Evidence map›Paper›PMID 28130678›Full record

Observational studyJournal of urban health : bulletin of the New York Academy of Medicine2017

Local Residential Segregation Matters: Stronger Association of Census Tract Compared to Conventional City-Level Measures with Fatal and Non-Fatal Assaults (Total and Firearm Related), Using the Index of Concentration at the Extremes (ICE) for Racial, Economic, and Racialized Economic Segregation, Massachusetts (US), 1995-2010.

Nancy Krieger, Justin M Feldman, Pamela D Waterman, Jarvis T Chen, Brent A Coull, David Hemenway

Abstract readObservational Study
In one paragraph

Observational study in Journal of urban health : bulletin of the New York Academy of Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed.

  1. Article
  2. Racialized Economic Segregation and Disparities in the Risk of Stillbirth.Journal of racial and ethnic health disparities · 2026
    Article
  3. Article
  4. Article
  5. Racism and racial disparities in firearm violence: A scoping review.American journal of community psychology · 2026
    Article
  6. Article
  7. Community Safety Needs and Resources and Their Alignment: A Case Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Racialized economic segregation in relation to fecundability in a preconception cohort study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nancy KriegerDepartment of Social and Behavioral Sciences (Kresge 717), Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA. nkrieger@hsph.harvard.edu.ORCID 0000-0002-4815-5947
Justin M FeldmanDepartment of Social and Behavioral Sciences (Kresge 717), Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
Pamela D WatermanDepartment of Social and Behavioral Sciences (Kresge 717), Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
Jarvis T ChenDepartment of Social and Behavioral Sciences (Kresge 717), Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
Brent A CoullDepartment of Biostatistics and Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
David HemenwayDepartment of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, MA, USA.

Funding

Statistical Methods for the Spatio-Temporal Assessment of Social Disparities in CancerP01CA134294 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI COULL, BRENT ANDREW, DOMINICI, FRANCESCA · 2008 to 2017
$6.8M
NCI NIH HHS P01 CA134294
6 · The paper itself

Abstract

Research on residential segregation and health, primarily conducted in the USA, has chiefly employed city or regional measures of racial segregation. To test our hypothesis that stronger associations would be observed using local measures, especially for racialized economic segregation, we analyzed risk of fatal and non-fatal assault in Massachusetts (1995-2010), since this outcome is strongly associated with residential segregation. The segregation metrics comprised the Index of Concentration at the Extremes (ICE), the Index of Dissimilarity, and poverty rate, with measures computed at both the census tract and city/town level. Key results were that larger associations between fatal and non-fatal assaults and residential segregation occurred for models using the census tract vs. city/town measures, with the greatest associations observed for racialized economic segregation. For fatal assaults, comparing the bottom vs. top quintiles, the incidence rate ratio (and 95% confidence interval (CI)) in models using the census tract measures equaled 3.96 (95% CI 3.10, 5.06) for the ICE for racialized economic segregation, 3.26 (95% CI 2.58, 4.14) for the ICE for income, 3.14 (95% CI 2.47, 3.99) for poverty, 2.90 (95% CI 2.21, 3.81) for the ICE for race/ethnicity, and only 0.93 (95% CI 0.79, 1.11) for the Index of Dissimilarity; in models that included both census tract and city/town ICE measures, this risk ratio for the ICE for racialized economic segregation was higher at the census tract (3.29; 95% CI 2.43, 4.46) vs. city/town level (1.61; 95% CI 1.12, 2.32). These results suggest that, at least in the case of fatal and non-fatal assaults, research on residential segregation should employ local measures, including of racialized economic segregation, to avoid underestimating the adverse impact of segregation on health.

Indexed as

AdolescentAdultAgedCensusesChildFirearmsHomicideHumansMassachusettsMiddle AgedPovertyRacial GroupsResidence CharacteristicsSocial EnvironmentSocioeconomic FactorsUrban HealthAssaultEconomic segregationFirearmHealth inequitiesIncome inequalityIndex of Concentration at the ExtremesRacial inequalityRacial segregationSpatial polarizationViolence

Identifiers

PMID28130678
PMCPMC5391325

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.