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Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting

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Residential Structural Racism and Prevalence of Chronic Health Conditions.

Dinushika Mohottige^1,2, Clemontina A Davenport³, Nrupen Bhavsar^4,5

¹Institute for Health Equity Research, Department of Population Health, Icahn School of Medicine at Mount Sinai, New York, New York.

JAMA Network Open

|December 21, 2023

Summary

This summary is machine-generated.

Structural racism indicators are linked to higher neighborhood prevalence of chronic kidney disease, diabetes, and hypertension. These findings highlight the need for community health interventions addressing systemic inequities.

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Area of Science:

Public Health
Health Equity
Environmental Health

Background:

Residential neighborhood-level health inequities require further investigation.
Understanding the determinants of health disparities is crucial for targeted interventions.

Purpose of the Study:

To quantify associations between structural racism indicators and neighborhood prevalence of chronic kidney disease (CKD), diabetes, and hypertension.
To examine how various indicators of structural racism impact the distribution of chronic diseases within communities.

Main Methods:

A cross-sectional study analyzing public data (2012-2018) and deidentified electronic health records (2017-2018) in 150 Durham County neighborhoods.
Bayesian models were employed to assess associations between global and discrete structural racism indicators and disease prevalence, accounting for spatial correlations and resident age.

Main Results:

Greater structural racism burden was associated with increased prevalence of CKD, diabetes, and hypertension.
Specific indicators like lower White population percentage and higher reported violent crime correlated with higher disease prevalence.
Associations were observed for both global (e.g., economic-racial segregation) and discrete (e.g., impervious areas) racism indicators.

Conclusions:

This study identified significant associations between structural racism indicators and increased prevalence of CKD, diabetes, and hypertension in residential neighborhoods.
Findings suggest that structural racism contributes to neighborhood-level health disparities.
While inferences require caution due to study design, results may inform future community health interventions aimed at reducing inequities.