Skip to main content

Health of Economically Deprived Populations in Cities

  • Chapter
Handbook of Urban Health

6.0. Conclusion

This chapter about the economically deprived in urban areas has primarily focused upon the U.S. However, many trends and processes described here are relevant for other industrialized countries. The U.S. has experienced little significant gain in the alleviation of poverty and economic hardship over the last several decades among those in the lower half of the income spectrum. Demographic and individual-level explanations are not major contributors to these trends. Rather, current U.S. policies and practices have resulted in falling wages and increasing economic hardship among a growing proportion of the U.S. population. The health of the economically deprived is far worse in several areas compared to those who are better off. Solutions to the economic deprivation that leads to poorer health are attainable for the wealthiest country in the world. Policy reversals, in such areas as welfare reform for the poor and corporate welfare and tax cuts for the rich that reduce overall funds for social spending, would be a good beginning. Multiple coordinated efforts will be required to significantly alter the well-being of the economically deprived.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Acevedo-Garcia, D. (2000). Residential segregation and the epidemiology of infectious diseases. Soc. Sci. Med. 51:1143–1161.

    Article  PubMed  CAS  Google Scholar 

  • Acs, G., and Loprest, P. (1999). The effects of disability on exits from AFDC. Journal of Policy Analysis and Management 28(1):28–49.

    Article  Google Scholar 

  • Aldelba, R., and Folbre, N. (1996). The war on the poor. Center for Popular Economics, New Press, New York, NY.

    Google Scholar 

  • Aligne, A., Auinger, P., Byrd, R.S., and Weitzman, M. (2000). Risk Factors for Pediatric Asthma: Contributions of Poverty, Race and Urban Residence. Am. Respri. Crit. Care Med. 162: 873–877.

    CAS  Google Scholar 

  • Amott, T., and Matthaei, J. (1996). Race, Gender and Work: A Multicultural Economic History of Women in the United States. South End Press, Boston, MA.

    Google Scholar 

  • Bonilla-Silva, E. (2003). Racism Without Racists: Color-Blind Racism and the Persistence of Racial Inequality in the United States, Rowman & Littlefield Publishers, Inc., New York, NY.

    Google Scholar 

  • Bourgois, P. (1995). In Search of Respect. Cambridge University Press, New York, NY.

    Google Scholar 

  • Boushey, H., Brocht, C., Gundersen, B., and Bernstein, J. (2001). Hardships in America: The real story of working families. Economic Policy Institute, Washington D.C.

    Google Scholar 

  • Brunner, E., and Marmot, M. (1999). Social Organization, Stress, and Health. Social Determinants of Health. New York, Oxford University Press, pp. 17–44.

    Google Scholar 

  • Cancian, M., Haveman, F., Meyer, D., and Wolfe, B. (2003). The Employment, Earnings, and Income of Single Mothers in Wisconsin Who Left Cash Assistance. Comparisons among Three Cohorts. Wisconsin, Institute for Research on Poverty, Special report 85.

    Google Scholar 

  • Casey, T. (2003). Reading between the lines: women’s poverty in the United States, 2002, NOW Legal Defense Fund and Education Fund.

    Google Scholar 

  • Caughy, M., O’Campo, P., and Muntaner, C. (2004). Individual and neighborhood correlates of experiences of racism among African American parents and effects on behavior problems of their preschool-aged children. Am. J. Public Health In press.

    Google Scholar 

  • Chapman, J. (2002). Living Wage, Economic Policy Institute, New York, NY.

    Google Scholar 

  • Cooper, R. S., Kennelly, J.F., Durazo-Arvizu, R., Oh, H., Kaplan, G., and Lynch, J. (2001). Relationship between Premature Mortality and Socioeconomic Factors in Black and White Populations of US Metropolitan Areas. Public Health Rep. 116:464–473.

    Article  PubMed  CAS  Google Scholar 

  • Eggleston, P. (2003). Control of environmental allergens as a therapeutic approach. Immunol. Allergy Clin. North Am. 23(3): 533–547.

    Article  PubMed  Google Scholar 

  • Evans, G. (2003). The Built Environment and Mental Health. J. Urban Health 80(4): 536–555.

    PubMed  Google Scholar 

  • Frazier, J., Margai, F., and Tettey-Fio, E. (2003). Race and Place: Equity Issues in Urban America. Westview Press, Oxford.

    Google Scholar 

  • Fischer, C. (1984). The Urban Experience. Harcourt Bruce, New York, NY.

