Related Experiment Video
Updated: Jun 4, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Gentrification, gun violence, and disparities in access to care for shooting victims
Sophia M Smith1, Daniel Counihan1, Allan Stolarski1
1Department of Surgery, Boston Medical Center, Boston, MA, USA; Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Background:
Gentrification is associated with redistribution of shootings but impacts on access to care are unknown. We evaluate the association of gentrification with shooting rates, transport times, and survival in Boston.
Methods:
Gentrification was defined using income, housing, and educational attainment from the 2010-2020 census. Shootings and hospitals were geocoded into census tracts and transport times were estimated. Poisson regression was applied to shooting and fatality rates, and Kruskal-Wallis testing to transport times.
Results:
57 tracts (33 %) were eligible to gentrify and 11 (19 %) gentrified. There were 2311 shootings, with lower rates in gentrifying tracts (β -0.69, 95 % CI -0.93, -0.45) but no differences in fatalities. Transport times were longer in non-gentrifying (median 11.71, IQR 5.82-15.51) than gentrifying tracts (median 7.10, IQR 7.08-10.92), (p < 0.001).
Conclusions:
Higher shooting rates and longer transport times are present in non-gentrifying areas. Understanding redistribution patterns of shootings may inform trauma system planning.
More Related Videos
09:12The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Related Concept Videos
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Bystander Effect
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Stereotypes, Prejudice, and Discrimination
Standards of Care I