Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the US: A multilevel statistical analysis

S. V. Subramanian, Dolores Acevedo-Garcia, Theresa L. Osypuk

Research output: Contribution to journalArticle

163 Citations (Scopus)

Abstract

Existing evidence demonstrating a relationship between racial residential segregation and health has been based on aggregate analysis. Using a multilevel analytical framework, we assess the extent of geographic variation in black/white disparities in self-rated health across US metropolitan areas, and whether racial residential segregation accounts for such variation. We estimated multilevel regression models of poor self-rated health among 51,316 non-Hispanic white and non-Hispanic black adults nested within 207 metropolitan areas to assess the multilevel relationship between segregation and racial disparities in health. We found statistically significant variation in the black/white disparity in poor self-rated health across metropolitan areas, after controlling for individual level factors (age, sex, marital status, education and income) and residential segregation. High black isolation was associated with increased odds of reporting poor health among blacks (p<0.05). While a similar pattern was observed for white/black dissimilarity and white isolation, they were not statistically significant. Our multilevel analysis only partially supports the previously reported aggregate findings linking segregation to health. Additional multilevel statistical investigations across different health outcomes are required to draw firmer conclusions regarding the adverse effects of segregation on health.

Original languageEnglish (US)
Pages (from-to)1667-1679
Number of pages13
JournalSocial Science and Medicine
Volume60
Issue number8
DOIs
StatePublished - Jan 1 2005

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Multilevel Analysis
multi-level analysis
statistical analysis
segregation
Health
health
agglomeration area
social isolation
hydroquinone
Social Segregation
Statistical Analysis
Residential Segregation
Sex Factors
Age Factors
Marital Status
marital status
Education
income
regression

Keywords

  • Multilevel statistical approach
  • Racial residential segregation
  • Self-rated health
  • US metropolitan statistical areas

Cite this

Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the US : A multilevel statistical analysis. / Subramanian, S. V.; Acevedo-Garcia, Dolores; Osypuk, Theresa L.

In: Social Science and Medicine, Vol. 60, No. 8, 01.01.2005, p. 1667-1679.

Research output: Contribution to journalArticle

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