    Google Scholar 

  • Geronimus, A. (2003). Addressing Structural Influences on the Health of Urban Populations. Health and Social Justice: A Public Health Reader. H. R. San Francisco, CA, Johns Wiley and Sons, pp. 542–556.

    Google Scholar 

  • Geronimus, A. T., Bound, J., and Waidmann, T. A. (1999). Poverty, Time, and Place: Variation in Excess Mortality across Selected U.S. Populations, 1980–1990. J. Epid. Com. Health 53:325–334.

    Article  CAS  Google Scholar 

  • Grant, E. N., Lyttle, C.S., and Weiss, K.B. (2000). The Relation of Socioeconomic Factors and Racial/Ethnic Differences in US Asthma Mortality. Am. J. Public Health 90(12):1923–1925.

    PubMed  CAS  Google Scholar 

  • Halpern, R. (1995). Rebuilding the inner city: a history of neighborhood initiatives to address poverty in the United States. Columbia University Press, New York, NY.

    Google Scholar 

  • Hanson, S., and Pratt, G. (1995). Gender, Work and Space. Routledge, New York, NY.

    Google Scholar 

  • Heyman, J. (2000). Health and social policy. Social Epidemiology. In: Berkman, L., and Kawachi, I. Oxford University Press, New York, NY, pp. 368–382.

    Google Scholar 

  • Hofrichter, R. (2003). Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of Disease. John Wiley and Sons, San Francisco, CA.

    Google Scholar 

  • House, J. S., Lepkowski, J.M., Williams, D.R., Mero, R., Lantz, P.M., Robert, R.A., and Chen, J. (2000). Excess Mortality Among Urban Residents: How Much, for Whom, and Why. Am. J. Public Health 90(12): 1898–1904.

    PubMed  CAS  Google Scholar 

  • House, J. S., and Wolfe, S. (1978). Effects of urban residence on interpersonal trust and helping behavior. J. Pers. Soc. Psych. 36:1–43.

    Article  Google Scholar 

  • Kawachi, I., Kennedy, B., and Glass, R. (1999). Social capital and self-rated health: a contextual analysis. Am. J. Public Health 89:1187–1193.

    PubMed  CAS  Google Scholar 

  • Kawachi, I., Kennedy, B., Lochner, K., and Smith, D. (1997). Social capital, income inequality, and mortality. Am. J. Public Health 87:1491–1498.

    PubMed  CAS  Google Scholar 

  • Kessler, R., Barker, P., Colpe, L., Epstein, J., Gfroerer, J., Hiripi, E., Howes, M., Normand, S., Manderscheid, R., Walters, E., and Zaslavsky, A. (2003). Screening for Serious Mental Illness in the General Population. Arch. Gen. Psychiatry 60(3):184–189.

    Article  PubMed  Google Scholar 

  • Kreuger, P. M., Bond Huie, S.A., Rogers R.G., and Hummer, R.A. (2004). Neighborhoods and homicide mortality: an analysis of race/ethnic differences. J. Epid. Comm. Health 58:223–230.

    Article  Google Scholar 

  • Krieger, N. (2000). Discrimination and health. Social Epidemiology. In: Berkman, L. and Kawachi, I. Oxford University Press, Oxford.

    Google Scholar 

  • Krieger, N. (2001). Theories for social epidemiology in the 21st century: an ecosocial perspective. Int. J. Epid. 30: 668–677.

    Article  CAS  Google Scholar 

  • Leondar-Wright, B. (2004). Black job loss deja-vu. Dollars and Sense (253).

    Google Scholar 

  • Lidksy, T., and Schneider, J. (2003). Lead neurotoxicity in children: basic mechanisms and clinical correlates. Brain 127:5–19.

    Google Scholar 

  • Shapcott, M. (2004) Housing. ln: Raphael, D. (ed.), Social determinants of health: Canadian perspectives (pp. 201–215). Canadian Scholars Press Inc., Toronto, Canada.

    Google Scholar 

  • Marmot, M., and Wilkinson, R.G. (1999). Social Determinants of Health. Oxford University Press, New York, NY.

    Google Scholar 

  • Marmot, M., and Wilkinson, R. (2001). Psychosocial and material pathways in the relation between income and health: a response to Lynch. BMJ 322:1233–1236.

    Article  PubMed  CAS  Google Scholar 

  • Massey, D. (2004). Segregation and stratification: a biosocial perspective. DuBois Review 1(1);7–25.

