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Segregation, Poverty, and Empowerment: Health Consequences for African Americans

Thomas A. LaVeist
The Milbank Quarterly
Vol. 71, No. 1 (1993), pp. 41-64
Published by: Wiley on behalf of Milbank Memorial Fund
DOI: 10.2307/3350274
Stable URL: http://www.jstor.org/stable/3350274
Page Count: 24
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Segregation, Poverty, and Empowerment: Health Consequences for African Americans
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Abstract

Cities in the United States have undergone major social transitions during the past two decades. Three notable factors in these shifts have been the development of a black political elite, sustained rates of black poverty, and intensified racial segregation. Indications of the effect of these social forces on black-white differentials in health status have begun to surface in the research literature. This article reports analyses of data from all U.S. cities with a population of 50,000, at least 10 percent of which is black. These results indicate substantial geographic variation in black-white infant mortality rates. Racial residential segregation, black political empowerment, and black and white poverty are the characteristics that distinguish cities that have a high degree of disparity in black-white infant mortality from cities that do not.

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