School Racial Segregation and the Health of Black Children.
School Racial Segregation and the Health of Black Children.
复制标题
DOI：
10.1542/peds.2021-055952
复制
发表时间：
2022-05-01
期刊：
影响因子：
8
通讯作者：
Hamad, Rita
中科院分区：
文献类型：
--
作者：
Wang, Guangyi;Schwartz, Gabriel L.;Kim, Min Hee;White, Justin S.;Glymour, M. Maria;Reardon, Sean;Kershaw, Kiarri N.;Gomez, Scarlett Lin;Inamdar, Pushkar P.;Hamad, Rita
很少有研究评估学校种族隔离（结构性种族主义的一个关键表现）是否会影响儿童健康，尽管它对学校质量、社交网络和歧视压力有潜在影响。我们调查了学校种族隔离是否影响黑人儿童的健康和健康行为。我们利用一项自然实验估计了学校隔离与儿童健康之间的关系，在该实验中，学区近年来经历了更多的学校隔离。学校隔离被实施为黑人与白人差异指数。我们使用普通最小二乘（OLS）模型以及准实验工具变量（IV）分析，这可以减少未观察到的混杂因素造成的偏差。收入动态小组研究的儿童发展补充资料（1997-2014 年，N=1248 名黑人儿童）的数据与地区级学校隔离措施相关。针对个人、社区和地区级别的协变量调整了多变量回归。我们还按儿童性别和年龄（5-10 岁与 11-17 岁）进行亚组分析。在 IV 模型中，学校隔离与行为问题增加相关（27 分量表中 β=2.53 分；95%CI：0.26，4.80），并且曾经饮酒（β=0.23；95%CI：0.049，0.42）和至少每月饮酒（β=0.20；95%CI：0.053）的可能性增加， 0.35）。学校隔离与女童饮酒行为的关系更为密切。学校隔离与黑人儿童的多项福祉指标较差有关，这可能会导致整个生命周期的健康不平等。这些结果凸显了促进学校种族融合和支持就读种族隔离学校的黑人青年的必要性。
Few studies have evaluated whether school racial segregation—a key manifestation of structural racism—affects child health, despite its potential impacts on school quality, social networks, and stress from discrimination. We investigated whether school racial segregation affects Black children’s health and health behaviors. We estimated the association of school segregation with child health, leveraging a natural experiment in which school districts in recent years experienced increased school segregation. School segregation was operationalized as the Black-White dissimilarity index. We used ordinary least squares (OLS) models as well as quasi-experimental instrumental variables (IV) analysis, which can reduce bias from unobserved confounders. Data from the Child Development Supplement of the Panel Study of Income Dynamics (1997–2014, N=1248 Black children) were linked with district-level school segregation measures. Multivariable regressions were adjusted for individual-, neighborhood-, and district-level covariates. We also carried out subgroup analyses by child sex and age (5–10 vs. 11–17 years). In IV models, school segregation was associated with increased behavioral problems (β=2.53 points on a 27-point scale; 95%CI: 0.26, 4.80), and increased probability of having ever drunk alcohol (β=0.23; 95%CI: 0.049, 0.42) and of drinking at least monthly (β=0.20; 95%CI: 0.053, 0.35). School segregation was more strongly associated with drinking behaviors among female children. School segregation was associated with worse outcomes on several measures of well-being among Black children, which may contribute to health inequities across the lifespan. These results highlight the need to promote school racial integration and support Black youth who are attending segregated schools.
登录
查看更多内容
影响因子：
29
作者：
Caunca, Michelle R.;Odden, Michelle C.;Al Hazzouri, Adina Zeki
通讯作者：
Al Hazzouri, Adina Zeki
影响因子：
3.7
作者：
Angrist, JD;Imbens, GW;Rubin, DB
通讯作者：
Rubin, DB
影响因子：
5
作者：
Hamad, Rita;Rehkopf, David H.
通讯作者：
Rehkopf, David H.
影响因子：
7.6
作者：
Huesmann, LR;Guerra, NG
通讯作者：
Guerra, NG
影响因子：
15.8
作者：
Hamad, Rita;Nguyen, Thu T.;Rehkopf, David H.
通讯作者：
Rehkopf, David H.