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Metropolitan governance, residential segregation, and mortality among African Americans

Author

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  • Hart, K.D.
  • Kunitz, S.J.
  • Sell, R.R.
  • Mukamel, D.B.

Abstract

Objectives. This study tested the hypothesis that the degree to which local government is metropolitanized is associated with mortality rates for African Americans and with residential segregation, which has itself previously been shown to be positively associated with mortality among African Americans. Methods. One hundred fourteen US standard metropolitan statistical areas were examined. The primary dependent variable was the age- adjusted, race- and sex-specific all-cause mortality rate, averaged for 1990 and 1991. The 2 primary independent variables were residential segregation, as measured by the index of dissimilarity, and metropolitanization of government, as measured by the central city's elasticity score. Results. Mortality rates for male and female African Americans were lower in metropolitan statistical areas with more metropolitanized local governments and lower levels of residential segregation. Mortality for male and female Whites was not associated in either direction with residential segregation. White male mortality showed no association with level of metropolitanization, but lower White female mortality rates were associated with less metropolitanization. Conclusions. This study suggests the need for further research into whether policy changes in areas not traditionally thought of as 'health policy' areas can improve the health of urban minorities.

Suggested Citation

  • Hart, K.D. & Kunitz, S.J. & Sell, R.R. & Mukamel, D.B., 1998. "Metropolitan governance, residential segregation, and mortality among African Americans," American Journal of Public Health, American Public Health Association, vol. 88(3), pages 434-438.
  • Handle: RePEc:aph:ajpbhl:1998:88:3:434-438_4
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    Cited by:

    1. Grady, Sue C., 2006. "Racial disparities in low birthweight and the contribution of residential segregation: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 63(12), pages 3013-3029, December.
    2. Chang, Virginia W., 2006. "Racial residential segregation and weight status among US adults," Social Science & Medicine, Elsevier, vol. 63(5), pages 1289-1303, September.
    3. George Galster & Anna Santiago, 2017. "Neighbourhood ethnic composition and outcomes for low-income Latino and African American children," Urban Studies, Urban Studies Journal Limited, vol. 54(2), pages 482-500, February.
    4. Wong, David W.S. & Das Gupta, Debasree, 2023. "Empirical evidence supporting the inclusion of multi-axes segregation in assessing US county health," Social Science & Medicine, Elsevier, vol. 339(C).
    5. Kathryn Freeman Anderson, 2018. "Racial/Ethnic Residential Segregation, the Distribution of Physician’s Offices and Access to Health Care: The Case of Houston, Texas," Social Sciences, MDPI, vol. 7(8), pages 1-18, July.
    6. Roshanak Mehdipanah & Kiana Bess & Steve Tomkowiak & Audrey Richardson & Carmen Stokes & Denise White Perkins & Suzanne Cleage & Barbara A. Israel & Amy J. Schulz, 2020. "Residential Racial and Socioeconomic Segregation as Predictors of Housing Discrimination in Detroit Metropolitan Area," Sustainability, MDPI, vol. 12(24), pages 1-16, December.
    7. Yun Jian & Lucas Neas & Lynne C. Messer & Christine L. Gray & Jyotsna S. Jagai & Kristen M. Rappazzo & Danelle T. Lobdell, 2019. "Divergent trends in life expectancy across the rural–urban gradient and association with specific racial proportions in the contiguous USA 2000–2005," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1367-1374, December.

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