Evaluating residential segregation’s relation to the clustering of poor health across american cities

Joseph Gibbons, Tse Chuan Yang, Elizabeth Brault, Michael Barton

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Residential segregation by race/ethnicity is widely recognized as a leading source of health disparities. Not clear from past research, however, is the overall health burden cities face due to clustering brought about by segregation. This study builds on previous research by directly measuring how spatially unequal health outcomes are within segregated cities. Utilizing Census-tract data from the Center for Disease Control and Prevention’s 500 Cities project, we examine how different dimensions of spatial segregation are associated with the clustering of poor self-rated health in cities. We make novel usage of the Global Moran’s I statistic to measure the spatial clustering of poor health within cities. We find spatial segregation is associated with poor health clustering, however the race/ethnicity and dimension of segregation matter. Our study contributes to existing research on segregation and health by unpacking the localized associations of residential segregation with poor health clustering in U.S. cities.

Original languageEnglish (US)
Article number3910
JournalInternational Journal of Environmental Research and Public Health
Issue number11
StatePublished - Jun 1 2020
Externally publishedYes


  • Moran’s I
  • Poor health clustering
  • Residential segregation
  • Self-rated health

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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