scholarly journals Racial/ethnic segregation and health disparities: Future directions and opportunities

2020 ◽  
Vol 14 (6) ◽  
Author(s):  
Tse‐Chuan Yang ◽  
Kiwoong Park ◽  
Stephen A. Matthews
Keyword(s):  
Health Disparities ◽  
Ethnic Segregation ◽  
Future Directions ◽  
Racial Ethnic

Disparities in Health Between Black and White Americans: Current Knowledge and Directions for Future Research

2018 ◽  
pp. 456-478
Author(s):  
Thomas E. Fuller-Rowell ◽  
David S. Curtis ◽  
Adrienne M. Duke
Keyword(s):  
Health Disparities ◽  
Current Knowledge ◽  
Public Investment ◽  
The United States ◽  
Future Research ◽  
Sociocultural Factors ◽  
White Americans ◽  
Biological Mechanisms ◽  
Black And White ◽  
Racial Ethnic

Conceptual frameworks for racial/ethnic health disparities are abundant, but many have received insufficient empirical attention. As a result, there are substantial gaps in scientific knowledge and a range of untested hypotheses. Particularly lacking is specificity in behavioral and biological mechanisms for such disparities and their underlying social determinants. Alongside lack of political will and public investment, insufficient clarity in mechanisms has stymied efforts to address racial health disparities. Capitalizing on emergent findings from the Midlife in the United States (MIDUS) study and other longitudinal studies of aging, this chapter evaluates research on health disparities between black and white US adults. Attention is given to candidate behavioral and biological mechanisms as precursors to group differences in morbidity and mortality and to environmental and sociocultural factors that may underlie these mechanisms. Future research topics are discussed, emphasizing those that offer promise with respect to illuminating practical solutions to racial/ethnic health disparities.

scholarly journals Racial discrimination, racial/ethnic segregation, and health behaviors in the CARDIA study

2012 ◽  
Vol 18 (3) ◽  
pp. 227-243 ◽  
Author(s):  
Luisa N. Borrell ◽  
Catarina I. Kiefe ◽  
Ana V. Diez-Roux ◽  
David R. Williams ◽  
Penny Gordon-Larsen
Keyword(s):  
Health Behaviors ◽  
Racial Discrimination ◽  
Ethnic Segregation ◽  
Racial Ethnic

Suburbanizing Segregation? Changes in Racial/Ethnic Diversity and the Geographic Distribution of Metropolitan School Segregation, 2002–2012

2017 ◽  
Vol 119 (7) ◽  
pp. 1-40 ◽  
Author(s):  
Kori J. Stroub ◽  
Meredith P. Richards
Keyword(s):  
Geographic Distribution ◽  
Ethnic Diversity ◽  
Urban Areas ◽  
Fixed Effects ◽  
Demographic Data ◽  
Ethnic Segregation ◽  
School Students ◽  
The Impact ◽  
Racial Ethnic ◽  
Racial Balance

Background While postwar suburban migration established suburbs as relatively affluent, homogeneous white enclaves distinct from the urban core, recent waves of suburbanization and exurbanization have been spurred largely by rapid growth in the nonwhite population. While these increases in suburban racial/ethnic diversity represent a significant evolution of the traditional “chocolate city, vanilla suburbs” dichotomy, scholars have expressed concern that they are worsening racial/ethnic segregation among suburban public school students. Objective In this study, we document shifts in the racial imbalance of suburban schools in terms of several racial/ethnic and geographic dimensions (i.e., multiracial, black–white; between and within suburban districts, among localities). In addition, we extend the urban/suburban dichotomy to provide initial evidence on changes in racial balance in metropolitan exurbs. Finally, we use inferential models to directly examine the impact of changes in racial/ethnic diversity on shifts in racial imbalance. Research Design Using demographic data from the National Center of Education Statistics Common Core of Data on 209 U.S. metropolitan areas, we provide a descriptive analysis of changes in segregation within and between urban, suburban, and exurban localities from 2002 to 2012. We measure segregation using Theil's entropy index, which quantifies racial balance across geographic units. We assess the relationship between demographic change and change in segregation via a series of longitudinal fixed-effects models. Results Longitudinal analyses indicate that increases in racial/ethnic diversity are positively related to change in racial imbalance. However, observed increases in diversity were generally insufficient to produce meaningful increases in segregation. As a result, suburbs and exurbs, like urban areas, experienced little change in segregation, although trends were generally in a negative direction and more localities experienced meaningful declines in segregation than meaningful increases. Findings are less encouraging for suburbs and exurbs than for urban areas and underscore the intractability of black-white racial imbalance and the emerging spatial imbalance of Asians and whites. We also document an important shift in the geographic distribution of segregation, with suburbs now accounting for a plurality of metropolitan segregation. Conclusions Contrary to previous researchers, we do not find evidence that suburban and exurban schools are resegregating, although we fail to document meaningful progress towards racial equity. Moreover, while suburbs are not necessarily resegregating, we find that segregation is suburbanizing, and now accounts for the largest share of segregation of any locality. We conclude with a discussion of recommendations for policy and research.

