Instructor Resource

Coates, The Matrix of Race

SAGE Publishing, 2018
Test Bank for Matrix of Race Social Construction
Intersectionality and Inequality 1st Edition Coates Ferber
Brunsma 1452202699 9781452202693
Full download link at:
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intersectionality-and-inequality-1st-edition-coates-ferber-brunsma-1452202699-
9781452202693/

Chapter 5: Health, Medicine, and Health Care

Test Bank
Multiple Choice
1. What percentage of American Indians and Alaska Native do not live on reservations?
a. 50
b. 70
c. 95
d. 10
Ans: B
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Knowledge
Answer Location: Urban American Indian Healthcare
Difficulty Level: Easy

2. Which of the following is a health disparity found between low and high income
populations?
a. quality of health care
b. access to health care
c. care coordination
d. all of these
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Patterns of Inequality in Health and Healthcare
Difficulty Level: Easy

3. African Americans and Mexican Americans have a higher rate of this disease
compared to whites.
a. diabetes, type 2
b. heart disease
c. anxiety
d. both “diabetes, type 2” and “heart disease”
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Patterns of Inequality in Health and Healthcare
Difficulty Level: Medium

4. This refers to the number of deaths in a given population.

a. mortality
b. morbidity
c. fecundity
d. death index
Ans: A
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Comprehension
Answer Location: Patterns of Inequality in Health and Health Care
Difficulty Level: Medium

5. To garner greater support for access to contraception, Margaret Sanger ______.

a. advanced eugenics ideologies to argue that birth control would benefit white society
b. was a strong supporter of racial justice
c. refuted racist and xenophobic rhetoric
d. encouraged white women to have more children
Ans: A
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Comprehension
Answer Location: Race, Reproduction, and the Women’s Health Movement
Difficulty Level: Medium

6. ______ consists of indigenous knowledge, skills, and practices that have been
passed down over generations.
a. Shamanism
b. Traditional medicine
c. Witchcraft
d. Voodoo
Ans: B
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Traditional Healing
Difficulty Level: Easy

7. The National Black Women’s Health Project was formed ______.

a. to situate Black women’s health within the larger context of race and class inequality
b. as part of a legacy of black women’s activism in the face of exclusion and racism
from the first wave of the women’s movement
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
c. to ensure rights to contraception, family planning, and freedom from forced
sterilization
d. all of these
Ans: D
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Comprehension
Answer Location: Race, Reproduction, and the Women’s Health Movement
Difficulty Level: Medium

8. This is a way that traditional healers differ from conventional medical practice.
a. They recognize the relationship between people and nature.
b. They may focus on healing the person rather than just the illness.
c. They use herbs.
d. all of these
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Comprehension
Answer Location: Traditional Healing
Difficulty Level: Medium

9. Which of the following is true of traditional healers?

a. The World Health Organization recognizes their importance.
b. They are respected by the American Medical Association.
c. They have provided much of our current understanding of the medicinal qualities of
plans and herbs.
d. both “the World Health Organization recognizes their importance” and “they have
provided much of our current understanding of the medicinal qualities of plans and
herbs”
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Comprehension
Answer Location: Traditional Healing
Difficulty Level: Medium

10. Which of the following is true of the institution of medicine?

a. Prior to the middle of the 19th century medicine did not exist as an institutionalized
discipline.
b. The establishment of the American Medical Association was an attempt to legitimize
medical doctors.
c. Medical doctors have always worked in conjunction with traditional healers.
d. both “prior to the middle of the 19th century medicine did not exist as an
institutionalized discipline” and “the establishment of the American Medical Association
was an attempt to legitimize medical doctors”
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Cognitive Domain: Knowledge
Answer Location: Modern Medicine and Discrimination
Difficulty Level: Easy

11. By 1900, how many medical schools were open to educating black physicians?
a. 3
b. 7
c. 11
d. 19
Ans: C
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Modern Medicine and Discrimination
Difficulty Level: Hard

