Self-Rated Health and Residential Segregation: How Does Race/Ethnicity Matter?

Despite recent declines, racial segregation remains a detriment to minority neighborhoods. However, existing research is inconclusive as to the effects racial segregation has on health. Some argue that racial segregation is related to poor health outcomes, whereas others suspect that racial segregat...

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Publicado en:Journal of Urban Health Vol. 91; no. 4; pp. 648 - 661
Autores principales: Gibbons, Joseph, Yang, Tse-Chuan
Formato: Artículo
Publicado: Springer Nature Aug2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Self-Rated Health and Residential Segregation: How Does Race/Ethnicity Matter?
      aug:
        au:
          Gibbons, Joseph
          Yang, Tse-Chuan
        affil: Department of Sociology, University at Albany, SUNY, 351 Arts & Sciences Bldg., 1400 Washington Avenue Albany 12222 USA
      su:
        Pennsylvania
        United States
        Housing discrimination
        Discrimination in medical care
        Ethnicity
        Health of minorities
        Public health
      sug:
        subj:
          Housing discrimination
          Discrimination in medical care
          Ethnicity
          Health of minorities
          Public health
          Pennsylvania
          United States
          Health and Welfare Funds
      keyword:
        Multilevel modeling
        Philadelphia
        Racial segregation
        Self-rated health
        Multilevel modeling
        Philadelphia
        Racial segregation
        Self-rated health
      ab: Despite recent declines, racial segregation remains a detriment to minority neighborhoods. However, existing research is inconclusive as to the effects racial segregation has on health. Some argue that racial segregation is related to poor health outcomes, whereas others suspect that racial segregation may actually lead to improved health for some minority communities. Even less is known about whether minority access to white neighborhoods improves health. We address these gaps with individual data from the 2010 Public Health Management Corporation's Southeastern Pennsylvania Household Health Survey and census tract data from the 2010 Decennial Census and the 2006-2010 American Community Survey. We implement logistic multilevel models to determine whether and how a resident's self-rated health is affected by the racial/ethnic segregation of their neighborhoods. Our key finding suggests that the effects of segregation on self-rated health depend on an individual's race/ethnicity, with blacks and Latino residents most likely to experience adverse effects. Particularly, minorities living in predominantly white communities have a significantly higher likelihood to report poor/fair health than they would in segregated minority neighborhoods. These findings make clear that access to white neighborhoods is not sufficient to improve minority health; fuller neighborhood integration is necessary to ensure all have health equity.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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