title: Racial residential segregation and stroke mortality in Atlanta.
abstract: OBJECTIVE
  To assess the association between neighborhood-level racial residential segregation and stroke mortality using a spatially derived segregation index.
  
  
  METHODS
  Cross-sectional study
  
  
  METHODS
  Atlanta Metropolitan Statistical Area
  
  
  METHODS
  The study population consisted of non-Hispanic Black and White residents of the Atlanta Metropolitan Statistical Area during the time period Jan 1, 2000 to December 31, 2006. Census tract-level stroke death rates for Blacks and Whites were modeled as a function of the segregation index while controlling for two neighborhood-level chronic stressors (poverty, low education).
  
  
  RESULTS
  Racial segregation was positively associated with stroke mortality for both Blacks and Whites aged 35-64 years. Among Blacks and Whites aged 65 or older, segregation was negatively associated with stroke mortality after controlling for the two stressors, suggesting that they were pathways between segregation and stroke death rates.
  
  
  CONCLUSIONS
  Future studies are needed to identify additional pathways between residential segregation and other health outcomes, and to collect data that support a life course approach to understanding the impact of residential segregation on health.
authors.affiliation: Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention, GA 30341, USA. sgreer@cdc.gov
authors.forename: Sophia
authors.initials: S
authors.lastname: Greer
authors.forename: Michele
authors.initials: M
authors.lastname: Casper
authors.forename: Michael
authors.initials: M
authors.lastname: Kramer
authors.forename: Greg
authors.initials: G
authors.lastname: Schwartz
authors.forename: Elaine
authors.initials: E
authors.lastname: Hallisey
authors.forename: James
authors.initials: J
authors.lastname: Holt
authors.forename: Lydia
authors.initials: L
authors.lastname: Clarkson
authors.forename: Yueqin
authors.initials: Y
authors.lastname: Zhou
authors.forename: Gordon
authors.initials: G
authors.lastname: Freymann
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D004522:Educational Status; D005845:Georgia / Q000208:ethnology; D006801:Humans; D008875:Middle Aged; D016012:Poisson Distribution; D011203:Poverty; D011287:Prejudice; D012111:Residence Characteristics; D012307:Risk Factors; D020521:Stroke / Q000401:mortality*; D044465:White People / Q000706:statistics & numerical data*