Differences in Racial Disparities in Firearm Homicide across Cities: The Role of Racial Residential Segregation and Gaps in Structural Disadvantage
Abstract
Background/purpose Little research has characterized racial differences in firearm homicide at the city level. In this study, we explicitly model trends from 2000 to 2017 in the gap in homicide rates between the Black and White populations of 275 U.S. cities. Methods We used latent trajectory analysis and latent multi-trajectory analysis to identify distinct groups of cities with similar trends over time in: (a) Black and White firearm homicide rates; and (b) the ratio of the Black to White firearm homicide rates. We used a hierarchical, random effects model to examine the impact of racial segregation and racial gaps in structural disadvantage on the extent of the racial disparity in firearm homicide in each city. Results We found that racial residential segregation predicts differences between cities in the magnitude of racial disparities in firearm homicide rates. Conclusion Reducing racial disparities in firearm homicide may require programs and policies that specifically address the adverse consequences of racial segregation.
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The data demonstrate the effects of long-standing structural racism on the epidemiology of firearm injuries.
“Combined with the fact that the vast majority of firearm injuries in these urban areas were to Black males, the data demonstrate the effects of long-standing structural racism on the epidemiology of firearm injuries [9–11].”
From Firearm injuries in Missouri (2023) · cites this paper as [11]
Racial disparities are evident in the study cohort.
“Racial disparities are evident in our cohort, as observed in other local and national studies.”
From Incidence of and Factors Associated With Recurrent Firearm Injury Among Patients Presenting to St. Louis Trauma Centers, 2010 to 2019 (2023) · cites this paper as [45]
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References 36 · Cited by 48
- Authors
- Wong, B., Bernstein, S., Jay, J., & Siegel, M.
- Affiliations
- Boston University (US)
- Corresponding author
- Siegel, Michael
- Venue
- Journal of the National Medical Association
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 112
- Issue
- 5
- Pages
- 518-530
- ISSN
- 0027-9684 (ISSN-L)
- OpenAlex
- W3040018595
- Cited by
- 48
- References
- 36
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 7 · 2023: 8 · 2022: 14 · 2021: 7 · 2020: 1
- FWCI
- 4.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the National Medical Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Gun Ownership and Violence Research
- Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- firearm homicide, racial disparities, racial residential segregation, structural disadvantage
- MeSH terms
- Social Segregation, Black or African American, Cities, Homicide, Humans, White People
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