title: Residential segregation and racial disparities in self-rated health: How do dimensions of residential segregation matter?
abstract: Previous research on segregation and health has been criticized for overlooking the fact that segregation is a multi-dimensional concept (i.e., evenness, exposure, concentration, centralization, and clustering) and recent evidence drawn from non-black minorities challenges the conventional belief that residential segregation widens racial health disparities. Combining a survey data (n = 18,752) from Philadelphia with the 2010 Census tract (n = 925) data, we examine two theoretical frameworks to understand why the association of segregation with health may differ by race/ethnicity. Specifically, we investigate how each dimension of segregation contributed to racial disparities in self-rated health. We found (1) high levels of white/black concentration could exacerbate the white/black health disparities up to 25 percent, (2) the white/Hispanic health disparities was narrowed by increasing the level of white/Hispanic centralization, and (3) no single dimension of segregation statistically outperforms others. Our findings supported that segregation is bad for blacks but may be beneficial for Hispanics.
authors.affiliation: Department of Sociology, Center for Social and Demographic Analysis, University at Albany, State University of New York, 315 AS Building, 1400 Washington Ave., Albany, NY 12222, USA. Electronic address: tyang3@albany.edu.
authors.forename: Tse-Chuan
authors.initials: TC
authors.lastname: Yang
authors.affiliation: Department of Sociology, Center for Social and Demographic Analysis, University at Albany, State University of New York, 351 AS Building, 1400 Washington Ave., Albany, NY 12222, USA.
authors.forename: Yunhan
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: Department of Sociology, Center for Social and Demographic Analysis, University at Albany, State University of New York, 351 AS Building, 1400 Washington Ave., Albany, NY 12222, USA.
authors.forename: Qian
authors.initials: Q
authors.lastname: Song
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D019352:Censuses; D059026:Diagnostic Self Evaluation; D005006:Ethnicity; D054624:Health Status Disparities; D006630:Hispanic or Latino; D006798:Housing; D006801:Humans; D008875:Middle Aged; D008913:Minority Groups; D015143:Philadelphia; D044469:Racial Groups; D063505:Racism; D012111:Residence Characteristics; D000072699:Social Segregation; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D044465:White People; D055815:Young Adult
keywords: Ethnic community; Philadelphia; Place stratification; Racial segregation; Self-rated health