Social capital has been shown to be associated with reduced mortality due to cardiovascular disease. Our aim was to determine the association of time-varying community-level social capital (CSC) with recurrence of acute coronary syndrome using a retrospective cohort study design. A total of 34,752 men and women were identified, aged 30–85 years, who were hospitalized for acute coronary syndrome between January 1, 1998 and December 31, 2002 in Kaiser Permanente Northern California, USA, an integrated health care delivery system. The primary outcome was recurrent non-fatal or fatal acute coronary syndrome; median follow-up was 19 months. We estimated random-effects, three-level Cox proportional hazard models adjusting for sex, age, race/ethnicity, comorbidities, medication use, and revascularization procedures at level 1, median household income for the census block-group at level 2, and income inequality, racial/ethnic concentration, penetration of health maintenance organizations, and CSC at level 3. Our measure of CSC was the previously validated Petris Social Capital Index (PSCI). We found that a one-standard deviation increase in the PSCI, after adjusting for the above covariates, was significantly associated with decreased recurrence of acute coronary syndrome only for those living in areas where block-group level median household income was below the grand median compared to those living in areas where block-group level median household income was at the grand median or above. These results suggest that community-level social capital may be negatively associated with recurrence of acute coronary syndrome among lower-income individuals.

Schelling (“Dynamic Models of Segregation,” Journal of Mathematical Sociology 1 (1971), 143–186) showed that extreme segregation can arise from social interactions in white preferences: once the minority share in a neighborhood exceeds a “tipping point,” all the whites leave. We use regression discontinuity methods and Census tract data from 1970 through 2000 to test for discontinuities in the dynamics of neighborhood racial composition. We find strong evidence that white population flows exhibit tipping-like behavior in most cities, with a distribution of tipping points ranging from 5% to 20% minority share. Tipping is prevalent both in the suburbs and near existing minority enclaves. In contrast to white population flows, there is little evidence of nonlinearities in rents or housing prices around the tipping point. Tipping points are higher in cities where whites have more tolerant racial attitudes.

This research examines whether spontaneous, unintentional discriminatory behavior can be moderated by an implicit (nonconscious) motivation to control prejudice. We operationalize implicit motivation to control prejudice (IMCP) in terms of an implicit negative attitude toward prejudice (NAP) and an implicit belief that oneself is prejudiced (BOP). In the present experiment, an implicit stereotypic association of Blacks (vs. Whites) with weapons was positively correlated with the tendency to “shoot” armed Black men faster than armed White men (the “Shooter Bias”) in a computer simulation. However, participants relatively high in implicit negative attitude toward prejudice showed no relation between the race-weapons stereotype and the shooter bias. Implicit belief that oneself is prejudiced had no direct eVect on this relation, but the interaction of NAP and BOP did. Participants who had a strong association between self and prejudice (high BOP) but a weak association between prejudice and bad (low NAP) showed the strongest relation between the implicit race-weapons stereotype and the Shooter Bias, suggesting that these individuals freely employed their stereotypes in their behavior.