Acevedo-Garcia Dolores, Lochner Kimberly A, Osypuk Theresa L, Subramanian S V
Department of Health and Social Behavior, Harvard School of Public Health, Boston, Mass 02115, USA.
Am J Public Health. 2003 Feb;93(2):215-21. doi: 10.2105/ajph.93.2.215.
The authors examine the research evidence on the effect of residential segregation on health, identify research gaps, and propose new research directions. Four recommendations are made on the basis of a review of the sociological and social epidemiology literature on residential segregation: (1) develop multilevel research designs to examine the effects of individual, neighborhood, and metropolitan-area factors on health outcomes; (2) continue examining the health effects of residential segregation among African Americans but also initiate studies examining segregation among Hispanics and Asians; (3) consider racial/ethnic segregation along with income segregation and other metropolitan area factors such as poverty concentration and metropolitan governance fragmentation; and (4) develop better conceptual frameworks of the pathways that may link various segregation dimensions to specific health outcomes.
作者们审视了关于居住隔离对健康影响的研究证据，找出了研究空白，并提出了新的研究方向。基于对有关居住隔离的社会学和社会流行病学文献的综述，提出了四条建议：（1）开展多层次研究设计，以检验个体、邻里和大都市区因素对健康结果的影响；（2）继续研究非裔美国人中居住隔离对健康的影响，但也要启动对西班牙裔和亚裔中隔离情况的研究；（3）将种族/族裔隔离与收入隔离以及其他大都市区因素（如贫困集中程度和大都市区治理碎片化）一并考虑；（4）针对可能将各种隔离维度与特定健康结果联系起来的途径，构建更好的概念框架。
