; racial and ethnic public attitudes.

MeSH terms

  • Black People
  • Health Status Disparities*
  • Humans
  • Minority Groups
  • Minority Health*
  • Public Policy*
  • United States