Racial residential segregation, socioeconomic disparities, and the White-Black survival gap

PloS One
Ioana PopescuJose J Escarce

Abstract

To evaluate the association between racial residential segregation, a prominent manifestation of systemic racism, and the White-Black survival gap in a contemporary cohort of adults, and to assess the extent to which socioeconomic inequality explains this association. This was a cross sectional study of White and Black men and women aged 35-75 living in 102 large US Core Based Statistical Areas. The main outcome was the White-Black survival gap. We used 2009-2013 CDC mortality data for Black and White men and women to calculate age-, sex- and race adjusted White and Black mortality rates. We measured segregation using the Dissimilarity index, obtained from the Manhattan Institute. We used the 2009-2013 American Community Survey to define indicators of socioeconomic inequality. We estimated the CBSA-level White-Black gap in probability of survival using sequential linear regression models accounting for the CBSA dissimilarity index and race-specific socioeconomic indicators. Black men and women had a 14% and 9% lower probability of survival from age 35 to 75 than their white counterparts. Residential segregation was strongly associated with the survival gap, and this relationship was partly, but not fully, explained by socioecon...Continue Reading

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Citations

Sep 15, 2020·Journal of Racial and Ethnic Health Disparities·Jessica WallaceTracey Covassin
Jan 12, 2019·BMC Nephrology·Clarissa J DiamantidisL Ebony Boulware
Nov 30, 2019·Obesity·Adam DrewnowskiAnnie Bradshaw
Mar 31, 2021·The Milbank Quarterly·Zackary BergerTrisha Greenhalgh
Jun 29, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Versha A Pleasant, Jennifer J Griggs
Jun 29, 2021·Race and Social Problems·Min Li, Faxi Yuan

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