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Death by Segregation: Does the Dimension of Racial Segregation Matter?

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  • Tse-Chuan Yang
  • Stephen A Matthews

Abstract

The county-level geographic mortality differentials have persisted in the past four decades in the United States (US). Though several socioeconomic factors (e.g., inequality) partially explain this phenomenon, the role of race/ethnic segregation, in general, and the different dimensions of segregation, more specifically, has been underexplored. Focusing on all-cause age-sex standardized US county-level mortality (2004–2008), this study has two substantive goals: (1) to understand whether segregation is a determinant of mortality and if yes, how the relationship between segregation and mortality varies by racial/ethnic dyads (e.g., white/black), and (2) to explore whether different dimensions of segregation (i.e., evenness, exposure, concentration, centralization, and clustering) are associated with mortality. A third goal is methodological: to assess whether spatial autocorrelation influences our understanding of the associations between the dimensions of segregation and mortality. Race/ethnic segregation was found to contribute to the geographic mortality disparities. Moreover, the relationship with mortality differed by both race/ethnic group and the dimension of segregation. Specifically, white/black segregation is positively related to mortality, whereas the segregation between whites and non-black minorities is negatively associated with mortality. Among the five dimensions of segregation, evenness and exposure are more strongly related to mortality than other dimensions. Spatial filtering approaches also identified six unique spatial patterns that significantly affect the spatial distribution of mortality. These patterns offer possible insights that help identify omitted variables related to the persistent patterning of mortality in the US.

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  • Tse-Chuan Yang & Stephen A Matthews, 2015. "Death by Segregation: Does the Dimension of Racial Segregation Matter?," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-26, September.
    • Handle: RePEc:plo:pone00:0138489
    DOI: 10.1371/journal.pone.0138489
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    2. Mehra, Renee & Boyd, Lisa M. & Ickovics, Jeannette R., 2017. "Racial residential segregation and adverse birth outcomes: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 191(C), pages 237-250.
    3. John K. Kodros & Michelle L. Bell & Francesca Dominici & Christian L’Orange & Krystal J. Godri Pollitt & Scott Weichenthal & Xiao Wu & John Volckens, 2022. "Unequal airborne exposure to toxic metals associated with race, ethnicity, and segregation in the USA," Nature Communications, Nature, vol. 13(1), pages 1-10, December.
    4. Kristen Burwell-Naney & Sacoby M. Wilson & Siobhan T. Whitlock & Robin Puett, 2019. "Hybrid Resiliency-Stressor Conceptual Framework for Informing Decision Support Tools and Addressing Environmental Injustice and Health Inequities," IJERPH, MDPI, vol. 16(8), pages 1-19, April.

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