12. Prior to World War II, how many black physicians graduated annually in the United
States?
a. 250
b. 20
c. 175
d. 120
Ans: B
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Modern Medicine and Discrimination
Difficulty Level: Hard

13. What year were hospitals desegregated?

a. 1954
b. 1973
c. 1964
d. 1970
Ans: C
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Modern Medicine and Discrimination
Difficulty Level: Hard

14. Which of the following might be a social consequence of the lack of minority
physicians in the United States?
a. better health care
b. minority patients feeling unable to relate to their health care providers
c. minority patients feeling as though they can relate to their health care providers
d. none of these
Ans: B
Learning Objective: 5-1: Describe contemporary inequality in health and health care
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Cognitive Domain: Application
Answer Location: Modern Medicine and Discrimination
Difficulty Level: Easy

15. The process of natural selection was explained by ______.

a. Gregory Mendel
b. Charles Darwin
c. Alexander Burns
d. Adolf Hitler
Ans: B
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: The Social Construction of “Fit” and “Unfit” Bodies
Difficulty Level: Medium

16. Which sociologist coined the phrase “survival of the fittest” in 1864?
a. Herbert Spencer
b. Karl Marx
c. W.E.B. DuBois
d. Émile Durkheim
Ans: A
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Social Darwinism and the Rise of Eugenics
Difficulty Level: Medium

17. Who coined the term “eugenics”?

a. Herbert Spencer
b. Gregory Mendel
c. Francis Galton
d. Charles Darwin
Ans: C
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Social Darwinism and the Rise of Eugenics
Difficulty Level: Medium

18. Which city legalized an “Ugly Law” in 1911?

a. New York City
b. Dallas
c. Chicago
d. San Francisco
Ans: C
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Difficulty Level: Medium

19. What condition was included under the Immigration Law of 1891?
a. pregnancy
b. poverty
c. lack of morals
d. all of these
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Medium

20. Which of the following is true of the Immigration Law of 1891?

a. Pregnancy was considered a reason for deportation.
b. Poverty was considered a reason for deportation.
c. IQ tests were used.
d. all of these
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Easy

21. Which eugenicist published the Trait Book in 1912?

a. Charles Davenport
b. Charles Darwin
c. Gregor Mendel
d. Francis Galton
Ans: A
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Medium

22. How many U.S. states adopted laws allowing eugenic sterilizations?
a. 15
b. 42
c. 21
d. 33
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Medium
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
23. This is the U.S. Supreme Court case that upheld Virginia’s law requiring the
sterilization of those deemed “socially inadequate” and living on government support in
1927.
a. Buck v. Bell
b. Loving and Loving vs. Virginia
c. Plessy v. Ferguson
d. Brown v. Board of Education
Ans: A
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Medium

24. Which U.S. state led the way in the forced sterilization of “mental defectives” by
1963?
a. Pennsylvania
b. Texas
c. Ohio
d. California
Ans: D
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Medium

25. Which leader was strongly influenced by the eugenics movement?

a. Gandhi
b. Hitler
c. Stalin
d. Mao
Ans: B
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Eliminating the “Unfit”
Difficulty Level: Medium

26. “Conversion therapy” was intended to change ______.

a. political affiliation
b. mental illness
c. sexual orientation
d. miscegenation
Ans: C
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Knowledge
Answer Location: Inventing the Homosexual
Difficulty Level: Medium
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018

27. Women of color are overrepresented in this occupation.

a. nursing
b. nursing assistant
c. home healthcare worker
d. both “nursing assistant” and “home healthcare worker”
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Applying the Matrix to Health Inequity and Inequality
Difficulty Level: Medium

28. Which social characteristic is correlated with body weight?

a. social class
b. race
c. religion
d. both “social class” and “race”
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: An Intersectional Approach to health and healthcare
Difficulty Level: Medium

29. Which of the following is true about home health care workers?
a. Some lack the protection of a guaranteed minimum wage.
b. All home health care workers are guaranteed overtime pay.
c. They receive standard benefit packages.
d. Less than 50% are women.
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: Gender and Health Care
Difficulty Level: Medium

