Address correspondence to Thomas A. LaVeist, Ph.D., at the Johns Hopkins University, Morgan-Hopkins Center for Health Disparities Solutions, Bloomberg School of Public Health, 624 North Broadway, Baltimore, MD 21205.
Racial Segregation and Longevity among African Americans: An Individual-Level Analysis
Article first published online: 18 DEC 2003
Health Services Research
Volume 38, Issue 6p2, pages 1719–1734, December 2003
How to Cite
Laveist, T. A. (2003), Racial Segregation and Longevity among African Americans: An Individual-Level Analysis. Health Services Research, 38: 1719–1734. doi: 10.1111/j.1475-6773.2003.00199.x
This research was supported by grant no. R29 AG10250 from the National Institute on Aging and grant no. M000214 from the National Center for Minority Health and Health Disparities of the National Institutes of Health to Dr. LaVeist.
- Issue published online: 18 DEC 2003
- Article first published online: 18 DEC 2003
- social factors;
Objective To test the relationship between racial segregation and mortality using a multidimensional questionnaire-based measure of exposure to segregation.
Data Sources 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).
Study Design 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.
Principal Findings 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.
Conclusion The results support previous studies linking segregation with health outcomes.