Exploring health disparities in integrated communities: Overview of the EHDIC study

Thomas LaVeist, Roland Thorpe, Terra Bowen-Reid, John Jackson, Tiffany Gary, Darrell Gaskin, Dorothy Browne

Research output: Contribution to journalArticlepeer-review

65 Scopus citations


Progress in understanding the nature of health disparities requires data that are race-comparative while overcoming confounding between race, socioeconomic status, and segregation. The Exploring Health Disparities in Integrated Communities (EHDIC) study is a multisite cohort study that will address these confounders by examining the nature of health disparities within racially integrated communities without racial disparities in socioeconomic status. Data consisted of a structured questionnaire and blood pressure measurements collected from a sample of the adult population (age 18 and older) of two racially integrated contiguous census tracts. This manuscript reports on baseline results from the first EHDIC site, a low-income urban community in southwest Baltimore, Maryland (EHDIC-SWB). In the adjusted models, African Americans had lower rates of smoking and fair or poor self-rated health than whites, but no race differences in obesity, drinking, or physical inactivity. Our findings indicate that accounting for race differences in exposure to social conditions reduces or eliminates some health-related disparities. Moreover, these findings suggest that solutions to the seemingly intractable health disparities problem that target social determinants may be effective, especially those factors that are confounded with racial segregation. Future research in the area of health disparities should seek ways to account for confounding from SES and segregation.

Original languageEnglish (US)
Pages (from-to)11-21
Number of pages11
JournalJournal of Urban Health
Issue number1
StatePublished - Jan 2008


  • Community
  • Confounding
  • Health disparities
  • Integration
  • Race
  • Segregation
  • Socioeconomic status
  • Urban

ASJC Scopus subject areas

  • Health(social science)
  • Urban Studies
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Exploring health disparities in integrated communities: Overview of the EHDIC study'. Together they form a unique fingerprint.

Cite this