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Modern Day Consequences of Historic Redlining: Finding a Path Forward
Leonard E Egede1,2, Rebekah J Walker3,4, Jennifer A Campbell3,4
1Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. legede@mcw.edu.
Journal of General Internal Medicine
|February 6, 2023
Summary
Structural racism, including historical redlining, significantly harms ethnic minority health outcomes. This paper outlines redlining
Area of Science:
- Public Health
- Sociology
- Health Equity
Background:
- Structural racism, encompassing historical events and policies like redlining, is increasingly recognized as a determinant of health disparities.
- Redlining, a practice of denying services based on neighborhood and race, has profound historical roots and ongoing societal impacts.
Purpose of the Study:
- To examine the origins and modern-day health consequences of historical redlining.
- To highlight the link between structural racism, redlining, and adverse health outcomes in ethnic minorities.
- To propose actionable initiatives to counteract the effects of structural racism and redlining.
Main Methods:
- Review of historical racist events and policies, specifically redlining.
- Analysis of the connection between historical redlining and contemporary health risks such as diabetes, hypertension, and premature mortality.
- Exploration of societal and economic impacts stemming from redlining.
Main Results:
- Historical redlining is associated with increased risks for chronic diseases and early mortality among ethnic minorities.
- The practice suppresses economic opportunities and human capital, exacerbating health inequities.
- Structural racism, perpetuated by policies like redlining, has lasting negative effects on both individual health and societal well-being.
Conclusions:
- Addressing structural racism and its legacy, such as redlining, is crucial for improving health equity.
- Understanding the historical context of redlining is essential for developing effective interventions.
- Promising initiatives exist to mitigate the health and societal impacts of historical racist policies.
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