Prevention & lipidsCohort study
Workplace Racial Segregation, Job Mobility, and Cardiovascular Disease Mortality Among Black US Autoworkers
- retrospective cohort study
Authors' conclusion
Our findings provide evidence that increasing workplace Black-White segregation may increase CVD mortality among Black workers. We observed that the cardiovascular harm of racial segregation to Black workers operates in the workplace regardless of job mobility to positions with higher wages.
Study context
- Population
- Black workers employed for at least 3 years from the United Autoworkers-General Motors cohort, Detroit manufacturing workers, follow-up 1941 to 2015Black workers employed for at least 3 years
- Participants
- 5,047 workers
- Exposure
- highest exposure category vs lowest
Main finding
As reported in the abstract
Average exposure to racial segregation
average exposure to racial segregation
13%
Observational data: associations, not effects.
Further findings
| Outcome | hazard ratio (95% CI) | |
|---|---|---|
| CVD mortality | 1.61 (1.18–2.19) | |
| CVD risk among workers with lower job mobility (subgroup) — moderate segregation exposure vs low segregation exposure · lower job mobility | 2.13 (1.63–2.78) | |
| CVD risk among workers with lower job mobility (subgroup) — high segregation exposure vs low segregation exposure · lower job mobility | 2.04 (1.27–3.28) | |
| 0.20.5125Hazard ratio (log scale) |
Cardiovascular disease (CVD) risk among workers with higher job mobility (subgroup)
- Results among Black workers with higher job mobility were similar
Original publication
Workplace Racial Segregation, Job Mobility, and Cardiovascular Disease Mortality Among Black US Autoworkers. Circ Popul Health Outcomes. Published 22 January 2026. doi:10.1161/circoutcomes.125.012198
Summarised from the published abstract; every number is checked against it