title: Neighborhood racial residential segregation and changes in health or death among older adults.
abstract: We assessed relationships between neighborhood racial residential segregation (RRS), individual-level health declines and mortality using Health and Retirement Study data. We calculated the census-tract level Location Quotient for Racial Residential Segregation (LQRRS), and estimated adjusted relative risks (ARR) of LQRRS for declines in self-reported health or death 1992-2000, controlling for individual-level characteristics. Of 6653 adults, 3333 lived in minimal, 2242 in low, 562 in moderate, and 516 in high LQRRS tracts in 1992. Major decline/death rates were: 18.6%, 25.2%, 33.8% and 30.4% in minimal, low, moderate and high tracts, respectively. Adjusting for demographic characteristics, residence in low, moderate and high LQRRS census tracts was associated with greater likelihood of major decline/death compared to minimal LQRRS. Controlling for all variables, only moderate LQRRS predicted major decline/death, ARR=1.31 (95% CI 1.07, 1.59; p<.05).
authors.affiliation: Center for Health Care Research and Policy, Case Western Reserve University at The MetroHealth System, 2500 MetroHealth Drive, Rammelkamp 236a, Cleveland, OH 44109, USA. jsudano@metrohealth.org
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Sudano
authors.forename: Adam
authors.initials: A
authors.lastname: Perzynski
authors.forename: David W
authors.initials: DW
authors.lastname: Wong
authors.forename: Natalie
authors.initials: N
authors.lastname: Colabianchi
authors.forename: David
authors.initials: D
authors.lastname: Litaker
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D019352:Censuses; D004522:Educational Status; D005260:Female; D015438:Health Behavior; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D061213:Mortality, Premature / Q000208:ethnology*; D063505:Racism / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012179:Retirement / Q000706:statistics & numerical data; D017062:Small-Area Analysis; D012923:Social Class; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data*