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Conference paper
Racial Inequities in Self-Rated Health Across Brazilian Cities: Does Residential Segregation Play a Role?
American journal of epidemiology, v 191(6), pp 1071-1080
04 Mar 2022
PMID: 35244147
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Racial health inequities may be partially explained by area-level factors such as residential segregation. In this cross-sectional study, using a large, multiracial, representative sample of Brazilian adults (n = 37,009 individuals in the 27 state capitals; National Health Survey (Pesquisa Nacional de Saude), 2013), we investigated ) whether individual-level self-rated health (SRH) (fair or poor vs. good or better) varies by race (self-declared White, Brown, or Black) and ) whether city-level economic or racial residential segregation (using dissimilarity index values in tertiles: low, medium, and high) interacts with race, increasing racial inequities in SRH. Prevalence of fair or poor SRH was 31.5% (Black, Brown, and White people: 36.4%, 34.0%, and 27.3%, respectively). Marginal standardization based on multilevel logistic regression models, adjusted for age, gender, and education, showed that Black and Brown people had, respectively, 20% and 10% higher prevalence of fair or poor SRH than did White people. Furthermore, residential segregation interacted with race such that the more segregated a city, the greater the racial gap among Black, Brown, and White people in fair or poor SRH for both income and race segregation. Policies to reduce racial inequities may need to address residential segregation and its consequences for health.
Also presented at the 17th International Conference on Urban Health, held virtually July 6–8 2021.
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Details
- Title
- Racial Inequities in Self-Rated Health Across Brazilian Cities: Does Residential Segregation Play a Role?
- Creators
- Joanna M. N. Guimaraes (Corresponding Author) - Fundação Oswaldo CruzGoro Yamada - Drexel UniversitySharrelle Barber - Drexel UniversityWaleska Teixeira Caiaffa - Universidade Federal de Minas GeraisAmelia Augusta de Lima Friche - Universidade Federal de Minas GeraisMariana Carvalho de Menezes - Universidade Federal de Ouro PretoGervasio Santos - Universidade Federal da BahiaIsabel Santos - Universidade Federal da BahiaLeticia de Oliveira Cardoso - Fundação Oswaldo CruzAna Diez Roux - Drexel University
- Publication Details
- American journal of epidemiology, v 191(6), pp 1071-1080
- Conference
- 2021 Planetary Health Annual Meeting (Virtual, 25 Apr 2021–30 Apr 2021)
- Publisher
- Oxford Univ Press
- Number of pages
- 10
- Grant note
- 205177/Z/16/Z / Wellcome Trust initiative "Our Planet, Our Health"
- Resource Type
- Conference paper
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000791037700001
- Scopus ID
- 2-s2.0-85131701796
- Other Identifier
- 991019168640104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health