Is segregation bad for your health?
Is segregation bad for your health?
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DOI：
10.1093/epirev/mxp001
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发表时间：
2009
影响因子：
5.5
通讯作者：
Hogue CR
中科院分区：
文献类型：
--
作者：
Kramer MR;Hogue CR
几十年来，人们一直观察到，种族居住隔离随着非裔美国人的健康结果而变化，尽管直到最近，人们对公共卫生文献的兴趣才有所增加。利用对健康和社会科学文献的系统回顾，作者通过流行病学家感兴趣的四个问题的视角来考虑隔离-健康关联：如何最好地衡量隔离？种族隔离与健康的关系在社会上或生物学上是可信的吗？有什么证据表明种族隔离与健康有关？种族隔离是一个可改变的风险因素吗？39项确定的研究测试了种族隔离和健康结果之间的联系。种族隔离对健康的影响相对一致，但很复杂。隔离种族隔离与不良的妊娠结局和黑人死亡率的增加有关，但几项研究报告称，生活在黑人聚居社区的健康保护效果，排除了社会和经济上的隔离。大多数回顾的研究是横断面的，并使用粗略的隔离措施。今后的工作应在多层次框架内扩展在测量和概念化种族隔离方面的最新发展，以邻里效应文献中的发现和挑战为基础，并利用纵向数据来源来阐明公共卫生行动以减少疾病种族差异的机会。
For decades, racial residential segregation has been observed to vary with health outcomes for African Americans, although only recently has interest increased in the public health literature. Utilizing a systematic review of the health and social science literature, the authors consider the segregation-health association through the lens of 4 questions of interest to epidemiologists: How is segregation best measured? Is the segregation-health association socially or biologically plausible? What evidence is there of segregation-health associations? Is segregation a modifiable risk factor? Thirty-nine identified studies test an association between segregation and health outcomes. The health effects of segregation are relatively consistent, but complex. Isolation segregation is associated with poor pregnancy outcomes and increased mortality for blacks, but several studies report health-protective effects of living in clustered black neighborhoods net of social and economic isolation. The majority of reviewed studies are cross-sectional and use coarse measures of segregation. Future work should extend recent developments in measuring and conceptualizing segregation in a multilevel framework, build upon the findings and challenges in the neighborhood-effects literature, and utilize longitudinal data sources to illuminate opportunities for public health action to reduce racial disparities in disease.
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影响因子：
3.2
作者：
Akins, S
通讯作者：
Akins, S
影响因子：
5.4
作者：
Collins, JW;David, RJ;Andes, S
通讯作者：
Andes, S
影响因子：
5.4
作者：
Chang, Virginia W.
通讯作者：
Chang, Virginia W.
影响因子：
12.7
作者：
Acevedo-Garcia, D
通讯作者：
Acevedo-Garcia, D
影响因子：
12.7
作者：
Collins, JW;David, RJ;Andes, S
通讯作者：
Andes, S