Document Detail

Association of residential segregation and disability: a multilevel study using Iranian census data.
MedLine Citation:
PMID:  22684426     Owner:  NLM     Status:  MEDLINE    
The association of racial segregation and health outcomes has been reviewed recently in the literature, but the health effect of other contexts of segregation with respect to residential environment has not as yet been fully reviewed. Besides, most of the literature on segregation has been performed in Western countries. Here, we undertake a multilevel analysis of residential segregation of socioeconomic and demographic factors and disability rate in an Eastern developing country in order to elucidate the effects of this aspect of segregation on disability rate. The latest Iranian national census in 2006 was used to measure segregation indices and perform the analysis. Information theory index and its ordinal form were applied to measure evenness dimension of segregation of categorical and ordinal variables, respectively. Segregation of contextual and structural characteristics of residential environment, which are important determinants of socioeconomic status in Iran, had different relations with disability rate. Provinces which were segregated by type of occupation of residents, sex, and ownership of a motorcycle had a lower individual disability rate, while age segregation and house ownership had a positive effect on the rate of individual disability in the province. The findings also showed that almost all the aforementioned segregation indices had the same effect on the rate of family disability. The unique contribution of this study is that it considers how segregation with respect to aspects of social characteristics other than race affects health outcomes. Further studies in this regard may reveal new insights into health outcome inequalities.
Seyed Saeed Hashemi Nazari; Mahmood Mahmoodi; Mohammad-Ali Mansournia; Kourosh Holakouie Naieni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  90     ISSN:  1468-2869     ISO Abbreviation:  J Urban Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-25     Completed Date:  2013-08-08     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-82     Citation Subset:  IM    
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MeSH Terms
Disabled Persons / statistics & numerical data*
Educational Status
Family Health / statistics & numerical data*
Health Status Disparities
Housing / statistics & numerical data
Middle Aged
Residence Characteristics / statistics & numerical data*
Social Class
Young Adult

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