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American Behavioral Scientist
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Reparations

A Viable Strategy to Address the Enigma of African American Health

David R. Williams

University of Michigan

Chiquita Collins

University of Texas at Austin

Black-White differences in health are large, persistent, and in some cases, worsening over time. Racial segregation is a central determinant of Black-White differences in health. The physical separation of the races in residential areas is an institutional mechanism of racism that remains a primary determinant of racial differences in economic circumstances. These differences in social and economic conditions are largely responsible for racial differences in health status. Reparations are a potentially effective strategy to rebuild the infrastructure of disadvantaged, segregated communities. Such investment would enhance the economic circumstances of African American families and communities and also improve their health.

Key Words: race • racism • residential • segregation • health status • reparations

American Behavioral Scientist, Vol. 47, No. 7, 977-1000 (2004)
DOI: 10.1177/0002764203261074
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