30. Which of the following illustrates the health consequences of growing up in poverty?
a. Poor nutrition in childhood affects cognitive development.
b. Childhood poverty is correlated with experiencing depression and anxiety.
c. environmental risk factors
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Class and Health
Difficulty Level: Easy

31. This is the incidence of illness in a given population.

 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
a. mortality
b. morbidity
c. miscegenation
d. fecundity
Ans: B
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Class and Health
Difficulty Level: Medium

32. If a sociologist was studying the prevalence of HIV/AIDS among minority men in
Chicago, the focus of the study would be on ______.
a. morbidity
b. mortality
c. sexual orientation
d. miscegenation
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Application
Answer Location: Class and Health
Difficulty Level: Hard

33. If a sociologist wanted to compare the number of deaths caused by AIDS in 1970s
to those caused by AIDS in the 1990s, then the study would be focused on ______.
a. morbidity
b. mortality
c. sexual orientation
d. miscegenation
Ans: B
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Application
Answer Location: Class and Health
Difficulty Level: Hard

34. Which group experiences fewer preterm births compared to blacks?

a. whites
b. Asians
c. Pacific Islanders
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Race and Health
Difficulty Level: Easy

35. Who was the first sociologist to recognize the impact of stress on health?
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
a. Émile Durkheim
b. W.E.B. DuBois
c. Karl Marx
d. Herbert Spencer
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Stress and Microaggressions
Difficulty Level: Medium

36. These are brief, verbal, nonverbal, and behavioral insults to a person or group,
whether intentional or unintentional.
a. racist acts
b. microaggressions
c. interpersonal conflicts
d. none of these
Ans: B
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Stress and Microaggressions
Difficulty Level: Easy

37. Which of the following is true of microaggressions?

a. They are a form of psychological stressor tied specifically to one’s identity as a
member of an oppressed group.
b. Their impact comes from their cumulative nature.
c. Their impact comes from the intention of the person.
d. both “they are a form of psychological stressor tied specifically to one’s identity as a
member of an oppressed group” and “their impact comes from their cumulative nature”
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Application
Answer Location: Stress and Microaggressions
Difficulty Level: Hard

38. The experience of this has been likened to the cumulative experience of getting
paper cuts every day.
a. overt racism
b. institutional racism
c. colorblind racism
d. microaggressions
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: Stress and Microaggressions
Difficulty Level: Medium
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018

39. Who was the founding president of the Black Psychiatrists of America?
a. Chester Pierce
b. Emit Wallace
c. Pat Collins
d. Walter White
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Stress and Microaggressions
Difficulty Level: Medium

40. Who defined microaggressions as the brief, verbal, nonverbal, and behavioral
insults to a person or group, whether intentional or unintentional?
a. Chester Pierce
b. Emit Wallace
c. Pat Collins
d. Walter White
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Stress and Microaggressions
Difficulty Level: Medium

41. Research has shown this social factor to be correlated with mortality rates.
a. low education
b. low social support
c. poverty
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Stress and Microaggressions
Difficulty Level: Easy

42. This was a mental illness invented to explain why slaves tried to escape slavery.
a. drapetomania
b. slavitis
c. freedom fever
d. none of these
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: A Legacy of Mistrust
Difficulty Level: Easy
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
43. ______ described drapetomania in his book Diseases and Peculiarities of the Negro
in 1851.
a. Émile Durkheim
b. Sigmund Freud
c. Samuel Cartwright
d. Karl Marx
Ans: C
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: A Legacy of Mistrust
Difficulty Level: Medium

44. The mental illness of drapetomania was only experienced by ______.

a. refugees
b. slaves
c. immigrants
d. victims of domestic violence
Ans: B
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: A Legacy of Mistrust
Difficulty Level: Easy

45. What is considered the best known medical experiment of a minority group in the
United States?
a. Prison Experiment
b. Tuskegee Syphilis Study
c. Forced Sterilization Study
d. Frontal Lobotomy Study
Ans: B
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: A Legacy of Mistrust
Difficulty Level: Easy

