连接过去与现在:历史的红线是否会影响当前的预期寿命?
Charlotte Freifeld1, Ava Camarero1, Joanne Oh1
1Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA, 02111, USA.
Journal of racial and ethnic health disparities
|October 28, 2024
概括
历史和现代的红线显著减少了预期寿命. 这项研究表明,过去的歧视性住房做法继续影响今天的公共卫生,减少受影响社区的寿命.
科学领域:
- 公共卫生 公共卫生
- 城市规划 城市规划
- 社会学 社会学 社会学
背景情况:
- 历史上的红线划定,起源于20世纪30年代,与以前红线划定地区的疾病患病率更高有关.
- 历史红线划定,当代红线划定实践和当前居民健康结果之间的关系仍未得到充分研究.
- 这项研究调查了历史和现代红线对当今健康的综合影响.
研究的目的:
- 模拟历史红线 (1940年代HOLC评级) 和现代红线 (HMDA数据) 在当前健康结果之间的关联.
- 探索种族隔离,结构性种族主义和健康结果在红线-健康关系中的调解作用.
- 量化历史和现代红线对美国人口普查区当前预期寿命的影响.
主要方法:
- 结构方程建模用于分析来自11661个美国人口普查区的数据.
- 使用了历史的红线数据 (HOLC等级) 和现代的红线数据 (HMDA抵押贷款拒绝率).
- 关于种族隔离,结构性种族主义,健康结果和预期寿命的数据被纳入了2010-2022年期间的数据.
主要成果:
- 在历史红线和当前预期寿命之间发现了显著的负相关性 (HOLC 1和HOLC 4段之间有5.0年的差异).
- 现代红线还显示了与当前预期寿命的显著负相关性 (HMDA 1和HMDA 4四分位数之间的6.4年差异).
- 结构方程建模表明,历史的红色衰减每增加HOLC评级,预期寿命下降1.18年,现代的红色衰减每增加HMDA四分位数,预期寿命下降1.89年.
结论:
- 历史上的红线线的遗产仍然存在,这表明它对当今的公共卫生有着切实的影响.
- 现代的红线实践继续加剧健康差距,缩短预期寿命.
- 红线是一个持续的公共卫生问题,不仅仅是一个历史文物.
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