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The Structure of Pandemic Vulnerability

Housing Wealth, Residential Segregation, and Covid-19 Mortality

Bibliographic Data

ID11291073
AuthorsChinyere O Agbai (0000-0003-4841-3982, The Ohio State University, corresponding author)
Year2023
Volume42
Issue5
Publication date2023-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePopulation Research and Policy Review (JOURNAL)
Journal identifiersISSN: 0167-5923 • E-ISSN: 1573-7829
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11113-023-09826-7
PMID40873854
OpenAlexW4387452448
LanguageEN
References cited73

The COVID-19 pandemic has been particularly devastating for those with limited economic resources. Extensive research demonstrates the negative relationship between wealth and mortality at both the individual and area levels. In addition, residential segregation has been linked to poor health and greater mortality. Home equity is the largest asset that many Americans own, but residential segregation devalues homes located in Black neighborhoods. Despite the interlocking relationships between wealth, residential segregation, and mortality, it remains unclear how wealth and residential segregation work to predict COVID-19 deaths. Using U.S. Census data and county-level COVID-19 data from Johns Hopkins University ( n = 1164), I deploy median home value as a wealth proxy and negative binomial regression models to interrogate two questions. (1) What is the relationship between home value and COVID-19 deaths? (2) How does the relationship vary by level of residential segregation? Results indicate that COVID-19 mortality is 64 percent greater in the lowest wealth counties than in the wealthiest counties. At average median home value, the most segregated counties with the largest Black populations suffer 28 percent more COVID-19 deaths than similarly situated counties with low levels of residential segregation and small Black populations. This study underscores the importance of accounting for residential segregation in examinations of the well-established relationship between socioeconomic status and health and mortality

Census · Coronavirus disease 2019 (COVID-19 · Demographic economics · Disease · Economics · Geography · Infectious disease (medical specialty · Negative binomial distribution · Pandemic · Population · Proxy (statistics · Socioeconomic status · Socioeconomics · Sociology · Demography · Employment and Welfare Studies · Health disparities and outcomes · Medicine · Urban, Neighborhood, and Segregation Studies

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