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Selena Ortiz, Penn State University
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Public Beliefs about Housing Affordability as a Key Social Determinant of Health and its Impact on Support for Affordable Housing Policy
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Coming Up
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Self-rated Health and Structural Racism Indicated by County-level Racial Inequalities in Socioeconomic Status: The Role of Urbanization
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Caryn N. Bell University of Maryland: Jessica L. Owens-Young American University: 2019-005
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Research
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Working Papers
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WP Documents
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Self-Rated Health and Structural Racism Indicated by County-Level Racial Inequalities in Socioeconomic Status: The Role of Urban-Rural Classification
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Recent attention to the interrelationship between racism, socioeconomic status (SES) and health has led to a small, but growing literature of empirical work on the role of structural racism in population health. Area-level racial inequities in SES are an indicator of structural racism, and the associations between structural racism indicators and self-rated health are unknown. Further, because urban-rural differences have been observed in population health and are associated with different manifestations of structural racism, explicating the role of urban-rural classification is warranted. This study examined the associations between racial inequities in SES and self-rated health by county urban-rural classification. Using data from County Health Rankings and American Communities Surveys, black-white ratios of SES were regressed on rates of fair/poor health in U.S. counties. Racial inequities in homeownership were negatively associated with fair/poor health ( β = −0.87, s.e. = 0.18), but racial inequities in unemployment were positively associated with fair/poor health ( β = 0.03, s.e. = 0.01). The associations between structural racism and fair/poor health varied by county urban-rural classification. Potential mechanisms include the concentration of resources in racially segregated counties with high racial inequities that lead to better health outcomes, but are associated with extreme black SES disadvantage. Racial inequities in SES are a social justice imperative with implications for population health that can be targeted by urban-rural classification and other social contextual characteristics.
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Retired Persons
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Caryn Bell, Ph.D.
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Caryn Bell Publications
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Seminar Series: Family and Neighborhood Interventions to Reduce Heart Disease Risk in East Los Angeles
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Alex Ortega, Principal Investigator, Center for Population Health and Health Disparities, Professor, Department of Health Services, University of California
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Coming Up
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Seminar Series: Kathryn Edin, Department of Sociology, Johns Hopkins University
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Fathers and Urban Poverty
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Seminar Series: Life Course Effects of Risk Factors at Women's Birth on Reproductive Outcomes as Adults
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Amy O. Tsui, Director, The Bill & Melinda Gates Institute of Population & Reproductive Health, Professor, Population, Family & Reproductive Health, Johns Hopkins University
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Coming Up
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Seminar Series: Nonstandard Work Schedules Over the Life Course: A First Look
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Harriet B. Presser, Distinguished University Professor, Department of Sociology, University of Maryland
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Seminar Series: Polygyny, Partnership Concurrency and HIV transmission in Sub Saharan Africa
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Georges Reniers, Assistant Professor, Office of Population Research, Woodrow Wilson School of Public & International Affairs, Department of Sociology, Princeton University
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Coming Up
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Seminar Series: Single Motherhood and Child Mortality in Sub-Saharan Africa: A Life Course Perspective
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Shelley Clark, Associate Professor, Department of Sociology, McGill University
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Seminar Series: Substance Use During Pregnancy and Maternal and Child Health: Findings from a Prospective, Population Based, Birth Cohort
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Edmond D. Shenassa, Director, Maternal and Child Health Program, Associate Professor, Department of Family Science, University of Maryland
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