scholarly journals Will 'Deaths of Despair' among Whites Change How We Talk about Racial/Ethnic Health Disparities?

2018 ◽  
Vol 28 (2) ◽  
pp. 123 ◽  
Author(s):  
Lauren Brown ◽  
Reginald Tucker-Seeley
Keyword(s):  
Health Disparities ◽  
Population Health ◽  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Minority Groups ◽  
Premature Death ◽  
Popular Literature ◽  
The United States ◽  
Deaths Of Despair ◽  
Racial Ethnic

<p>The recent trend of premature death among Whites in the United States has garnered attention in both the popular and academic literature. This attention has focused on the plight of low socioeconomic status Whites in non-urban areas. The population health lit­erature in general and the health disparities literature more specifically has struggled to describe differences in health when White groups present worse health outcomes or worsening trends compared with racial/ ethnic minority groups. There remain many open questions as population health/health disparities research attempts to explain the increasing mortality rates for low socioeco­nomic status Whites in non-urban areas in relationship to other racial/ethnic groups. As the conversation in the academic and popular literature continues to unfold, a key question for population health research and practice is how will the ‘deaths of despair’ phenomenon among Whites influence our measuring of, and reporting and interven­ing on, race/ethnic health disparities? <em></em></p><p><em>Ethn Dis. </em>2018;28(2):123-128; doi:10.18865/ ed.28.2.123.</p>

scholarly journals Eradicating Racism: An Endocrine Society Policy Perspective

2022 ◽  
Author(s):  
Ruban Dhaliwal ◽  
Rocio I Pereira ◽  
Alicia M Diaz-Thomas ◽  
Camille E Powe ◽  
Licy L Yanes Cardozo ◽  
...  
Keyword(s):  
Health Disparities ◽  
Ethnic Minority ◽  
Healthcare System ◽  
Health Professionals ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Minority Communities ◽  
Endocrine Society ◽  
Policy Perspective ◽  
Racial Ethnic

Abstract The Endocrine Society recognizes racism as a root cause of the health disparities that affect racial/ethnic minority communities in the United States and throughout the world. In this policy perspective, we review the sources and impact of racism on endocrine health disparities and propose interventions aimed at promoting an equitable, diverse, and just healthcare system. Racism in the healthcare system perpetuates health disparities through unequal access and quality of health services, inadequate representation of health professionals from racial/ethnic minority groups, and the propagation of the erroneous belief that socially constructed racial/ethnic groups constitute genetically and biologically distinct populations. Unequal care, particularly for common endocrine diseases such as diabetes, obesity, osteoporosis, and thyroid disease, results in high morbidity and mortality for individuals from racial/ethnic minority groups, leading to a high socioeconomic burden on minority communities and all members of our society. As health professionals, researchers, educators, and leaders, we have a responsibility to take action to eradicate racism from the healthcare system. Achieving this goal would result in high-quality health care services that are accessible to all, diverse workforces that are representative of the communities we serve, inclusive and equitable workplaces and educational settings that foster collaborative teamwork, and research systems that ensure that scientific advancements benefit all members of our society. The Endocrine Society will continue to prioritize and invest resources in a multifaceted approach to eradicate racism, focused on educating and engaging current and future health professionals, teachers, researchers, policy makers, and leaders.

