Measuring The Enduring Imprint Of Structural Racism On American Neighborhoods
Student AuthorsZachary Dyer
UMass Chan AffiliationsBiostatistics and Health Services Research
Morningside Graduate School of Biomedical Sciences
Population and Quantitative Health Sciences
Document TypeJournal Article
Subject AreaHealth equity
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AbstractA long history of discriminatory policies in the United States has created disparities in neighborhood resources that shape ethnoracial health inequities today. To quantify these differences, we organized publicly available data on forty-two variables at the census tract level within nine domains affected by structural racism: built environment, criminal justice, education, employment, housing, income and poverty, social cohesion, transportation, and wealth. Using data from multiple sources at several levels of geography, we developed scores in each domain, as well as a summary score that we call the Structural Racism Effect Index. We examined correlations with life expectancy and other measures of health for this index and other commonly used area-based indices. The Structural Racism Effect Index was more strongly associated with each health outcome than were the other indices. Its domain and summary scores can be used to describe differences in social risk factors, and they provide powerful new tools to guide policies and investments to advance health equity.
SourceDyer Z, Alcusky MJ, Galea S, Ash A. Measuring The Enduring Imprint Of Structural Racism On American Neighborhoods. Health Aff (Millwood). 2023 Oct;42(10):1374-1382. doi: 10.1377/hlthaff.2023.00659. PMID: 37782878.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/52691
Funding and AcknowledgementsResearch reported in this publication was supported by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH) (Award No. TL1TR001454); the NIH Medical Scientist Training Program (Award No. T32GM107000); and the National Institute on Minority Health and Health Disparities, NIH (Award No. F31MD017471).
RightsCopyright Project HOPE—The People-to-People Health Foundation, Inc. This open access article is distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license.; Attribution 4.0 International
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Except where otherwise noted, this item's license is described as Copyright Project HOPE—The People-to-People Health Foundation, Inc. This open access article is distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license.; Attribution 4.0 International