Assessing Disparity Using Measures of Racial and Educational Isolation

被引:12
作者
Bravo, Mercedes A. [1 ,2 ]
Leong, Man Chong [2 ,3 ]
Gelfand, Alan E. [4 ]
Miranda, Marie Lynn [2 ,5 ]
机构
[1] Duke Univ, Global Hlth Inst, Durham, NC 27708 USA
[2] Univ Notre Dame, Childrens Environm Hlth Initiat, South Bend, IN 46556 USA
[3] Univ Florida, Dept Biostat, Gainesville, FL 32612 USA
[4] Duke Univ, Dept Stat Sci, Durham, NC 27708 USA
[5] Univ Notre Dame, Dept Appl & Computat Math & Stat, Notre Dame, IN 46556 USA
基金
美国国家卫生研究院;
关键词
educational attainment isolation; racial isolation; local correlation; health disparities; spatial; birth outcomes; RESIDENTIAL SEGREGATION; UNITED-STATES; PRETERM BIRTH; BLACK; HEALTH; MORTALITY; EXPOSURE; SCHOOLS; INCOME; RACE;
D O I
10.3390/ijerph18179384
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
We develop a local, spatial measure of educational isolation (EI) and characterize the relationship between EI and our previously developed measure of racial isolation (RI). EI measures the extent to which non-college educated individuals are exposed primarily to other non-college educated individuals. To characterize how the RI-EI relationship varies across space, we propose a novel measure of local correlation. Using birth records from the State of Michigan (2005-2012), we estimate associations between RI, EI, and birth outcomes. EI was lower in urban communities and higher in rural communities, while RI was highest in urban areas and parts of the southeastern United States (US). We observed greater heterogeneity in EI in low RI tracts, especially in non-urban tracts; residents of high RI tracts are likely to be both educationally and racially isolated. Associations were also observed between RI, EI, and gestational length (weeks) and preterm birth (PTB). For example, moving from the lowest to the highest quintile of RI was associated with a 1.11 (1.07, 1.15) and 1.16 (1.10, 1.22) increase in odds of PTB among NHB and NHW women, respectively. Moving from the lowest to the highest quintile of EI was associated with a 1.07 (1.02, 1.12) and 1.03 (1.00, 1.05) increase in odds of PTB among NHB and NHW women, respectively. This work provides three tools (RI, EI, and the local correlation measure) to researchers and policymakers interested in how residential isolation shapes disparate outcomes.
引用
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页数:20
相关论文
共 59 条
[1]   Future directions in residential segregation and health research: A multilevel approach [J].
Acevedo-Garcia, D ;
Lochner, KA ;
Osypuk, TL ;
Subramanian, SV .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (02) :215-221
[2]  
[Anonymous], 2010, 2010 U.S. decennial census
[3]  
[Anonymous], 2010, Rural-Urban Commuting Area Codes (RUCA) data
[4]   A spatial measure of neighborhood level racial isolation applied to low birthweight, preterm birth, and birthweight in North Carolina [J].
Anthopolos, Rebecca ;
James, Sherman A. ;
Gelfand, Alan E. ;
Miranda, Marie Lynn .
SPATIAL AND SPATIO-TEMPORAL EPIDEMIOLOGY, 2011, 2 (04) :235-246
[5]   Residential Racial Isolation and Spatial Patterning of Hypertension in Durham, North Carolina [J].
Bravo, Mercedes A. ;
Batch, Bryan C. ;
Miranda, Marie Lynn .
PREVENTING CHRONIC DISEASE, 2019, 16
[6]   Residential Racial Isolation and Spatial Patterning of Type 2 Diabetes Mellitus in Durham, North Carolina [J].
Bravo, Mercedes A. ;
Anthopolos, Rebecca ;
Kimbro, Rachel T. ;
Miranda, Marie Lynn .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2018, 187 (07) :1467-1476
[7]   Racial isolation and exposure to airborne particulate matter and ozone in understudied US populations: Environmental justice applications of downscaled numerical model output [J].
Bravo, Mercedes A. ;
Anthopolos, Rebecca ;
Bell, Michelle L. ;
Miranda, Marie Lynn .
ENVIRONMENT INTERNATIONAL, 2016, 92-93 :247-255
[8]   Metropolitan residential segregation and very preterm birth among African American and Mexican-origin women [J].
Britton, Marcus L. ;
Shin, Heeju .
SOCIAL SCIENCE & MEDICINE, 2013, 98 :37-45
[9]  
Chetty R-., 2017, EQUALITY OPPORTUNITY
[10]   The Association Between Income and Life Expectancy in the United States, 2001-2014 [J].
Chetty, Raj ;
Stepner, Michael ;
Abraham, Sarah ;
Lin, Shelby ;
Scuderi, Benjamin ;
Turner, Nicholas ;
Bergeron, Augustin ;
Cutler, David .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (16) :1750-1766