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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 12 Feb 2004 16:33:37 -0500
Content-Type:
text/plain
Parts/Attachments:
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From: Alice Furumoto-Dawson <[log in to unmask]>

The National Academies' Fellowship Office has an ongoing HUD Urban Scholars
Postdoctoral Fellowship Program.  An increasing focus in addressing the
social determinants of health disparities for racial and ethnic minorities
has been in the built environment of cities and neighborhoods, urban
housing discrimination and neighborhood level inequities associated with
"hyper-segregation".

Some past fellows' work:

Dr. Amy Hillier, University of Pennsylvania
Searching for Red Lines: A GIS and Spatial Statistical Analysis of Mortgage
Discrimination

Dr. Lincoln Quillian, University of Wisconsin =96 Madison
Sources of the Spatial Concentration of Poverty in U.S. Metropolitan Areas
----------------------------------------------------------------------------------------------------

A recently published article connect patterns of US residential segregation
to higher mortality risk for African Americans:

Authors: LaVeist TA.
Institution: John Hopkins University, Morgan-Hopkins Center for Health
Disparities
                     Solutions, Bloomberg School of Public Health,
Baltimore, MD 21205, USA.
Title: Racial segregation and longevity among African Americans: an
                     individual-level analysis.
Source: Health Services Research. 38(6 Pt 2):1719-33, 2003 Dec.
Abstract
OBJECTIVE: To test the relationship between racial segregation and
mortality using a multidimensional questionnaire-based measure of exposure
to segregation. DATA SOURCES: Data for this analysis come from the
National Survey of Black Americans (NSBA), a national multistage
probability sample of 2,107 African Americans (aged 18-101). The NSBA was
conducted as a household survey. The NSBA was matched with the National
Death Index (NDI). STUDY DESIGN: Prospective cohort study, where Cox
regression analysis was used to examine the effect of baseline variables
on time to death over a 13-year period. PRINCIPAL FINDINGS: Respondents
who were exposed to racial segregation were significantly less likely to
survive the study period after controls for age, health status, and other
predictors of mortality. CONCLUSION: The results support previous studies
linking segregation with health outcomes.

I can see how a recent  postdoc could propose a "Urban Design for Health"
or "Community  Planning for Healthy Living Environments" or "Not just
'green' environmentally-conscious building and facilities mgmt for public
housing, but also 'pink' health-conscious facilities mgmt".   However, the
deadline for this year has just passed.  The program offers $55,000 in
research funding over a 15-month period. Applicants must be recent Ph.D.
recipients who propose research in fields of interest to HUD. Full details
are available online.
http://www7.nationalacademies.org/fellowships/HUD_Urban_= Scholars.html


Alice Furumoto-Dawson, Ph.D.
Society, Human Dvlpmt & Health Dept
Harvard School of Public Health
Boston, MA

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