Neighborhood racial residential segregation and changes in health or death among older adults

TitleNeighborhood racial residential segregation and changes in health or death among older adults
Publication TypeJournal Article
Year of Publication2013
AuthorsSudano, JJ, Perzynski, A, Wong, DW, Colabianchi, N, Litaker, D
JournalHealth and place
Volume19
Pagination80
KeywordsDemographics, Health Conditions and Status, Healthcare, Methodology, Public Policy, Women and Minorities
Abstract

We assessed relationships between neighborhood racial residential segregation (RRS), individual-level health declines and mortality using Health and Retirement Study data. We calculated the census-tract level Location Quotient for Racial Residential Segregation (LQRRS), and estimated adjusted relative risks (ARR) of LQRRS for declines in self-reported health or death 1992-2000, controlling for individual-level characteristics. Of 6653 adults, 3333 lived in minimal, 2242 in low, 562 in moderate, and 516 in high LQRRS tracts in 1992. Major decline/death rates were: 18.6 , 25.2 , 33.8 and 30.4 in minimal, low, moderate and high tracts, respectively. Adjusting for demographic characteristics, residence in low, moderate and high LQRRS census tracts was associated with greater likelihood of major decline/death compared to minimal LQRRS. Controlling for all variables, only moderate LQRRS predicted major decline/death, ARR=1.31 (95 CI 1.07, 1.59; p .05).
Endnote Keywords

Segregation/Residential Segregation/Location Quotient for Racial Residential Segregation/Contextual effects/Health status/Census tracts/Health disparities/Mortality/public Policy/Public health
Endnote ID

69754
Citation Key7925