CAN'T BUY ME WHITENESS

2008 ◽  
Vol 5 (1) ◽  
pp. 27-47 ◽  
Author(s):  
Jay A. Pearson
Keyword(s):  
Socioeconomic Status ◽  
Health Disparities ◽  
Race And Ethnicity ◽  
Full Range ◽  
Three Dimensions ◽  
Theoretical Frameworks ◽  
Missed Opportunities ◽  
Demographic Groups ◽  
Racial Ethnic ◽  
Socioeconomic Status And Health

AbstractA basic tenet of public health is that there is a robust relationship between socioeconomic status and health. Researchers widely accept that persons at average or median levels of socioeconomic status have better health compared to those at lower levels—with a detectable, if diminishing, gradient at even higher levels of socioeconomic status. The research on which this tenet is based, however, focuses largely on Whites, especially on White men. Yet according to the full range of extant findings, the magnitude and in some cases the direction of this relationship vary considerably for other demographic groups.I argue that the failure to clearly qualify study conclusions when they are restricted to the study of Whites impedes our understanding of the varying relationship between socioeconomic status and health for different demographic groups. Such an impediment is particularly harmful when considering health inequalities among populations defined by race and ethnicity. Frameworks and models based on traditional socioeconomic measures may mask heterogeneity, overestimate the benefits of material resources, underestimate psychosocial and physical health costs of resource acquisition for some groups, and overlook the value of alternative sociocultural orientations. These missed opportunities have grave consequences: large racial/ethnic health disparities persist while the health disadvantages of Black Americans continue to grow in key aspects. A new knowledge base is needed if racial/ethnic health disparities are to be eliminated, including new guiding theoretical frameworks, reinterpretations of existing research, and new empirical research. This article aims to initiate discussion on all three dimensions.

The Fragmentation of Metropolitan Public School Districts and the Segregation of American Schools: A Longitudinal Analysis

2014 ◽  
Vol 116 (12) ◽  
pp. 1-30 ◽  
Author(s):  
Meredith P. Richards ◽  
Kori J. Stroub
Keyword(s):  
Public School ◽  
School District ◽  
School Districts ◽  
Metropolitan Area ◽  
Rapid Growth ◽  
Metropolitan Areas ◽  
Public School Districts ◽  
Ethnic Segregation ◽  
Public School District ◽  
Racial Ethnic

Context Scholars have increasingly raised concerns about the “fragmentation” or proliferation of metropolitan public school districts, citing the potential for fragmentation to facilitate racial/ethnic segregation by permitting individuals to sort more efficiently across district boundaries. In addition, scholars have expressed particular concern about the rapid growth of charter districts and their potential to exacerbate segregation. Purpose of Study In this study, we provide initial evidence on the effect of public school district fragmentation on the trajectory of racial/ethnic segregation in metropolitan areas, attending to the differential effects of regular school district fragmentation as well as charter district fragmentation. Research Design Using NCES Common Core data for the 2002–2010 school years, we computed measures of regular public school district fragmentation and charter district fragmentation as well as nine measures of racial/ethnic segregation for all 366 U.S. metropolitan areas (3 geographic x 3 racial/ethnic decompositions). We then estimated a series of multilevel longitudinal models predicting change in each measure of segregation as a function of regular and charter school district fragmentation. Results We found that school district fragmentation is unrelated to the overall level of segregation in a metropolitan area. More fragmented metropolitan areas have higher levels of segregation across districts than less fragmented metropolitan areas; however, they have lower levels of segregation within districts and equivalent levels of total metropolitan segregation. Likewise, school district fragmentation was not associated with worsening segregation over time or with attenuation of the secular trend toward declining segregation. More fragmented metropolitan areas had smaller declines in between-district segregation over the study period than less fragmented metropolitan areas; however, they had equivalent declines in within-district and total metropolitan segregation. In addition, charter district fragmentation was unrelated to the level or trajectory of school segregation in a metropolitan area. Conclusions Our results provide a somewhat more sanguine assessment of school district fragmentation than previous research. We found that the fragmentation of regular public school districts serves to shift the geographic scale of segregation from within districts to between districts; however, fragmentation does not exacerbate metropolitan racial/ethnic segregation. In addition, despite the rapid growth of charter districts, we find no evidence that charter district fragmentation has worsened overall metropolitan racial/ethnic segregation. Moreover, metropolitan areas are not experiencing the “fragmentation” of their traditional public school districts; rather, traditional school districts are consolidating despite increasing enrollment.

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