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Empirical evidence supporting the inclusion of multi-axes segregation in assessing US county health

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  • Wong, David W.S.
  • Das Gupta, Debasree

Abstract

To facilitate community action toward health equity, the County Health Rankings & Roadmaps program (CHR&R) assigns health rankings to US counties. The CHR&R conceptual model considers White-Black and White-non-White dissimilarity values to represent residential segregation as part of the family and social support subcomponent. As the US is greying and becoming more multi-racial-ethnic, the two-group White-centered segregation measures are inadequate to capture segregation among population subgroups in the US. Thus, we evaluate the relevancy of segregation measures that consider multiple racial, ethnic, and age groups in assessing US county health. Besides using the two-group dissimilarity index to measure White-centered racial segregation as conceptualized by CHR&R, the study also uses the multi-group generalized dissimilarity index to measure racial-ethnic-age segregation by counties, employing both aspatial and spatial versions of these measures. These indices are computed for counties using the 2015–2019 American Community Survey data at the census tract level. Descriptive statistics and regressions controlling for sociodemographic factors and healthcare access are used to assess the contributions of individual segregation measures to mortality (life expectancy, years of potential life lost and premature mortality) and morbidity (frequent mental distress, frequent physical distress, and low birth weight) indicators representing county health.

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  • 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).
    • Handle: RePEc:eee:socmed:v:339:y:2023:i:c:s027795362300761x
    DOI: 10.1016/j.socscimed.2023.116404
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    1. Douglas Massey & Jonathan Tannen, 2015. "A Research Note on Trends in Black Hypersegregation," Demography, Springer;Population Association of America (PAA), vol. 52(3), pages 1025-1034, June.
    2. David Wong & Shih-Lung Shaw, 2011. "Measuring segregation: an activity space approach," Journal of Geographical Systems, Springer, vol. 13(2), pages 127-145, June.
    3. James Sakoda, 1981. "A generalized index of dissimilarity," Demography, Springer;Population Association of America (PAA), vol. 18(2), pages 245-250, May.
    4. Jackson, S.A. & Anderson, R.T. & Johnson, N.J. & Sorlie, P.D., 2000. "The relation of residential segregation to all-cause mortality: A study in black and white," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 615-617.
    5. Hans Oh & Jessica Goehring & Louis Jacob & Lee Smith, 2021. "Revisiting the Immigrant Epidemiological Paradox: Findings from the American Panel of Life 2019," IJERPH, MDPI, vol. 18(9), pages 1-6, April.
    6. Subramanian, S.V. & Acevedo-Garcia, Dolores & Osypuk, Theresa L., 2005. "Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the US: a multilevel statistical analysis," Social Science & Medicine, Elsevier, vol. 60(8), pages 1667-1679, April.
    7. Eric M Vogelsang & James M Raymo & Jersey Liang & Erika Kobayashi & Taro Fukaya & James Scott Brown, 2019. "Population Aging and Health Trajectories at Older Ages," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 74(7), pages 1245-1255.
    8. Almeida, Joanna & Molnar, Beth E. & Kawachi, Ichiro & Subramanian, S.V., 2009. "Ethnicity and nativity status as determinants of perceived social support: Testing the concept of familism," Social Science & Medicine, Elsevier, vol. 68(10), pages 1852-1858, May.
    9. Ruiz, J.M. & Steffen, P. & Smith, T.B., 2013. "Hispanic mortality paradox: A systematic review and meta-analysis of the longitudinal literature," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 52-60.
    10. Matthew Hall & Laura Tach & Barrett A. Lee, 2016. "Trajectories of Ethnoracial Diversity in American Communities, 1980–2010," Population and Development Review, The Population Council, Inc., vol. 42(2), pages 271-297, June.
    11. Hatzenbuehler, Mark L. & Prins, Seth J. & Flake, Morgan & Philbin, Morgan & Frazer, M. Somjen & Hagen, Daniel & Hirsch, Jennifer, 2017. "Immigration policies and mental health morbidity among Latinos: A state-level analysis," Social Science & Medicine, Elsevier, vol. 174(C), pages 169-178.
    12. 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.
    13. Lee, Min-Ah, 2009. "Neighborhood residential segregation and mental health: A multilevel analysis on Hispanic Americans in Chicago," Social Science & Medicine, Elsevier, vol. 68(11), pages 1975-1984, June.
    14. 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.
    15. Richelle Winkler, 2013. "Research Note: Segregated by Age: Are We Becoming More Divided?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 32(5), pages 717-727, October.
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