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Segregation, discrimination and mortality in U.S. blacks

A P Polednak1

  • 1Connecticut Department of Public Health, Hartford 06101, USA.

Ethnicity & Disease
|January 1, 1996
PubMed
Summary

Racial segregation and discrimination significantly impact mortality rates among African Americans. Lower segregation levels in some California cities correlate with reduced Black infant and young adult death rates.

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Area of Science:

  • Public Health
  • Sociology
  • Epidemiology

Background:

  • Segregation and discrimination may influence Black mortality through social class, healthcare access, and psychosocial factors.
  • Existing research suggests a link between racial disparities in mortality and residential segregation.

Purpose of the Study:

  • To review evidence associating Black-White segregation levels with mortality rates in large metropolitan areas.
  • To identify specific metropolitan areas with low segregation and low Black mortality for further study.

Main Methods:

  • Review of existing literature and data on mortality rates for Black infants and young adults.
  • Analysis of Black-White segregation levels in major U.S. metropolitan areas, with a focus on California.
Keywords:
AmericasBiologyBlacksCultural BackgroundDemographic FactorsDeveloped CountriesDifferential MortalityEthnic GroupsMortalityMortality DeterminantsNorth AmericaNorthern AmericaPopulationPopulation CharacteristicsPopulation DynamicsRisk FactorsSegregationSocial DiscriminationSocial ProblemsUnited StatesUrban PopulationWhites

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Main Results:

  • Variation in Black infant and young adult mortality rates is associated with the degree of Black-White segregation.
  • Certain California metropolitan areas with lower segregation exhibit lower Black mortality rates and smaller Black-White disparities.

Conclusions:

  • Residential segregation is a significant factor contributing to Black mortality disparities.
  • Further in-depth and longitudinal research is recommended to explore risk factors including discrimination experiences and psychosocial elements.