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© 2003 American Public Health Association
RACIAL/ETHNIC BIAS AND HEALTH |
Dolores Acevedo-Garcia, Theresa L. Osypuk, and S. V. Subramanian are with the Department of Health and Social Behavior, Harvard School of Public Health, Boston, Mass. Kimberly A. Lochner is with the Robert Wood Johnson Foundation, Princeton, NJ.
Correspondence: Requests for reprints should be sent to Dolores Acevedo-Garcia, PhD, MPA-URP, Department of Health and Social Behavior, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115 (e-mail: dacevedo{at}hsph.harvard.edu).
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.
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