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, 38 (6 Pt 2), 1719-33

Racial Segregation and Longevity Among African Americans: An Individual-Level Analysis

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Racial Segregation and Longevity Among African Americans: An Individual-Level Analysis

Thomas A LaVeist. Health Serv Res.

Abstract

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.

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