ArticlePediatrics2022
School Racial Segregation and the Health of Black Children.
Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- The association between macro-level structural discrimination and alcohol outcomes: A systematic review.Social science & medicine (1982) · 2025Pooled it
- The Association of School Racial Segregation with Health Among U.S. Youths: A Nationwide Longitudinal Study.Journal of racial and ethnic health disparities · 2026Article
- School Nursing's Impact on Student Outcomes: A Path Forward for Historically Segregated Communities-A Transcultural GIS Approach.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026Article
- Age-specific life expectancies across school districts in the United States: Applying a population weighted geographic crosswalk to aggregate census tract indicators.SSM - population health · 2026Article
- School Segregation During Adolescence is Associated with Higher 30-Year Cardiovascular Risk of Black but not White Young Adults.Journal of racial and ethnic health disparities · 2025Article
- Health Effects of Interpersonal and Structural Discrimination on Minority Groups in Europe.Sociology of health & illness · 2025Article
- Association Between Changes in Racial Residential and School Segregation and Trends in Racial Health Disparities, 2000-2020: A Life Course Perspective.Journal of racial and ethnic health disparities · 2025Article
- Exposure to School Racial Segregation and Late-Life Cognitive Outcomes.JAMA network open · 2025Article
- The end of court-ordered desegregation and US children's health: quasi-experimental evidence.American journal of epidemiology · 2024Article
- School Segregation and Health Across Racial Groups: A Life Course Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Association of Childhood Exposure to School Racial Segregation with Late-Life Cognitive Outcomes among Older Americans.medRxiv : the preprint server for health sciences · 2024Article
- Individual and regional differences in the effects of school racial segregation on Black students' health.SSM - population health · 2024Article
- Structural racism in primary schools and changes in epigenetic age acceleration among Black and White youth.Social science & medicine (1982) · 2024Article
- Testing mediating pathways between school segregation and health: Evidence on peer prejudice and health behaviors.Social science & medicine (1982) · 2023Article
- The association of residential racial segregation with health among U.S. children: A nationwide longitudinal study.SSM - population health · 2022Article
- School racial segregation and long-term cardiovascular health among Black adults in the US: A quasi-experimental study.PLoS medicine · 2022Article
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesFew researchers have evaluated whether school racial segregation, a key manifestation of structural racism, affects child health, despite its potential impacts on school quality, social networks, and stress from discrimination. We investigated whether school racial segregation affects Black children's health and health behaviors.
methodsWe estimated the association of school segregation with child health, leveraging a natural experiment in which school districts in recent years experienced increased school segregation. School segregation was operationalized as the Black-White dissimilarity index. We used ordinary least squares models as well as quasi-experimental instrumental variables analysis, which can reduce bias from unobserved confounders. Data from the Child Development Supplement of the Panel Study of Income Dynamics (1997-2014, n = 1248 Black children) were linked with district-level school segregation measures. Multivariable regressions were adjusted for individual-, neighborhood-, and district-level covariates. We also performed subgroup analyses by child sex and age.
resultsIn instrumental variables models, a one standard deviation increase in school segregation was associated with increased behavioral problems (2.53 points on a 27-point scale; 95% CI, 0.26 to 4.80), probability of having ever drunk alcohol (0.23; 95% CI, 0.049 to 0.42), and drinking at least monthly (0.20; 95% CI, 0.053 to 0.35). School segregation was more strongly associated with drinking behaviors among girls.
conclusionsSchool segregation was associated with worse outcomes on several measures of well-being among Black children, which may contribute to health inequities across the life span. These results highlight the need to promote school racial integration and support Black youth attending segregated schools.
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Registered trials
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