Abstract:
:Objectives. To assess if historical redlining, the US government's 1930s racially discriminatory grading of neighborhoods' mortgage credit-worthiness, implemented via the federally sponsored Home Owners' Loan Corporation (HOLC) color-coded maps, is associated with contemporary risk of preterm birth (< 37 weeks gestation).Methods. We analyzed 2013-2017 birth certificate data for all singleton births in New York City (n = 528 096) linked by maternal residence at time of birth to (1) HOLC grade and (2) current census tract social characteristics.Results. The proportion of preterm births ranged from 5.0% in grade A ("best"-green) to 7.3% in grade D ("hazardous"-red). The odds ratio for HOLC grade D versus A equaled 1.6 and remained significant (1.2; P < .05) in multilevel models adjusted for maternal sociodemographic characteristics and current census tract poverty, but was 1.07 (95% confidence interval = 0.92, 1.20) after adjustment for current census tract racialized economic segregation.Conclusions. Historical redlining may be a structural determinant of present-day risk of preterm birth.Public Health Implications. Policies for fair housing, economic development, and health equity should consider historical redlining's impacts on present-day residential segregation and health outcomes.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Krieger N,Van Wye G,Huynh M,Waterman PD,Maduro G,Li W,Gwynn RC,Barbot O,Bassett MTdoi
10.2105/AJPH.2020.305656subject
Has Abstractpub_date
2020-07-01 00:00:00pages
1046-1053issue
7eissn
0090-0036issn
1541-0048journal_volume
110pub_type
杂志文章abstract::My experiences as a mentor of young investigators, along with conversations with a diverse pool of mentees, led me to question the ability of conventional research methods, problem formulation, and instruments to address the unique challenges of studying racial and ethnic minorities. Training of new investigators shou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135996
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pub_type: 历史文章,杂志文章
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1982-09-01 00:00:00
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journal_title:American journal of public health
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doi:10.2105/ajph.94.9.1531
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pub_type: 评论,杂志文章
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更新日期:2016-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-06-01 00:00:00
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journal_title:American journal of public health
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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doi:10.2105/ajph.70.9.987
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-02-01 00:00:00
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更新日期:2001-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-09-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.83.10.1414
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pub_type: 杂志文章
doi:10.2105/ajph.82.11.1553
更新日期:1992-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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journal_title:American journal of public health
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更新日期:2011-10-01 00:00:00
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更新日期:2011-10-01 00:00:00