46. Which of the following is true regarding the sample used in the Tuskegee Syphilis
Study?
a. They were all poor men.
b. The men were from Alabama.
c. The experimental group was never informed that they had syphilis.
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: A Legacy of Mistrust
Difficulty Level: Medium
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018

47. Which of the following was true in the Tuskegee Syphilis Study?
a. The study’s doctors withheld penicillin.
b. At least one fourth of the study participants died from untreated syphilis, when
treatment options existed.
c. None of the participants died.
d. both “the study’s doctors withheld penicillin” and “at least one fourth of the study
participants died from untreated syphilis, when treatment options existed”
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: A Legacy of Mistrust
Difficulty Level: Easy

48. In 1899 this sociologist observed that poor people of color and poor whites faced
different living conditions that had an impact on their health.
a. Karl Marx
b. Herbert Spencer
c. W.E.B. Dubois
d. Max Weber
Ans: C
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: The Role of Place and Environmental Racism
Difficulty Level: Easy

49. Which of the following is more likely to be located in poor and minority
neighborhoods?
a. landfills
b. incinerators
c. waste sites
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: The Role of Place and Environmental Racism
Difficulty Level: Easy

50. Which of the following is considered an environmental risk factor for health?
a. exposure to asbestos
b. exposure to lead
c. unsafe playgrounds
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Answer Location: The Role of Place and Environmental Racism
Difficulty Level: Easy

51. What is one of the impacts of childhood lead poisoning?

a. decreased IQ
b. permanent behavioral changes
c. organ damage
d. all of these
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: The Role of Place and Environmental Racism
Difficulty Level: Easy

52. This refers to the distribution of health issues and health determinants in a
population.
a. epidemiology
b. fecundity
c. morbidity
d. neo-mortality
Ans: A
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Epidemiology
Difficulty Level: Medium

53. What type of study would be concerned with the correlation of race and class with
different types of infectious illnesses?
a. participant observation
b. content analysis
c. epidemiology
d. social experiment
Ans: C
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: Epidemiology
Difficulty Level: Medium

54. What year was the Human Genome Project launched?

a. 1985
b. 1995
c. 1990
d. 1998
Ans: C
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Answer Location: The Human Genome Project
Difficulty Level: Hard

55. What was one of the intentions of the Human Genome Project?
a. to identify genetic susceptibility for certain genetic disorders
b. to develop cures and treatments for genetic disorders
c. to further classify disabilities
d. both “to identify genetic susceptibility for certain genetic disorders” and “to develop
cures and treatments for genetic disorders”
Ans: D
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Knowledge
Answer Location: The Human Genome Project
Difficulty Level: Medium

56. How many Native American tribes are currently recognized by the U.S. government
and are entitled to health care?
a. 210
b. 354
c. 450
d. 560
Ans: D
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Knowledge
Answer Location: Urban American Indian Health Care
Difficulty Level: Medium

57. This women was arrested and jailed for opening the first birth control clinic in the
United States in 1916.
a. Harriet Steadman
b. Margaret Sanger
c. Gloria Steinem
d. Patricia Collins
Ans: B
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Knowledge
Answer Location: Race, Reproduction, and the Women’s Health Movement
Difficulty Level: Medium

True/False

1. Medical sociology is the analysis of the field and practice of medicine.

 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
Ans: T
Learning Objective: 5-2: Examine various stock narratives of inequality in health and
medicine
Cognitive Domain: Knowledge
Answer Location: Theorizing Inequality in Health and Health Care
Difficulty Level: Easy

2. Health and illness are not simply biological phenomena, but social phenomena as
well.
Ans: T
Learning Objective: 5-2: Examine various stock narratives of inequality in health and
medicine
Cognitive Domain: Comprehension
Answer Location: Theorizing Inequality in Health and Health Care
Difficulty Level: Easy

3. Black women are much more likely to die from breast cancer than white women.
Ans: T
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Comprehension
Answer Location: Patterns of Inequality in Health and Health Care
Difficulty Level: Easy

