Hospital Segregation and Neonatal Infant Mortality in Los Angeles County
Mentor 1
Marcus Britton
Location
Union Wisconsin Room
Start Date
5-4-2019 1:30 PM
End Date
5-4-2019 3:30 PM
Description
This study focuses on the extent of and the relationship between racial and ethnic segregation of neighborhoods and hospitals and their impact on neonatal infant mortality in Los Angeles County for blacks, whites, and Latinos. This is considering a contested and changing healthcare system and a changing demographic composition of the United States. We will explain the relationships of interest using place stratification theory and the evenness and isolation dimensions of segregation. Place stratification theory assumes that groups in power actively work to maintain separation from lesser groups. Moreover, the evenness index measures segregation's complexity by measuring how even or uneven groups are distributed in comparison to one another. The isolation index measures the probability that two members of a minority group will interact with one another. Multilevel logistic regression models will allow us to assess the relationship between metropolitan-level indices of hospital segregation, hospital-level measures for patient racial composition, and the health outcomes of focus. The anticipated findings of this study are expected to support the idea that hospital segregation contributes to health disparities and that residential segregation is a precursor. This study will update the now dated information on hospital segregation as well as add information on Latinos to the existing literature. This information is of importance to state and local policymakers, healthcare administrators, and healthcare professionals tackling the persistent issue of segregation and racial disparities.
Hospital Segregation and Neonatal Infant Mortality in Los Angeles County
Union Wisconsin Room
This study focuses on the extent of and the relationship between racial and ethnic segregation of neighborhoods and hospitals and their impact on neonatal infant mortality in Los Angeles County for blacks, whites, and Latinos. This is considering a contested and changing healthcare system and a changing demographic composition of the United States. We will explain the relationships of interest using place stratification theory and the evenness and isolation dimensions of segregation. Place stratification theory assumes that groups in power actively work to maintain separation from lesser groups. Moreover, the evenness index measures segregation's complexity by measuring how even or uneven groups are distributed in comparison to one another. The isolation index measures the probability that two members of a minority group will interact with one another. Multilevel logistic regression models will allow us to assess the relationship between metropolitan-level indices of hospital segregation, hospital-level measures for patient racial composition, and the health outcomes of focus. The anticipated findings of this study are expected to support the idea that hospital segregation contributes to health disparities and that residential segregation is a precursor. This study will update the now dated information on hospital segregation as well as add information on Latinos to the existing literature. This information is of importance to state and local policymakers, healthcare administrators, and healthcare professionals tackling the persistent issue of segregation and racial disparities.
