Beyond individual neighborhoods: A geography of opportunity perspective for understanding racial/ethnic health disparities

There has been insufficient attention to how and why place and neighborhood context contribute to racial/ethnic health disparities, as well as to policies that can eliminate racial/ethnic health disparities. This article uses a geography of opportunity framework to highlight methodological issues sp...

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Bibliographic Details
Published in:Health & place 2010-11, Vol.16 (6), p.1113-1123
Main Authors: Osypuk, Theresa L., Acevedo-Garcia, Dolores
Format: Article
Language:English
Subjects:
Bias
Continental Population Groups
Ethnic Groups
Ethnicity
Generalizability
Geography
Government policy
Health disparities
Health inequalities
Health inequality
Health Status Disparities
Health technology assessment
Housing market
Human geography
Humans
Male
Neighborhood
Neighbourhoods
Place
Policy
Poverty - ethnology
Race/ethnicity
Racial differences
Racial inequality
Residence Characteristics
Spatial analysis
U.S.A
United States
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Description
Summary:There has been insufficient attention to how and why place and neighborhood context contribute to racial/ethnic health disparities, as well as to policies that can eliminate racial/ethnic health disparities. This article uses a geography of opportunity framework to highlight methodological issues specific for quantitative research examining neighborhoods and racial/ethnic health disparities, including study design, measurement, causation, interpretation, and implications for policy. We argue that failure to consider regional, racialized housing market processes given high US racial residential segregation may introduce bias, restrict generalizability, and/or limit the policy relevance of study findings. We conclude that policies must address the larger geography of opportunity within the region in addition to improving deprived neighborhoods.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2010.07.002