The long shadow of residential racial segregation: Associations between childhood residential segregation trajectories and young adult health among Black US Americans.

The long shadow of residential racial segregation: Associations between childhood residential segregation trajectories and young adult health among Black US Americans.
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DOI:
10.1016/j.healthplace.2022.102904
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发表时间:
2022-09
期刊:
影响因子:
4.8
通讯作者:
Hamad, Rita
Hamad, Rita
中科院分区:
医学2区
文献类型:
--
作者:
Schwartz, Gabriel L.;Wang, Guangyi;Kershaw, Kiarri N.;McGowan, Cyanna;Kim, Min Hee;Hamad, Rita

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居住种族隔离是反黑人结构性种族主义的关键表现,被认为是健康状况不佳的根本原因;有证据表明,它会导致社区撤资、制度歧视和瞄准不健康的产品,如烟草和酒精。然而,关于儿童时期暴露在居民种族隔离环境中的长期影响的研究有限。在这里,我们分析了收入动态小组研究中1,823名黑人参与者的数据,估计了儿童隔离轨迹与年轻人健康之间的关联。与其他轨迹群体相比,从小到大一直生活在高隔离社区的黑人年轻人经历了更不健康的吸烟和饮酒行为,患肥胖症的几率也更高,包括搬入或搬出高隔离社区的儿童。结果对社区和家庭贫困的控制是强有力的。研究结果强调,对于在种族隔离社区长大的黑人儿童来说,结构性决定的健康不平等的根源在生命早期就已经确立。
Residential racial segregation is a key manifestation of anti-Black structural racism, thought to be a fundamental cause of poor health; evidence has shown that it yields neighborhood disinvestment, institutional discrimination, and targeting of unhealthy products like tobacco and alcohol. Yet research on the long-term impacts of childhood exposure to residential racial segregation is limited. Here, we analyzed data on 1,823 Black participants in the Panel Study of Income Dynamics, estimating associations between childhood segregation trajectories and young adult health. Black young adults who consistently lived in high-segregation neighborhoods throughout childhood experienced unhealthier smoking and drinking behaviors and higher odds of obesity compared to other trajectory groups, including children who moved into or out of high-segregation neighborhoods. Results were robust to controls for neighborhood and family poverty. Findings underscore that for Black children who grow up in segregated neighborhoods, the roots of structurally-determined health inequities are established early in life.
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