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Legislating Inequity: Structural Racism In Groups Of State Laws And Associations With Premature Mortality Rates.


ABSTRACT: Most evaluations of health equity policy have focused on the effects of individual laws. However, multiple laws' combined effects better reflect the crosscutting nature of structurally racist legal regimes. To measure the combined effects of multiple laws, we used latent class analysis, a method for detecting unobserved "subgroups" in a population, to identify clusters of US states based on thirteen structural racism-related legal domains in 2013. We identified three classes of states: one with predominantly harmful laws ([Formula: see text]), another with predominantly protective laws ([Formula: see text]), and a third with a mix of both ([Formula: see text]). Premature mortality rates overall-defined as deaths before age seventy-five per 100,000 population-were highest in states with predominantly harmful laws, which included eighteen states with past Jim Crow laws. This study offers a new method for measuring structural racism on the basis of how groups of laws are associated with premature mortality rates.

SUBMITTER: Jahn JL 

PROVIDER: S-EPMC11318067 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Legislating Inequity: Structural Racism In Groups Of State Laws And Associations With Premature Mortality Rates.

Jahn Jaquelyn L JL   Zubizarreta Dougie D   Chen Jarvis T JT   Needham Belinda L BL   Samari Goleen G   McGregor Alecia J AJ   Douglas Megan Daugherty MD   Austin S Bryn SB   Agénor Madina M  

Health affairs (Project Hope) 20231001 10


Most evaluations of health equity policy have focused on the effects of individual laws. However, multiple laws' combined effects better reflect the crosscutting nature of structurally racist legal regimes. To measure the combined effects of multiple laws, we used latent class analysis, a method for detecting unobserved "subgroups" in a population, to identify clusters of US states based on thirteen structural racism-related legal domains in 2013. We identified three classes of states: one with  ...[more]

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