    Google Scholar 

  • Massey, D., and Denton, N. (1994). American Apartheid: segregation and the making of the underclass. Harvard University Press, Harvard, CT.

    Google Scholar 

  • Massey, D., and Lundy, G. (2001). Use of Black English and racial discrimination in urban housing markets: new methods and findings. Urban Affairs Review 36:470–496.

    Article  Google Scholar 

  • May, J., and Cunningham, P. (2004). Tough trade-offs: medical bills, family finances and access to care. Health System Change, Issue Brief.

    Google Scholar 

  • McCarthy, M. (1999). Transport and Health. Social determinants of health. Oxford University Press, Oxford, England.

    Google Scholar 

  • McGruder, H.F., Malarcher, A.M., Antoine, T.L. Greenlund, K.J., and Croft, J.B. (2004). Racial and Ethnic Disparities in Cardiovascular Risk Factors Among Stroke Survivors: United States 1999 to 2001. Stroke 35:1557–1561.

    Article  PubMed  Google Scholar 

  • Milgram, S. (1970). The Experience of living in cities. Science. Science 167:1461–1468.

    Article  PubMed  CAS  Google Scholar 

  • Mishel, L., Bernstein, J., and Boushey, H. (2003). The State of Working America 2002/2003. Cornell University, New York, NY.

    Google Scholar 

  • Mishel, L., Bernstein, J., and Schmitt, J. (1999). The State of Working America 1998–1999. Economic Policy Institute, Washington D.C.

    Google Scholar 

  • Mohl, R. (2002). The Interstates and the Cities: Highways, Housing and the Freeway Revolt. Poverty and Race Action Council, Washington D.C.

    Google Scholar 

  • Muntaner, C.E.W., Miech, R., and O’Campo, P. (2004). Socioconomic position and major mental disorders. Epid. Rev. 26:53–62.

    Article  Google Scholar 

  • National Health Interview Survey, 2001, Datasets, Maryland (October 8, 2004); ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Datasets/NHIS/2001/

    Google Scholar 

  • Navarro, V., and S. L. (2001). The political context of social inequalities in health. Soc. Sci. Med. 52(3):481–491.

    Article  PubMed  CAS  Google Scholar 

  • Northridge, M. E., Sclar, E.D., and Biswas, P. (2003). Sorting out the connections between the built environment and health: a conceptual framework for navigating pathways and planning healthy cities. J. Urban Health 80(4):556–68.

    PubMed  Google Scholar 

  • O’Campo, P., and Rojas-Smith, L. (1998). Welfare Reform and Women’s Health: Review of the Literature and Implications for State Policy. J. Public Health Pol. 19(4):420–46.

    Article  CAS  Google Scholar 

  • O’Campo, P., and Tang, J. (2001). Poverty and Health: Gendered pathways. WHO commissioned papers on gender and health, Geneva.

    Google Scholar 

  • Pamuk, E., D. Makuc, D., Heck, K., Reuben, C., and L. K. (1998). Socioeconomic status and health chartbook. Health, United States, 1009. National Center for Health Statistics, Hyatesville, MD.

    Google Scholar 

  • Pearce, D. (1990). Welfare is not for women: why the war on poverty cannot conquer the feminization of poverty. In: L. Gorden. (ed.). Women, the state and welfare. University of Wisconsin Press, Madison, WI.

    Google Scholar 

  • Polednak, A. (1996). Trends in US urban black infant mortality, by degree of residential segregation. Am. J. Public Health 86(5):723–726.

    PubMed  CAS  Google Scholar 

  • Pugh, T. (2003). Common Dreams, New York, (October 8, 2004); http://www.commondreams.org/headlines03/0930-01.htm

    Google Scholar 

  • Raphael, D. (2004). Social determinants of health: Canadian perspectives. Canadian Scholars Press Inc., Toronto, Canada.

    Google Scholar 

  • Raphael, D., and Curry-Stevens, A. (2004). Addressing and surmounting the political and social barriers to health. Canadian Scholars Press Inc, Toronto, pp. 345–360.

    Google Scholar 

  • Raphael, D., and Bryant T. (2004). The welfare state as a determinant of women’s health: support for women’s quality of life in Canada and four comparison nations. Health Policy 68: 63–79.

    Article  PubMed  Google Scholar 

  • Robertson, A., Brunner, E., and Sheiham, A. (1999). Food is a political issue. In: M. M., and W. R.G. Social determinants of health. Oxford University Press, Oxford, England.

