دورية أكاديمية
Place, not race: disparities dissipate in southwest Baltimore when blacks and whites live under similar conditions.
| العنوان: | Place, not race: disparities dissipate in southwest Baltimore when blacks and whites live under similar conditions. |
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| المؤلفون: | LaVeist T; Center for Health Disparities Solutions and the William C. and Nancy F. Richardson Professor in Health Policy at the Johns Hopkins Bloomberg School of Public Health, in Baltimore, Maryland, USA., Pollack K, Thorpe R Jr, Fesahazion R, Gaskin D |
| المصدر: | Health affairs (Project Hope) [Health Aff (Millwood)] 2011 Oct; Vol. 30 (10), pp. 1880-7. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Project Hope Country of Publication: United States NLM ID: 8303128 Publication Model: Print Cited Medium: Internet ISSN: 2694-233X (Electronic) Linking ISSN: 02782715 NLM ISO Abbreviation: Health Aff (Millwood) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Millwood, Va. : Project Hope, c1981- |
| مواضيع طبية MeSH: | Social Environment*, Black People/*statistics & numerical data , Health Services Accessibility/*statistics & numerical data , Healthcare Disparities/*ethnology , White People/*statistics & numerical data, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Baltimore ; Diabetes Mellitus/ethnology ; Female ; Health Services/statistics & numerical data ; Health Status Disparities ; Health Surveys ; Humans ; Hypertension/ethnology ; Male ; Middle Aged ; Obesity/ethnology ; Residence Characteristics ; Smoking/ethnology ; Socioeconomic Factors ; Surveys and Questionnaires ; Young Adult ; Black or African American |
| مستخلص: | Much of the current health disparities literature fails to account for the fact that the nation is largely segregated, leaving racial groups exposed to different health risks and with variable access to health services based on where they live. We sought to determine if racial health disparities typically reported in national studies remain the same when black and white Americans live in integrated settings. Focusing on a racially integrated, low-income neighborhood of Southwest Baltimore, Maryland, we found that nationally reported disparities in hypertension, diabetes, obesity among women, and use of health services either vanished or substantially narrowed. The sole exception was smoking: We found that white residents were more likely than black residents to smoke, underscoring the higher rates of ill health in whites in the Baltimore sample than seen in national data. As a result, we concluded that racial differences in social environments explain a meaningful portion of disparities typically found in national data. We further concluded that when social factors are equalized, racial disparities are minimized. Policies aimed solely at health behavior change, biological differences among racial groups, or increased access to health care are limited in their ability to close racial disparities in health. Such policies must address the differing resources of neighborhoods and must aim to improve the underlying conditions of health for all. |
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| معلومات مُعتمدة: | P60 MD000214 United States MD NIMHD NIH HHS; U54 MD000214 United States MD NIMHD NIH HHS; P60MD000214-01 United States MD NIMHD NIH HHS |
| تواريخ الأحداث: | Date Created: 20111007 Date Completed: 20120509 Latest Revision: 20240712 |
| رمز التحديث: | 20240712 |
| مُعرف محوري في PubMed: | PMC6535343 |
| DOI: | 10.1377/hlthaff.2011.0640 |
| PMID: | 21976330 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2694-233X |
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| DOI: | 10.1377/hlthaff.2011.0640 |