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Residential Segregation as a Policy Priority to Address Health Disparities: a Multilevel Analysis

Author

Listed:
  • Catherine P. Slade

    (Augusta University)

  • Simon K. Medcalfe

    (Augusta University)

  • C. Kevin Fortner

    (Georgia State University)

  • Kristin V. Walker

    (Augusta University)

Abstract

To address racial residential segregation, considered a reflection of structural racism, and its relative importance to social determinant of health (SDOH) pathways to health disparities, we analyze self-reported health, a known predictor of health outcomes. We use County Health Rankings, a public dataset provided by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Using a panel dataset (2016 to 2019) with multilevel modelling techniques, we compare racial residential segregation at the county level to other health-outcome related county level characteristics considered pathways to disparate health outcomes. Consistent with prior research we find that higher racial residential segregation is associated with greater reporting of fair or poor health. However, the effects of education and economic stability measures of SDOH are more important for predicting fair/poor health outcomes than segregation. Our research highlights the need for more multi-level analysis and a better understanding of the complex nature of SDOH in a structural racism approach to inform where, when, how, and for whom policies are developed, funded, and implemented at the local level.

Suggested Citation

  • Catherine P. Slade & Simon K. Medcalfe & C. Kevin Fortner & Kristin V. Walker, 2023. "Residential Segregation as a Policy Priority to Address Health Disparities: a Multilevel Analysis," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(4), pages 1715-1735, August.
    • Handle: RePEc:spr:ariqol:v:18:y:2023:i:4:d:10.1007_s11482-023-10159-y
    DOI: 10.1007/s11482-023-10159-y
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    References listed on IDEAS

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    1. Do, D. Phuong & Finch, Brian Karl & Basurto-Davila, Ricardo & Bird, Chloe & Escarce, Jose & Lurie, Nicole, 2008. "Does place explain racial health disparities? Quantifying the contribution of residential context to the Black/white health gap in the United States," Social Science & Medicine, Elsevier, vol. 67(8), pages 1258-1268, October.
    2. Doerte U. Junghaenel & Joan E. Broderick & Stefan Schneider & Marcella May & Alicia Bolton & Kelly P. McCarrier & Larissa M. Stassek & Sarah C. Keithly & Arthur A. Stone, 2018. "Frames of Reference in Self-Reports of Health, Well-Being, Fatigue, and Pain: a Qualitative Examination," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 13(3), pages 585-601, September.
    3. 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.
    4. Lim, S. & Harris, T.G., 2015. "Neighborhood contributions to racial and ethnic disparities in obesity among New York City adults," American Journal of Public Health, American Public Health Association, vol. 105(1), pages 159-165.
    5. Bailis, Daniel S. & Segall, Alexander & Chipperfield, Judith G., 2003. "Two views of self-rated general health status," Social Science & Medicine, Elsevier, vol. 56(2), pages 203-217, January.
    6. Ania Filus & Doerte U. Junghaenel & Stefan Schneider & Joan E. Broderick & Arthur A. Stone, 2020. "Age Effects of Frames of Reference in Self-Reports of Health, Well-Being, Fatigue and Pain," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 15(1), pages 35-54, March.
    7. Dana Garbarski & Nora Cate Schaeffer & Jennifer Dykema, 2019. "The Effects of Features of Survey Measurement on Self-Rated Health: Response Option Order and Scale Orientation," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 14(2), pages 545-560, April.
    8. Acevedo-Garcia, D. & Lochner, K.A. & Osypuk, T.L. & Subramanian, S.V., 2003. "Future directions in residential segregation and health research: A multilevel approach," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 215-221.
    9. Beck, Audrey N. & Finch, Brian K. & Lin, Shih-Fan & Hummer, Robert A. & Masters, Ryan K., 2014. "Racial disparities in self-rated health: Trends, explanatory factors, and the changing role of socio-demographics," Social Science & Medicine, Elsevier, vol. 104(C), pages 163-177.
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