A History Of The Impacts Of Discriminatory Policies On Housing And Maternal And Infant Health In An Ohio Neighborhood.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-02-01 DOI:10.1377/hlthaff.2023.01045
Kierra S Barnett, Jason Reece, Brittany M Mosley, Mikyung Baek, Ayaz Hyder, Kelly Kelleher, Shawnita Sealy-Jefferson, Deena J Chisolm
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Abstract

Community-level disinvestment and de facto segregation rooted in decades of discriminatory race-based policies and racism have resulted in unacceptably large infant mortality rates in racial minority neighborhoods across the US. Most community development and housing work, implemented with the goal of addressing health and social inequities, is designed to tackle current challenges in the condition of neighborhoods without a race-conscious lens assessing structural racism and discrimination. Using one historically segregated neighborhood-Linden, in Columbus, Ohio-we detail how state and local policies have affected the neighborhood and shaped neighborhood-level demographics and resources during the past 100 years. We explore how structural racism- and discrimination-informed strategic community reinvestment could provide a solution and yield lasting change.

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俄亥俄州一个社区歧视性政策对住房和母婴健康影响的历史。
数十年来,基于种族的歧视性政策和种族主义造成了社区层面的不投资和事实上的种族隔离,导致全美少数民族社区的婴儿死亡率高得令人无法接受。大多数以解决健康和社会不平等问题为目标的社区发展和住房工作,都是为了应对当前社区条件的挑战,而没有从种族意识的角度来评估结构性种族主义和歧视。通过俄亥俄州哥伦布市的一个历史上存在种族隔离的社区--林登,我们详细介绍了在过去的 100 年中,州和地方政策是如何影响该社区并形成社区层面的人口和资源的。我们探讨了在结构性种族主义和歧视的影响下,战略性社区再投资如何提供解决方案并产生持久的变化。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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