4. During the 19th century slaves were regularly used for medical experimentation.
Ans: T
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Comprehension
Answer Location: Modern Medicine and Discrimination
Difficulty Level: Easy

5. Over the course of the 19th and 20th centuries, average life expectancy has about
doubled.
Ans: T
Learning Objective: 5-2: Examine various stock narratives of inequality in health and
medicine
Cognitive Domain: Knowledge
Answer Location: Historical Advances in Health and Life Expectancy
Difficulty Level: Easy

6. As individual wealth increases, health decreases.

Ans: F
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: Class and Health
Difficulty Level: Easy
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
7. One out of ten Native Americans have diabetes.
Ans: F
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: Class and Health
Difficulty Level: Easy

8. People categorized as belonging to the same race have very little in common
genetically or biologically.
Ans: T
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Comprehension
Answer Location: The Human Genome Project
Difficulty Level: Medium

9. Margaret Sanger employed eugenics rhetoric in her fight for contraception.

Ans: T
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Analysis
Answer Location: Race, Reproduction, and the Women’s Health Movement
Difficulty Level: Hard

10. Reproductive justice addresses the social reality of inequality, specifically, the
inequality of opportunities that we have to control our reproductive destiny.
Ans: T
Learning Objective: 5-4: Explore alternatives to the current matrix of inequality in health
and medicine
Cognitive Domain: Knowledge
Answer Location: Race, Reproduction, and the Women’s Health Movement
Difficulty Level: Hard

Essay

1. Discuss a potential social implication of the Human Genome Project.

Ans: Answers will vary. The results of the Human Genome Project could be used by
couples to determine to cease a pregnancy if the fetus was found to have a genetic
abnormality. Ultimately, genetic testing could also be used by insurance companies to
establish preexisting conditions for people and then deny them insurance coverage.
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Application
Answer Location: The Human Genome Project
Difficulty Level: Medium
 Instructor Resource
Coates, The Matrix of Race
SAGE Publishing, 2018
2. How might you explain the health disparities between whites and minorities?
Ans: There is a strong correlation between race and class with health outcomes.
Minorities are more likely than whites to be poor, which also makes them more likely to
experience poor health outcomes. In addition, poor neighborhoods are more likely to be
exposed to environmental hazards, such as toxic waste sites.
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Analysis
Answer Location: Applying the Health Matrix to Inequality
Difficulty Level: Medium

3. How do the authors explain the invention of homosexuality?

Ans: The focus on eugenics led to efforts to locate homosexuality as something inherent
in certain bodies. This resulted in members of the medical professions committing
lesbians, gay males, bisexuals, and those who transgress so-called normative gender
identities and expressions to hospitals, mental institutions, jails and penitentiaries,
forced pre-frontal lobotomies, electroshock, castration, and sterilization.
Learning Objective: 5-1: Describe contemporary inequality in health and health care
Cognitive Domain: Analysis
Answer Location: Inventing the Homosexual
Difficulty Level: Medium

4. Explain the epidemiological paradox that explains the seemingly better health of
Latino/as and Asian Americans.
Ans: Both the Latino/a and Asian categories are comprised of diverse groups of people.
When we collapse them into one large category we lose sight of the difference within
these groups that influence health outcomes. For example, Puerto Ricans experience
almost twice the rate of infant mortality compared to Cuban Americans, but both belong
to the Latino/a category.
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Analysis
Answer Location: Race and Health
Difficulty Level: Hard

5. Using information from the reading, discuss some of the potential impacts of racial
segregation on health outcomes.
Ans: Racial minorities are more likely to live in neighborhoods that are isolated from key
social services and are more likely to be exposed to environmental risk factors. The lack
of access to quality health care and the potential exposure to environmental hazards
both negatively affect the health of minority members.
Learning Objective: 5-3: Apply the matrix lens to the link between race and health care
Cognitive Domain: Analysis
Answer Location: The Role of Place and Environmental Racism
Difficulty Level: Hard