American Journal of Public Health, Vol 90, Issue 4 615-617, Copyright © 2000 by American Public Health Association

JOURNAL ARTICLE

The relation of residential segregation to all-cause mortality: a study in black and white

SA Jackson, RT Anderson, NJ Johnson and PD Sorlie
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, NC 27157-1063, USA. sjackson@rc.phs.wfubmc.edu

OBJECTIVES: This study investigated the influence of an aggregate measure of the social environment on racial differences in all-cause mortality. METHODS: Data from the National Longitudinal Mortality Study were analyzed. RESULTS: After adjustment for family income, age-adjusted mortality risk increased with increasing minority residential segregation among Blacks aged 25 to 44 years and non-Blacks aged 45 to 64 years. In most age/race/gender groups, the highest and lowest mortality risks occurred in the highest and lowest categories of residential segregation, respectively. CONCLUSIONS: These results suggest that minority residential segregation may influence mortality risk and underscore the traditional emphasis on the social underpinnings of disease and death.

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