TUSKEGEE AND THE HEALTH OF BLACK MEN

• 成果类型: Article
• 署名作者: Alsan, Marcella; Wanamaker, Marianne
• 署名单位: National Bureau of Economic Research; University of Tennessee System; University of Tennessee Knoxville; IZA Institute Labor Economics
• 刊物名称: QUARTERLY JOURNAL OF ECONOMICS
• ISSN/ISSBN: 0033-5533
• DOI: 10.1093/qje/qjx029
• 发表日期: 2018
• 页码: 407-455
• 关键词: AFRICAN-AMERICAN MEN; MEDICAL MISTRUST; gender-differences; racial-differences; UNITED-STATES; trust; care; beliefs; IMPACT; US

摘要

For 40 years, the Tuskegee Study of Untreated Syphilis in the Negro Male passively monitored hundreds of adult black men with syphilis despite the availability of effective treatment. The study's methods have become synonymous with exploitation and mistreatment by the medical profession. To identify the study's effects on the behavior and health of older black men, we use an interacted difference-in-difference-in-differences model, comparing older black men to other demographic groups, before and after the Tuskegee revelation, in varying proximity to the study's victims. We find that the disclosure of the study in 1972 is correlated with increases in medical mistrust and mortality and decreases in both outpatient and inpatient physician interactions for older black men. Our estimates imply life expectancy at age 45 for black men fell by up to 1.5 years in response to the disclosure, accounting for approximately 35% of the 1980 life expectancy gap between black and white men and 25% of the gap between black men and women.