Racial segregation and longevity among African Americans: an individual-level analysis

Health Serv Res. 2003 Dec;38(6 Pt 2):1719-33. doi: 10.1111/j.1475-6773.2003.00199.x.


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.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • African Americans / statistics & numerical data*
  • Aged
  • Female
  • Health Surveys*
  • Humans
  • Life Expectancy / ethnology*
  • Male
  • Middle Aged
  • Prejudice*
  • Surveys and Questionnaires
  • United States / epidemiology