At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/198953 |
Resumo: | Residential segregation is the spatial manifestation of entrenched socioeconomic and racial inequities and is considered a fundamental cause of racial inequalities in health. Despite the well-documented racialized spatial inequalities that exist in urban areas throughout Brazil, few empirical investigations have examined the link between residential segregation and health and considered its implications for racial health inequalities in this setting. In the present study, we used data from the Brazilian Longitudinal Study of Adult Health (2008e2010) to examine the association between economic residential segregation and two major cardio-metabolic risk factorsdhypertension and diabetes. We also examined whether associations were stronger for historically marginalized racial groups in Brazil. Residential segregation was calculated for study-defined neighborhoods using the Getis-Ord Local Gi* statistic and was based on household income data from the 2010 IBGE demographic census. Multivariable logistic regression models were used to examine associations. In our sample, Blacks and Browns were more likely to live in economically segregated neighborhoods. After taking into account income, education, and other demographic characteristics we found that individuals living in the most economically segregated neighborhoods were 26% more likely to have hypertension and 50% more likely to have diabetes than individuals living in more affluent areas. Although Blacks and Browns living in highly segregated neighborhoods had higher prevalence of hypertension and diabetes compared to Whites, we observed no statistically significant racial differences in the associations with residential segregation. Our findings suggest that residential segregation may be an important structural determinant of cardio-metabolic risk factors in Brazil. Moreover, the systematic and disproportionate exposure of Blacks and Browns to highly segregated neighborhoods may implicate these settings as potential drivers of racial inequalities in cardio-metabolic risk factors in urban settings in Brazil. |
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Barber, SharrelleRoux, Ana V. DiezCardoso, Letícia de OliveiraSantos, Simone Maria dosDaflon, Verônica TosteJames, Sherman A.Barreto, Sandhi MariaSchmidt, Maria InêsGiatti, LuanaChor, Dora2019-09-07T02:33:31Z20181873-5347http://hdl.handle.net/10183/198953001095670Residential segregation is the spatial manifestation of entrenched socioeconomic and racial inequities and is considered a fundamental cause of racial inequalities in health. Despite the well-documented racialized spatial inequalities that exist in urban areas throughout Brazil, few empirical investigations have examined the link between residential segregation and health and considered its implications for racial health inequalities in this setting. In the present study, we used data from the Brazilian Longitudinal Study of Adult Health (2008e2010) to examine the association between economic residential segregation and two major cardio-metabolic risk factorsdhypertension and diabetes. We also examined whether associations were stronger for historically marginalized racial groups in Brazil. Residential segregation was calculated for study-defined neighborhoods using the Getis-Ord Local Gi* statistic and was based on household income data from the 2010 IBGE demographic census. Multivariable logistic regression models were used to examine associations. In our sample, Blacks and Browns were more likely to live in economically segregated neighborhoods. After taking into account income, education, and other demographic characteristics we found that individuals living in the most economically segregated neighborhoods were 26% more likely to have hypertension and 50% more likely to have diabetes than individuals living in more affluent areas. Although Blacks and Browns living in highly segregated neighborhoods had higher prevalence of hypertension and diabetes compared to Whites, we observed no statistically significant racial differences in the associations with residential segregation. Our findings suggest that residential segregation may be an important structural determinant of cardio-metabolic risk factors in Brazil. Moreover, the systematic and disproportionate exposure of Blacks and Browns to highly segregated neighborhoods may implicate these settings as potential drivers of racial inequalities in cardio-metabolic risk factors in urban settings in Brazil.application/pdfengSocial science & medicine. Oxford. Vol. 199 (2018), p. 67-76Diabetes mellitusHipertensãoSegregação socialSegregação residencialBrasilRacial health inequalitiesResidential segregationHypertensionDiabetesBrazilAt the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001095670.pdf.txt001095670.pdf.txtExtracted Texttext/plain63690http://www.lume.ufrgs.br/bitstream/10183/198953/2/001095670.pdf.txta119cb35a8e4e24f8774403c9348990aMD52ORIGINAL001095670.pdfTexto completo (inglês)application/pdf613218http://www.lume.ufrgs.br/bitstream/10183/198953/1/001095670.pdf9e3d680bed47d72a7d3158b8a7a02b13MD5110183/1989532024-01-04 04:29:04.596105oai:www.lume.ufrgs.br:10183/198953Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2024-01-04T06:29:04Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
