Gentrification Yields Racial And Ethnic Disparities In Exposure To Contextual Determinants Of Health.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-02-01 DOI:10.1377/hlthaff.2023.01034
Arthur Acolin, Kyle Crowder, Ari Decter-Frain, Anjum Hajat, Matthew Hall, Lydia Homandberg, Philip M Hurvitz, Lauren Woyczynski
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Abstract

This article examines racial and ethnic disparities in the relationship between gentrification and exposure to contextual determinants of health. In our study, we focused on changes in selected contextual determinants of health (health care access, social deprivation, air pollution, and walkability) and life expectancy during the period 2006-21 among residents of gentrifying census tracts in six large US cities that have experienced different gentrification patterns and have different levels of segregation: Chicago, Illinois; Los Angeles, California; New York, New York; Philadelphia, Pennsylvania; San Francisco, California; and Seattle, Washington. We found that gentrification was associated with overall improvements in the likelihood of living in Medically Underserved Areas across racial and ethnic groups, but it was also associated with increased social deprivation and reduced life expectancy among Black people, Hispanic people, and people of another or undetermined race or ethnicity. In contrast, we found that gentrification was related to better (or unchanged) contextual determinants of health for Asian people and White people. Our findings can inform policies that target communities identified to be particularly at risk for worsening contextual determinants of health as a result of gentrification.

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在接触决定健康的环境因素方面,城市化造成了种族和民族差异。
本文探讨了城市化与健康环境决定因素之间的种族和民族差异。在我们的研究中,我们重点关注了 2006-21 年期间,在经历了不同的城市化模式和不同程度的种族隔离的六个美国大城市中,城市化人口普查区的居民在选定的健康环境决定因素(医疗保健获取、社会贫困、空气污染和步行能力)和预期寿命方面的变化:伊利诺伊州芝加哥、加利福尼亚州洛杉矶、纽约州纽约、宾夕法尼亚州费城、加利福尼亚州旧金山和华盛顿州西雅图。我们发现,在不同种族和族裔群体中,城市化与居住在医疗服务不足地区的可能性的总体改善有关,但它也与社会贫困程度的增加以及黑人、西班牙裔和其他种族或族裔或未确定种族或族裔的人的预期寿命缩短有关。相比之下,我们发现对于亚裔和白人来说,城市化与更好(或不变)的健康环境决定因素有关。我们的研究结果可以为制定政策提供参考,这些政策的目标社区被确定为特别有可能因城市化而导致健康环境决定因素恶化的社区。
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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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