Historical Structural Racism in the Built Environment and Physical Health among Residents of Allegheny County, Pennsylvania.
Historical structural racism in the built environment contributes to health inequities, yet to date, research has almost exclusively focused on racist policy of redlining. We expand upon this conceptualization of historical structural racism by examining the potential associations of probable blockb...
| Published in: | Journal of Urban Health Vol. 101; no. 4; pp. 713 - 730 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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Springer Nature
Aug2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=179067109&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 179067109 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Aug2024 vid: 101 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 179067109 10.1007/s11524-024-00884-6 ppf: 713 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.3MB tig: atl: Historical Structural Racism in the Built Environment and Physical Health among Residents of Allegheny County, Pennsylvania. aug: au: Jones, Emily J. Natale, Brianna N. Blatt, Lorraine R. Votruba-Drzal, Elizabeth Miller, Portia Marsland, Anna L. Sadler, Richard C. affil: https://ror.org/01an3r305 Department of Psychology, University of Pittsburgh, 15213, Pittsburgh, PA, USA Learning Research and Development Center, 3420 Forbes Avenue, 15213, Pittsburgh, PA, USA https://ror.org/05hs6h993 Department of Family Medicine, Michigan State University, 48502, Flint, MI, USA su: Institutional racism Urban renewal Health insurance Multiple regression analysis Sedentary behavior sug: subj: Institutional racism Urban renewal Health insurance Direct group life, health and medical insurance carriers Direct individual life, health and medical insurance carriers Multiple regression analysis Sedentary behavior keyword: Blockbusting Cardiovascular Health behaviors Historical structural racism Life expectancy Neighborhoods Redlining Blockbusting Cardiovascular Health behaviors Historical structural racism Life expectancy Neighborhoods Redlining ab: Historical structural racism in the built environment contributes to health inequities, yet to date, research has almost exclusively focused on racist policy of redlining. We expand upon this conceptualization of historical structural racism by examining the potential associations of probable blockbusting, urban renewal, and proximity to displacement from freeway construction, along with redlining, to multiple contemporary health measures. Analyses linked historical structural racism, measured continuously at the census-tract level using archival data sources, to present-day residents' physical health measures drawn from publicly accessible records for Allegheny County, Pennsylvania. Outcome measures included average life expectancy and the percentage of residents reporting hypertension, stroke, coronary heart disease, smoking, insufficient sleep, sedentary behavior, and no health insurance coverage. Multiple regression analyses were conducted to examine separate and additive associations between structural racism and physical health measures. Redlining, probable blockbusting, and urban renewal were associated with shorter life expectancy and a higher prevalence of cardiovascular conditions, risky health behaviors, and residents lacking health insurance coverage. Probable blockbusting and urban renewal had the most consistent correlations with all 8 health measures, while freeway displacement was not reliably associated with health. Additive models explained a greater proportion of variance in health than any individual structural racism measure alone. Moreover, probable blockbusting and urban renewal accounted for relatively more variance in health compared to redlining, suggesting that research should consider these other measures in addition to redlining. These preliminary correlational findings underscore the importance of considering multiple aspects of historical structural racism in relation to current health inequities and serve as a starting point for additional research. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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