Is it who you are or where you live? Residential segregation and racial gaps in childhood asthma
Is it who you are or where you live? Residential segregation and racial gaps in childhood asthma
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DOI：
10.1016/j.jhealeco.2017.07.003
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发表时间：
2017-09-01
影响因子：
3.5
通讯作者：
Currie, Janet
中科院分区：
文献类型：
--
作者：
Alexander, Diane;Currie, Janet
较高的哮喘发病率是非裔美国人和其他儿童之间健康不平等的一个更明显的方式，从幼儿期开始就表现出来。2010年，黑人哮喘发病率是非黑人的两倍。部分但不是全部的这种差异可以用黑人中低出生体重（LBW）的发生率较高等因素来解释;然而，即使在LBW的条件下，黑人的哮喘发病率也高于其他人。使用基于2006年至2010年期间在新泽西出生的所有儿童的健康记录的独特数据集，我们表明，当我们将数据按儿童是否居住在“黑人”邮政编码划分时，LBW儿童哮喘发病率的种族差异完全消失。这些地区的所有低出生体重儿童，无论种族如何，哮喘的发病率都较高。我们的研究结果指出了居住隔离和社区在解释持续的种族健康差异方面的重要性。(C)2017爱思唯尔B. V.保留所有权利。
Higher asthma rates are one of the more obvious ways that health inequalities between African American and other children are manifested beginning in early childhood. In 2010, black asthma rates were double non-black rates. Some but not all of this difference can be explained by factors such as a higher incidence of low birth weight (LBW) among blacks; however, even conditional on LBW, blacks have a higher incidence of asthma than others. Using a unique data set based on the health records of all children born in New Jersey between 2006 and 2010, we show that when we split the data by whether or not children live in a "black" zip code, this racial difference in the incidence of asthma among LBW children entirely disappears. All LBW children in these zip codes, regardless of race, have a higher incidence of asthma. Our results point to the importance of residential segregation and neighborhoods in explaining persistent racial health disparities. (C) 2017 Elsevier B.V. All rights reserved.