title |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
spellingShingle |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) Barber, Sharrelle Diabetes mellitus Hipertensão Segregação social Segregação residencial Brasil Racial health inequalities Residential segregation Hypertension Diabetes Brazil |
title_short |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
title_full |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
title_fullStr |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
title_full_unstemmed |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
title_sort |
At the intersection of place, race, and health in Brazil : residential segregation and cardio-metabolic risk factors in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
author |
Barber, Sharrelle |
author_facet |
Barber, Sharrelle Roux, Ana V. Diez Cardoso, Letícia de Oliveira Santos, Simone Maria dos Daflon, Verônica Toste James, Sherman A. Barreto, Sandhi Maria Schmidt, Maria Inês Giatti, Luana Chor, Dora |
author_role |
author |
author2 |
Roux, Ana V. Diez Cardoso, Letícia de Oliveira Santos, Simone Maria dos Daflon, Verônica Toste James, Sherman A. Barreto, Sandhi Maria Schmidt, Maria Inês Giatti, Luana Chor, Dora |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Barber, Sharrelle Roux, Ana V. Diez Cardoso, Letícia de Oliveira Santos, Simone Maria dos Daflon, Verônica Toste James, Sherman A. Barreto, Sandhi Maria Schmidt, Maria Inês Giatti, Luana Chor, Dora |
dc.subject.por.fl_str_mv |
Diabetes mellitus Hipertensão Segregação social Segregação residencial Brasil |
topic |
Diabetes mellitus Hipertensão Segregação social Segregação residencial Brasil Racial health inequalities Residential segregation Hypertension Diabetes Brazil |
dc.subject.eng.fl_str_mv |
Racial health inequalities Residential segregation Hypertension Diabetes Brazil |
description |
Residential segregation is the spatial manifestation of entrenched socioeconomic and racial inequities and is considered a fundamental cause of racial inequalities in health. Despite the well-documented racialized spatial inequalities that exist in urban areas throughout Brazil, few empirical investigations have examined the link between residential segregation and health and considered its implications for racial health inequalities in this setting. In the present study, we used data from the Brazilian Longitudinal Study of Adult Health (2008e2010) to examine the association between economic residential segregation and two major cardio-metabolic risk factorsdhypertension and diabetes. We also examined whether associations were stronger for historically marginalized racial groups in Brazil. Residential segregation was calculated for study-defined neighborhoods using the Getis-Ord Local Gi* statistic and was based on household income data from the 2010 IBGE demographic census. Multivariable logistic regression models were used to examine associations. In our sample, Blacks and Browns were more likely to live in economically segregated neighborhoods. After taking into account income, education, and other demographic characteristics we found that individuals living in the most economically segregated neighborhoods were 26% more likely to have hypertension and 50% more likely to have diabetes than individuals living in more affluent areas. Although Blacks and Browns living in highly segregated neighborhoods had higher prevalence of hypertension and diabetes compared to Whites, we observed no statistically significant racial differences in the associations with residential segregation. Our findings suggest that residential segregation may be an important structural determinant of cardio-metabolic risk factors in Brazil. Moreover, the systematic and disproportionate exposure of Blacks and Browns to highly segregated neighborhoods may implicate these settings as potential drivers of racial inequalities in cardio-metabolic risk factors in urban settings in Brazil. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2019-09-07T02:33:31Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/198953 |
dc.identifier.issn.pt_BR.fl_str_mv |
1873-5347 |
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001095670 |
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http://hdl.handle.net/10183/198953 |
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eng |
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dc.relation.ispartof.pt_BR.fl_str_mv |
Social science & medicine. Oxford. Vol. 199 (2018), p. 67-76 |
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openAccess |
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