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居住隔离与自评健康方面的种族差异:居住隔离的维度如何产生影响?

Residential segregation and racial disparities in self-rated health: How do dimensions of residential segregation matter?

作者信息

Yang Tse-Chuan, Zhao Yunhan, Song Qian

机构信息

Department of Sociology, Center for Social and Demographic Analysis, University at Albany, State University of New York, 315 AS Building, 1400 Washington Ave., Albany, NY 12222, USA.

Department of Sociology, Center for Social and Demographic Analysis, University at Albany, State University of New York, 351 AS Building, 1400 Washington Ave., Albany, NY 12222, USA.

出版信息

Soc Sci Res. 2017 Jan;61:29-42. doi: 10.1016/j.ssresearch.2016.06.011. Epub 2016 Jun 9.

Abstract

Previous research on segregation and health has been criticized for overlooking the fact that segregation is a multi-dimensional concept (i.e., evenness, exposure, concentration, centralization, and clustering) and recent evidence drawn from non-black minorities challenges the conventional belief that residential segregation widens racial health disparities. Combining a survey data (n = 18,752) from Philadelphia with the 2010 Census tract (n = 925) data, we examine two theoretical frameworks to understand why the association of segregation with health may differ by race/ethnicity. Specifically, we investigate how each dimension of segregation contributed to racial disparities in self-rated health. We found (1) high levels of white/black concentration could exacerbate the white/black health disparities up to 25 percent, (2) the white/Hispanic health disparities was narrowed by increasing the level of white/Hispanic centralization, and (3) no single dimension of segregation statistically outperforms others. Our findings supported that segregation is bad for blacks but may be beneficial for Hispanics.

摘要

先前关于种族隔离与健康的研究因忽视种族隔离是一个多维度概念(即均匀度、暴露程度、集中度、中心化程度和聚集度)而受到批评,并且来自非黑人少数族裔的最新证据对居住隔离会扩大种族健康差距这一传统观念提出了挑战。我们将费城的一项调查数据(n = 18,752)与2010年人口普查区数据(n = 925)相结合,研究了两个理论框架,以理解为何种族隔离与健康之间的关联可能因种族/族裔而异。具体而言,我们调查了种族隔离的每个维度如何导致自评健康方面的种族差异。我们发现:(1)白/黑高度集中会使白/黑健康差距加剧达25%;(2)白/西班牙裔健康差距会因白/西班牙裔中心化程度的提高而缩小;(3)在统计学上,没有一个种族隔离维度比其他维度表现更突出。我们的研究结果表明,种族隔离对黑人不利,但可能对西班牙裔有益。

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