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Full Citation

Title: Tuskegee and the Health of Black Men

Citation Type: Journal Article

Publication Year: 2018

ISSN: 15314650

DOI: 10.1093/qje/qjx029

Abstract: 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.


User Submitted?: No

Authors: Alsan, Marcella; Wanamaker, Marianne

Periodical (Full): Quarterly Journal of Economics

Issue: 1

Volume: 133

Pages: 407-455

Data Collections: IPUMS NHIS, IPUMS USA

Topics: Gender, Health, Race and Ethnicity