Effects of Racial Prejudice on the Health of Communities: A Multilevel Survival Analysis.

Abstract:

OBJECTIVES:We examined whether and how racial prejudice at both the individual and community levels contributes to mortality risk among majority as well as minority group members. METHODS:We used data on racial attitudes from the General Social Survey (1993-2002) prospectively linked to mortality data from the National Death Index through 2008. RESULTS:Whites and Blacks living in communities with higher levels of racial prejudice were at an elevated risk of mortality, independent of individual and community sociodemographic characteristics and individually held racist beliefs (odds ratio = 1.24; 95% confidence interval = 1.04, 1.49). Living in a highly prejudiced community had similar harmful effects among both Blacks and Whites. Furthermore, the interaction observed between individual- and community-level racial prejudice indicated that respondents with higher levels of racial prejudice had lower survival rates if they lived in communities with low degrees of racial prejudice. Community-level social capital explained the relationship between community racial prejudice and mortality. CONCLUSIONS:Community-level racial prejudice may disrupt social capital, and reduced social capital is associated with increased mortality risk among both Whites and Blacks. Our results contribute to an emerging body of literature documenting the negative consequences of prejudice for population health.

journal_name

Am J Public Health

authors

Lee Y,Muennig P,Kawachi I,Hatzenbuehler ML

doi

10.2105/AJPH.2015.302776

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

2349-55

issue

11

eissn

0090-0036

issn

1541-0048

journal_volume

105

pub_type

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