%0 Journal Article
%T The role of racial residential segregation in black-white disparities in firearm homicide at the state level in the United States, 1991-2015
%J Journal of the National Medical Association
%D 2019
%A Knopov, Anita
%A Rothman, Emily Faith
%A Cronin, Shea W.
%A Franklin, Lydia
%A Cansever, Alev
%A Potter, Fiona
%A Mesic, Aldina
%A Sharma, Anika
%A Xuan, Ziming
%A Siegel, Michael
%A Hemenway, David A.
%V 111
%N 1
%P 62-75
%X OBJECTIVE: To investigate the relationship between racial residential segregation and differences in Black-White disparities in overall firearm homicides across U.S states. <br><br>METHODS: Using a linear regression, we evaluated the relationship between racial residential segregation, as measured by the index of dissimilarity, and the Black-White firearm homicide disparity ratio in 32 states over the period 1991-2015. To account for clustering of observations within states, we used a generalized estimating equations approach. <br><br>RESULTS: After controlling for measures of White and Black deprivation, multivariate analysis showed that racial segregation was positively associated with the Black-White firearm homicide disparity. For each 10-point increase in the index of dissimilarity, the ratio of Black to White firearm homicide rates in a state increased by 39%. After controlling for levels of White and Black deprivation, racial segregation remained negatively associated with White firearm homicide rates and positively associated with Black firearm homicide rates. <br><br>CONCLUSIONS: These findings suggest that racial segregation may increase the disparity in firearm homicide between the Black and White population.<br><br>Copyright © 2018 National Medical Association. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>
%G en
%I National Medical Association (USA)
%@ 1943-4693
%U http://dx.doi.org/10.1016/j.jnma.2018.06.002