在波士顿,红线,食物获取,高血压,糖尿病和肥胖之间的联系
1School of Public Health, Harvard University, Boston, MA, United States.
Frontiers in public health
|February 20, 2025
概括
波士顿的历史性红线制造了持久的健康差异. 在多切斯特,罗克斯伯里和马塔潘,有限的健康食品供应推动了慢性疾病,需要社区驱动的解决方案.
科学领域:
- 公共卫生 公共卫生
- 城市规划 城市规划
- 健康 公平 卫生 公平
背景情况:
- 从20世纪30年代开始,红线贷款是一种歧视性的贷款做法,系统地使波士顿的多切斯特,罗克斯伯里和马塔潘等社区处于不利地位.
- 这种历史性的做法创造了持续的环境和社会条件,导致了当今的健康不平等.
研究的目的:
- 为了调查红线在波士顿特定社区的长期健康影响.
- 分析食物获取,慢性疾病患病率和历史红线划分之间的联系.
- 评估旨在缓解这些健康差异的干预措施.
主要方法:
- 分析历史红线图和贷款数据.
- 对食物获取和慢性疾病流行率的地理空间分析.
- 审查基于社区的干预措施和政策建议.
主要成果:
- 历史上被红线划分的社区对营养食品选择的获取明显较低.
- 这些地区的慢性疾病,包括高血压和肥胖的患病率较高,与历史上受欢迎的社区相比.
- 专注于改善粮食负担能力和获取能力的干预措施显示出减少健康差距的潜力.
结论:
- 红线的遗产继续通过食品不安全等机制推动波士顿的重大健康差异.
- 解决这些差异需要有针对性的,社区参与的政策和干预措施,以改善食品获取和健康结果.
- 可持续的解决方案必须承认并纠正红线规划所造成的历史不公正.
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