    Google Scholar 

  • Rojas-Smith L.O. C. P., and Grason, H. (2002). Welfare reform and women’s health: Challenges and opportunities to advance the public response to the health needs of poor women through monitoring and collaboration. Journal of Prevention and Intervention in the Community 23:129–149.

    Article  Google Scholar 

  • Schwartz, J. (2004). Air pollution and children’s health. Pediatrics 113:1037–1043.

    PubMed  Google Scholar 

  • Shaw, M. (2004). Housing and public health. Ann. Rev. Public Health 25: 397–418.

    Article  Google Scholar 

  • Shaw, M., Dorling, D., and Smith, G.D. (1999). Poverty, Social exclusion, and minorities. Social Determinants of Health. M. M and W. RG. Oxford University Press, New York, NY, pp. 211–239.

    Google Scholar 

  • Shi, L., Macinko, J., Starfield, B., Xu, J., and Politzer, R. (2003). Primary Care, Income Inequality, and Stroke Mortality in the United States. Stroke 34:1958–1964.

    Article  PubMed  Google Scholar 

  • Sickinger, T. (1999). American Dream Denied: when the door is locked to buying a home. Kansas City Star, Kansas.

    Google Scholar 

  • Sklar, H., Mykata, L., and Wefald, S. (2001). Raise the floor. Ms Foundation for Women, New York, NY.

    Google Scholar 

  • Smedley, B., Stith, A., Nelson, A., and Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. (2003). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press, Washington D.C.

    Google Scholar 

  • Squires, G. (1994). Capital and Communities in Black and White: the intersection of race, class and uneven development. State University of New York Press, Albany, NY.

    Google Scholar 

  • U.S. Census Bureau, 1997, Poverty rates of people by race and Hispanic origin 1995 and 1996, (October 8, 2004); http://ferret.bls.census.gov/macro/031997/pov/4_001.htm

    Google Scholar 

  • US Census Bureau and CNN. (2004). More Americans living in poverty, August 26, 2004, (October 8, 2004); http://money.cnn.com/2004/08/26/news/economy/poverty_survey/?cnn=yes

    Google Scholar 

  • Venkatesh, S. (2003). Whither the’ socially isolated’ city? Ethn Rac Stud. 26(6):1058–1072.

    Article  Google Scholar 

  • Vleminckx, K. and Smeeding, T. (2001). Child Well-Being, Child Poverty and Child Policy in Modern Nations, Policy Press, Bristol, England.

    Google Scholar 

  • Weil, C. M., Wade, S.L., Bauman, L.J., Lynn, H., Mitchell, H., and Lavigne, (1999). The Relationship Between Psychosocial Factors and Asthma Morbidity in Inner-City Children with Asthma. Pediatrics 104(6):1274–1280.

    Article  PubMed  CAS  Google Scholar 

  • Wilson, W. (2003). Race, class and urban poverty: A rejoinder. Ethnic and Racial Studies 26(6):1096–1114.

    Article  Google Scholar 

  • Wilson, W.J. (1987). The Truly Disadvantaged: the inner city, the underclass, and public policy. University of Chicago Press, Chicago, IL.

    Google Scholar 

  • Wilson, W.J. (1996). When Work Disappears: the world of the new urban poor. Alfred A. Knopf, New York, NY.

    Google Scholar 

  • Wirth, L. (1938). Urbanism as a way of Life. Am. J. Soc. 44:3–24.

    Article  Google Scholar 

  • Yinger, J. (2001). Housing discrimination and residential segregation as causes of poverty. In: Danziger, S., and Haverman, R. (eds.). Understanding poverty. Russell Sage, New York, NY, pp. 359–391.

    Google Scholar 

  • Yonas, M. (2004). Exploring the contextual and individual level dynamics of urban youth violence in Baltimore City: a need assessment. Presentation of dissertation, March 2004 at the Bloomberg School of Public Health, Baltimore, MD.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Science+ Business Media, Inc.

About this chapter

Cite this chapter

O’Campo, P., Yonas, M. (2005). Health of Economically Deprived Populations in Cities. In: Galea, S., Vlahov, D. (eds) Handbook of Urban Health. Springer, Boston, MA . https://doi.org/10.1007/0-387-25822-1_3

Download citation

  • DOI: https://doi.org/10.1007/0-387-25822-1_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-23994-1

  • Online ISBN: 978-0-387-25822-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics