“…However, while the Great Migration was surely a means for improving of economic opportunities among African Americans—resulting in higher wages and better job prospects among migrants, as documented by Smith and Welch (1989), Margo (1995), and Maloney (1995), among others—the economic and historical literature also emphasizes that African Americans often faced daunting circumstances in the North, including high costs in discriminatory housing markets and uneven employment prospects. Real economic gains to moving North may have been modest or non-existent for many African Americans (Eichenlaub, Tolnay, and Alexander, 2010), 31 thus attenuating improved health prospects associated with increasing prosperity. In any event, any beneficial health benefits due to economic and social improvement were apparently swamped by other forces, such as changes in behavioral patterns that were detrimental to long-term health, including higher propensities to smoke and consume alcohol.…”