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Updated: Jun 22, 2026

Monitoring Spatial Segregation in Surface Colonizing Microbial Populations
Published on: October 29, 2016
Is segregation bad for your health?
Michael R Kramer1, Carol R Hogue
1Women's and Children's Center, Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. mkram02@sph.emory.edu
Racial residential segregation impacts African American health outcomes, with isolation linked to poorer health. However, some neighborhood clustering may offer protective effects, highlighting complex associations.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- Racial residential segregation has long been associated with health disparities in African Americans.
- Recent interest in the public health literature highlights the need to understand this complex relationship.
Purpose of the Study:
- To systematically review the literature on the segregation-health association.
- To examine how segregation is measured, its plausibility, evidence, and modifiability as a risk factor.
Main Methods:
- Systematic review of health and social science literature.
- Analysis of 39 studies examining segregation and health outcomes.
- Consideration of epidemiological questions regarding measurement, plausibility, evidence, and modifiability.
Main Results:
- Segregation-health associations are consistent but complex.
- Isolation segregation is linked to poor pregnancy outcomes and increased mortality.
- Some studies suggest health-protective effects of clustered Black neighborhoods, independent of isolation.
Conclusions:
- Future research should refine segregation measurement and utilize longitudinal data.
- Understanding segregation's multilevel framework is crucial for public health interventions.
- Addressing segregation is key to reducing racial disparities in disease.
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