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Racial residential segregation: A fundamental cause of racial disparities in health
Abstract
Racial residential segregation is a fundamental cause of racial disparities in health. The physical separation of the races by enforced residence in certain areas is an institutional mechanism of racism that was designed to protect whites from social interaction with blacks. Despite the absence of supportive legal statutes, the degree of residential segregation remains extremely high for most African Americans in the United States. The authors review evidence that suggests that segregation is a primary cause of racial differences in socioeconomic status (SES) by determining access to education and employment opportunities. SES in turn remains a fundamental cause of racial differences in health. Segregation also creates conditions inimical to health in the social and physical environment. The authors conclude that effective efforts to eliminate racial disparities in health must seriously confront segregation and its pervasive consequences.
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“While earlier studies of the social determinants of health tend to center individual and interpersonal racialized experiences, this new paradigm shifts focus to the institutional and structural conditions that shape racial disparities in health [44, 45, 110, 118].”
From Towards a critical race methodology in algorithmic fairness (2020) · cites this paper as [118]
In the citing paper
“In 2001 Williams and Collins published a groundbreaking paper that found racial residential segregation in the United States negatively affects health by reducing adult income for visible minorities via mechanisms that concentrate poverty ‐ including limiting fair access to elementary and secondary education, and restricting opportunities for post‐secondary education and employment (Massey & Fisch”
From On race, human variation, and who gets and dies of sepsis (2022) · cites this paper as Williams & Collins, 2001
In the citing paper
“Residential segregation is one such discriminatory practice that is common in colonial states, where it is built into all tiers of legislation and controls everything from housing quality to grocery store access to public transportation to job opportunity (Nightingale, 2012; Williams & Collins, 2001).”
From On race, human variation, and who gets and dies of sepsis (2022) · cites this paper as Williams & Collins, 2001
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Metadata
- Authors
- Williams, D. R., & Collins, C.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Williams, David R
- ORCID
- Williams, David R
- Venue
- Public Health Reports
- Publisher
- SAGE Publications
- Published
- 2001-09
- Volume
- 116
- Issue
- 5
- Pages
- 404-416
- ISSN
- 0033-3549 (ISSN-L)
- OpenAlex
- W2018955353
- Cited by
- 3,153
- References
- 9
- Citations by year
- 2026: 160 · 2025: 239 · 2024: 212 · 2023: 247 · 2022: 295 · 2021: 280 · 2020: 215 · 2019: 163 · 2018: 113 · 2017: 149 · 2016: 137 · 2015: 118 · 2014: 121 · 2013: 97 · 2012: 107
- FWCI
- 51.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Public Health Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John D. and Catherine T. MacArthur Foundation
- National Institute of Mental Health (R01MH059575, R01MH057425)
- Topics
- Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- racial residential segregation, racial disparities in health, institutional racism, African Americans, socioeconomic status, access to education, employment opportunities, built environment, social environment, health equity
- MeSH terms
- Black or African American, Crime, Employment, Health Services Accessibility, Health Status Indicators, Housing, Humans, Minority Groups, Prejudice, Race Relations, Residence Characteristics, Social Justice, Socioeconomic Factors, United States, Health Behavior
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