Historical redlining and cardiovascular health: The Multi-Ethnic Study of Atherosclerosis

Mahasin S. Mujahid, Xing Gao, Loni P. Tabb, Colleen Morris and Tené T. Lewis
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Mahasin S. Mujahid: a Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720;
Xing Gao: a Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720;
Loni P. Tabb: b Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA 19104;
Colleen Morris: a Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720;
Tené T. Lewis: c Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322

Proceedings of the National Academy of Sciences, 2021, vol. 118, issue 51, e2110986118

Abstract: How structural racism contributes to the disproportionate burden of cardiovascular disease risk on minoritized groups in the United States is understudied. This study examined the impact of historical redlining, a government-sanctioned and racially discriminatory policy, and present-day cardiovascular health (CVH). Results suggested that living in historically redlined neighborhoods was associated with CVH only among Black participants and that within this group, living in a neighborhood with better social environment quality weakened but did not fully attenuate this association. These findings suggest that, similar to the institution of slavery, redlining is one manifestation of structural racism that drives health outcomes today. This work underscores the necessity to investigate structural racism as a root cause of racial/ethnic health inequities.

Keywords: structural racism; redlining; neighborhood; cardiovascular health; MESA (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:nas:journl:v:118:y:2021:p:e2110986118

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