Exploring Health Disparities in Integrated Communities: Overview of the EHDIC Study
- 449 Downloads
Progress in understanding the nature of health disparities requires data that are race-comparative while overcoming confounding between race, socioeconomic status, and segregation. The Exploring Health Disparities in Integrated Communities (EHDIC) study is a multisite cohort study that will address these confounders by examining the nature of health disparities within racially integrated communities without racial disparities in socioeconomic status. Data consisted of a structured questionnaire and blood pressure measurements collected from a sample of the adult population (age 18 and older) of two racially integrated contiguous census tracts. This manuscript reports on baseline results from the first EHDIC site, a low-income urban community in southwest Baltimore, Maryland (EHDIC-SWB). In the adjusted models, African Americans had lower rates of smoking and fair or poor self-rated health than whites, but no race differences in obesity, drinking, or physical inactivity. Our findings indicate that accounting for race differences in exposure to social conditions reduces or eliminates some health-related disparities. Moreover, these findings suggest that solutions to the seemingly intractable health disparities problem that target social determinants may be effective, especially those factors that are confounded with racial segregation. Future research in the area of health disparities should seek ways to account for confounding from SES and segregation.
KeywordsHealth disparities Confounding Race Socioeconomic status Segregation Integration Urban Community
This research was supported by grant #P60MD000214-01 from the National Center for Minority Health and Health Disparities(NCMHD) of the National Institutes of Health (NIH) and a grant from Pfizer, Inc. to Dr. LaVeist.
- 22.LaVeist TA, Thorpe RJ Jr, Mance G, Jackson J. Overcoming confounding of race with socioeconomic status and segregation to explore race disparities in smoking. Journal of Addiction. In Press.Google Scholar
- 39.LaVeist TA. Linking residential segregation and the infant mortality race disparity. Sociol Soc Res. 1989;73:90–94.Google Scholar
- 48.National Center for Health Statistics. 2003 National Health Interview Survey Adult Core. 2004.Google Scholar
- 49.National Center for Health Statistics. 2003 National Health Interview Survey Description. 2004.Google Scholar
- 50.National Center for Health Statistics. National Health Interview Survey Description. 2006; available at: http://www.cdc.gov/nchs/about/major/nhis/hisdesc.htm. Accessed December 10, 2006.
- 52.National Institute on Drug Abuse. National Household Survey on Drug Abuse: Main Findings 1988. Washington, DC: U.S. Department of Health and Human Services Publication ADM 90-1692. 1990.Google Scholar
- 53.Massey D, Denton N. American Apartheid: Segregation and the Making of the Underclass. Boston: Harvard University Press; 1998.Google Scholar
- 54.Oliver M, Shapiro T. Black Wealth/White Wealth: A New Perspective on Racial Inequality. United Kingdom: Routledge; 1995.Google Scholar
- 55.Shapiro T. The Hidden cost of Being African American: How Wealth Perpetuates Inequality. USA: Oxford University Press; 2005.Google Scholar