Department of Sociology, San Diego State University, San Diego, CA 92182, USA.
Department of Sociology, University at Albany, SUNY, Albany, NY 12222, USA.
Int J Environ Res Public Health. 2020 Jun 1;17(11):3910. doi: 10.3390/ijerph17113910.
Residential segregation by race/ethnicity is widely recognized as a leading source of health disparities. Not clear from past research, however, is the overall health burden cities face due to clustering brought about by segregation. This study builds on previous research by directly measuring how spatially unequal health outcomes are within segregated cities. Utilizing Census-tract data from the Center for Disease Control and Prevention's 500 Cities project, we examine how different dimensions of spatial segregation are associated with the clustering of poor self-rated health in cities. We make novel usage of the Global Moran's I statistic to measure the spatial clustering of poor health within cities. We find spatial segregation is associated with poor health clustering, however the race/ethnicity and dimension of segregation matter. Our study contributes to existing research on segregation and health by unpacking the localized associations of residential segregation with poor health clustering in U.S. cities.
居住的种族/民族隔离被广泛认为是健康差距的主要来源。然而，过去的研究还不清楚城市由于隔离而导致的聚集所带来的整体健康负担。本研究通过直接衡量隔离城市内部健康结果的空间不平等程度，对以往的研究进行了扩展。利用疾病控制与预防中心的 500 个城市项目中的普查区数据，我们研究了不同维度的空间隔离如何与城市中较差的自我评估健康状况的聚集相关。我们创新性地使用全局 Moran's I 统计量来衡量城市内部较差健康状况的空间聚集。我们发现空间隔离与健康状况的聚集有关，但是种族/民族隔离和隔离的维度很重要。我们的研究通过剖析美国城市中居住隔离与较差健康状况聚集之间的局部关联，为现有的隔离与健康研究做出了贡献。
