Racial segregation and longevity among African Americans: an individual-level analysis.
OBJECTIVE
To test the relationship between racial segregation and mortality using a multidimensional questionnaire-based measure of exposure to segregation.


METHODS
Data for this analysis come from the National Survey of Black Americans (NSBA), a national multistage probability sample of 2,107 African Americans (aged 18-101). The NSBA was conducted as a household survey. The NSBA was matched with the National Death Index (NDI).


METHODS
Prospective cohort study, where Cox regression analysis was used to examine the effect of baseline variables on time to death over a 13-year period.


RESULTS
Respondents who were exposed to racial segregation were significantly less likely to survive the study period after controls for age, health status, and other predictors of mortality.


CONCLUSIONS
The results support previous studies linking segregation with health outcomes.
LaVeist
Thomas A
TA
John Hopkins University, Morgan-Hopkins Center for Health Disparities Solutions, Bloomberg School of Public Health, Baltimore, MD 21205, USA.
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D005260:Female; D006306:Health Surveys; D006801:Humans; D008017:Life Expectancy / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D011287:Prejudice; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology