Structural Racism, Historical Redlining, and Risk of Preterm Birth in New York City, 2013-2017
Structural Racism, Historical Redlining, and Risk of Preterm Birth in New York City, 2013-2017
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DOI：
10.2105/ajph.2020.305656
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发表时间：
2020-07-01
影响因子：
12.7
通讯作者：
Bassett, Mary T.
中科院分区：
文献类型：
--
作者：
Krieger, Nancy;Van Wye, Gretchen;Bassett, Mary T.
目标.为了评估历史红线，美国政府20世纪30年代对社区抵押贷款信用价值的种族歧视性评级，通过联邦资助的房主贷款公司（HOLC）彩色编码地图实施，与当代早产风险（< 37周妊娠）相关。我们分析了2013-2017年纽约市所有单胎出生的出生证明数据（n = 528 096），这些数据通过出生时的母亲居住地与（1）HOLC等级和（2）当前人口普查区域的社会特征联系起来。早产的比例从A级（“最佳”----绿色）的5.0%到D级（“危险”----红色）的7.3%不等。HOLC D级与A级的比值比为1.6，仍有显著性差异（1.2; P
Objectives. To assess if historical redlining, the US government's 1930s racially discriminatory grading of neighborhoods' mortgage credit-worthiness, implemented via the federally sponsored Home Owners' Loan Corporation (HOLC) color-coded maps, is associated with contemporary risk of preterm birth (< 37 weeks gestation).Methods. We analyzed 2013-2017 birth certificate data for all singleton births in New York City (n = 528 096) linked by maternal residence at time of birth to (1) HOLC grade and (2) current census tract social characteristics.Results. The proportion of preterm births ranged from 5.0% in grade A ("best"-green) to 7.3% in grade D ("hazardous"-red). The odds ratio for HOLC grade D versus A equaled 1.6 and remained significant (1.2; P