Gentrification, displacement, and health equity: Moving from risks to solutions

项目摘要/摘要 中产阶级化是健康的一个重要决定因素。作为一个多阶段的城市变化过程，发生在 历史上没有投资的社区，士绅化可能会增加健康促进的机会和可得性 一些国家的资源，如超市、公园和其他娱乐设施，以及公共基础设施； 并打破社会网络，增加住房和其他商品的成本，并使人流离失所和面临风险， 其他。尽管与健康结果有明确的联系，但关于士绅化如何影响的许多问题 居民健康以及这些影响在不同人群中的差异仍然存在。鉴于历史上的基础 社区撤资和结构性种族主义的持续遗产，黑人，低收入社区 越来越容易受到士绅化的不利影响，包括流离失所，这种影响可能存在于 影响健康的多种形式(如文化、政治和居住)。目前还缺乏这样的研究 审查了士绅化引起的流离失所和健康之间的关系，特别是在黑人内部， 低收入社区。拟议的F31通过两个目标解决了这一关键差距。首先，通过 纵向分析这个项目将研究跨空间发生的士绅化之间的关系 (人口普查地区)和时间(2000年至2016年的数据)、当年的驱逐率(作为流离失所过程)、 以及自我评估的健康状况。这项分析将确定士绅化对驱逐和健康的同时影响。 同时还估计在预先指定的时间段内绅士化的累积影响。分析将 评估种族，以黑人百分比衡量，作为这一关系的调解人。接下来，我将进行概念 地图绘制，一种混合方法，在黑人、低收入居民中探索：1) 将士绅化与流离失所联系起来，将流离失所与健康和福祉的三个领域联系起来(即获得 健康促进资源、个体健康行为和压力)和2)结构水平的认知 在赔偿框架内采取解决办法，以减少因士绅化而导致流离失所的风险和影响。 这项拟议的研究解决了将置换作为一条重要的联系途径进行研究的迫切需要 黑人低收入社区的士绅化对健康的影响。这项研究的发现将为创建 在个人层面上审查多种形式的士绅化引起的流离失所的方法和帮助 设计结构层面的解决方案，以扰乱士绅化引起的流离失所并减少相关的不利影响 健康结果。完成这项奖学金后，申请者将拥有纵向的高级技能。 统计方法、混合方法研究、科学交流和社区参与。一个 多学科指导团队将为申请者成为独立的城市卫生公平机构做好准备 研究人员和学术导师，在设计结构性解决方案的同时进行士绅化研究 减少黑人低收入社区的健康差距。

Project Summary/Abstract Gentrification is a significant determinant of health. As a multi-staged process of urban change that occurs in historically disinvested neighborhoods, gentrification may increase access and availability to health promoting resources such as supermarkets, parks and other recreational facilities, and public infrastructure, for some; and rupture social networks, increase the cost of housing and other goods, and displace people and risks, for others. Despite clear connections to health outcomes, many questions about how gentrification impacts resident health and how these impacts vary across populations, remain. Given the historical underpinnings of neighborhood disinvestment and the ongoing legacy of structural racism, Black, low-income communities are increasingly vulnerable to the adverse impacts of gentrification including displacement which can exist in multiple forms (e.g. cultural, political, and residential) to influence health. There is a dearth of research that examines the relationship between gentrification-induced displacement and health, especially within Black, low-income communities. The proposed F31 addresses this critical gap through two aims. First, through longitudinal analysis this project will examine the relationship between gentrification, occurring across space (census tracts) and time (data from 2000 to 2016), current year eviction rates (as a process of displacement), and self-rated health. This analysis will identify the concurrent effects of gentrification on eviction and health while also estimating the cumulative impact of gentrification over pre-specified periods of time. Analyses will assess race, measured as percent Black, as a moderator of this relationship. Next, I will conduct concept mapping, a mixed methods approach, among Black, low-income residents to explore: 1) the mechanisms that connect gentrification to displacement and displacement to three domains of health and well-being (i.e. access to health-promoting resources, individual health behaviors, and stress) and 2) perceptions of structural level solutions, in a framework of reparations, to reduce the risk and impact of gentrification-induced displacement. The proposed research addresses a critical need to examine displacement as a significant pathway linking gentrification to health in Black, low-income communities. Findings from this research will inform the creation of methodologies to examine multiple forms of gentrification-induced displacement at the individual level and help devise structural level solutions to disrupt gentrification-induced displacement and reduce related adverse health outcomes. After completion of this fellowship, the applicant will have an advanced skillset in longitudinal statistical methods, mixed-methods research, scientific communication, and community engagement. A multidisciplinary mentoring team will prepare the applicant for a career as an independent urban health equity researcher and academic mentor conducting gentrification research while designing structural level solutions to reduce health disparities for Black, low-income communities.