Death by Design: Producing Racial Health Inequality in the Shadow of the Capitol

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Univ of California Press, Oct 28, 2025 - Social Science - 466 pages
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.
 
 

Contents

RACIAL CONTAINMENT AND HEALTH
29
17901890
37
18901950
52
1950Present
74
PART
95
The HIV Epidemic Among Gay and Bisexual Men
107
The HIV Epidemic Among Heterosexual Men Women
123
DRUGSHIVAIDSHOMICIDE
151
Addiction Treatment
187
PART FOUR
211
PART FIVE
265
Technocratic Expertise
294
Methodological Note
321
Acknowledgments
327
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About the author (2025)

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.

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