Evidence map›Paper›PMID 29474451›Full record

ArticlePloS one2018

Racial residential segregation, socioeconomic disparities, and the White-Black survival gap.

Ioana Popescu, Erin Duffy, Joshua Mendelsohn, José J Escarce

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
20.8field-weighted citation impact, top 1% of its field
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Within-City Average Life Expectancy "Gaps": A Useful Health Equity Metric.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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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

4 authors at 1 institution in 1 country.

Ioana PopescuDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, Los Angeles, CA, United States of America.ORCID 0000-0001-8445-1949
Erin DuffyThe RAND Corporation, Santa Monica, CA, United States of America.
Joshua MendelsohnThe RAND Corporation, Santa Monica, CA, United States of America.
José J EscarceDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, Los Angeles, CA, United States of America.
RAND Corporation · US

Funding

Racial disparities in hospital use and quality of care for coronary heart diseaseR01HL118410 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI POPESCU, IOANA · 2014 to 2016
$1.1M
NHLBI NIH HHS R01 HL118410
6 · The paper itself

Abstract

objectiveTo evaluate the association between racial residential segregation, a prominent manifestation of systemic racism, and the White-Black survival gap in a contemporary cohort of adults, and to assess the extent to which socioeconomic inequality explains this association.

designThis was a cross sectional study of White and Black men and women aged 35-75 living in 102 large US Core Based Statistical Areas. The main outcome was the White-Black survival gap. We used 2009-2013 CDC mortality data for Black and White men and women to calculate age-, sex- and race adjusted White and Black mortality rates. We measured segregation using the Dissimilarity index, obtained from the Manhattan Institute. We used the 2009-2013 American Community Survey to define indicators of socioeconomic inequality. We estimated the CBSA-level White-Black gap in probability of survival using sequential linear regression models accounting for the CBSA dissimilarity index and race-specific socioeconomic indicators.

resultsBlack men and women had a 14% and 9% lower probability of survival from age 35 to 75 than their white counterparts. Residential segregation was strongly associated with the survival gap, and this relationship was partly, but not fully, explained by socioeconomic inequality. At the lowest observed level of segregation, and with the Black socioeconomic status (SES) assumed to be at the White SES level scenario, the survival gap is essentially eliminated.

conclusionWhite-Black differences in survival remain wide notwithstanding public health efforts to improve life expectancy and initiatives to reduce health disparities. Eliminating racial residential segregation and bringing Black socioeconomic status (SES) to White SES levels would eliminate the White-Black survival gap.

Indexed as

Black or African AmericanMortalitySocial SegregationWhite PeopleAdultAgedFemaleHumansMaleMiddle AgedSex FactorsSocioeconomic Factors

Identifiers

PMID29474451
PMCPMC5825109
OpenAlexW2793491712

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.