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Death by Design
Producing Racial Health Inequality in the Shadow of the Capitol
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Sanyu A. Mojola
Language:
English
Published/Copyright:
2025
About this book
Washington, DC, has the nation's largest racial life expectancy gap, and it has experienced many of the nation's worst epidemics, including maternal and infant mortality, homicide, heroin overdoses, and HIV/AIDS. These epidemics have disproportionately affected African Americans. Why and how does racial health inequality exist and persist? Starting from the city's founding in the late 1700s and drawing on a range of sources—including archival material, life history interviews, and census, vital statistics, and disease surveillance data—this book illustrates how the physical, social, and policy design of the city contributes to the production and reproduction of disproportionate Black death.
Author / Editor information
Contributor: Sanyu A. Mojola
Sanyu A. Mojola is Professor of Sociology and Public Affairs and Maurice P. During Professor of Demographic Studies at Princeton University. She directed Princeton's Office of Population Research from 2020 to 2024.
Topics
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Frontmatter
i -
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Contents
vii -
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List of Illustrations
ix -
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Introduction
1 - Part One. Racial Containment and Health in Historical Context
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Overview
29 -
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1 The First Era: 1790–1890
37 -
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2 The Second Era: 1890–1950
52 -
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3 The Third Era: 1950–Present
74 - Part Two. Sex, Love, and HIV in a Syndemic Zone
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Overview
95 -
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4 The HIV Epidemic Among Gay and Bisexual Men
107 -
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5 The HIV Epidemic Among Heterosexual Men, Women, and Trans Women
123 - Part Three. The SAVA Syndemic: Drugs–HIV/AIDS–Homicide
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Overview
151 -
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6 First Comes Heroin: 1960–2016
155 -
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7 Then Comes Cocaine: Late 1970s–2010s
172 -
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8 Paying for a Habit: Commercial Sex and Drug Addiction Treatment
187 -
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9 Homicide Redux and Life in a Syndemic Zone
199 - Part Four. Mass Incarceration and Syndemic Amplification
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Overview
211 -
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12 Intersectional Politics and the AIDS Epidemic
269 -
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13 Controlling an Epidemic: The Successes and Limits of Technocratic Expertise
294 -
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Conclusion
313 -
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Appendix: Methodological Note
321 -
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Acknowledgments
327 -
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Notes
331 -
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Bibliography
377 -
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Index
439
Publishing information
Pages and Images/Illustrations in book
eBook published on:
October 31, 2025
eBook ISBN:
9780520972629
Pages and Images/Illustrations in book
Main content:
466
eBook ISBN:
9780520972629
Keywords for this book
racial injustice; structural violence; urban health; policy failure; demographic disparity; systemic neglect; medical segregation; environmental racism; social determinants; life expectancy gap; healthcare barriers; institutional harm; epidemiological patterns; mortality inequity; public crisis
