Self-reported segregation experience throughout the life course and its association with adequate health literacy.
Residential segregation has been shown to be associated with health outcomes and health care utilization. We examined the association between racial composition of five physical environments throughout the life course and adequate health literacy among 836 community health center patients in Suffolk County, NY. Respondents who attended a mostly White junior high school or currently lived in a mostly White neighborhood were more likely to have adequate health literacy compared to those educated or living in predominantly minority or diverse environments. This association was independent of the respondent's race, ethnicity, age, education, and country of birth.
Washington University in St. Louis, School of Medicine, St. Louis, MO, USA. goodmanm@wustl.edu
Melody S
MS
Goodman
Darrell J
DJ
Gaskin
Xuemei
X
Si
Jewel D
JD
Stafford
Christina
C
Lachance
Kimberly A
KA
Kaphingst
D000293:Adolescent; D000328:Adult; D002648:Child; D057220:Health Literacy; D006801:Humans; D008875:Middle Aged; D009518:New York; D063505:Racism; D057566:Self Report; D011795:Surveys and Questionnaires; D055815:Young Adult