New spatially continuous indices of redlining and racial bias in mortgage lending: links to survival after breast cancer diagnosis and implications for health disparities research

New spatially continuous indices of redlining and racial bias in mortgage lending: links to survival after breast cancer diagnosis and implications for health disparities research
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DOI:
10.1016/j.healthplace.2016.04.014
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发表时间:
2016-07-01
期刊:
影响因子:
4.8
通讯作者:
Nattinger, Ann B.
Nattinger, Ann B.
中科院分区:
医学2区
文献类型:
--
作者:
Beyer, Kirsten M. M.;Zhou, Yuhong;Nattinger, Ann B.

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在美国,种族健康差距仍然是一个严重问题,这与包括种族隔离在内的环境因素有关。在某些情况下,包括乳腺癌存活率,种族差异似乎正在加剧。使用住房抵押贷款披露法案(HMDA)数据库,我们扩展了当前的空间分析方法,以获得新的空间连续指数(1)抵押贷款中的种族偏见和(2)红线。然后,我们研究了这些指数的空间模式,以及这些新措施与威斯康星州密尔沃基大都会地区黑人/非裔美国妇女乳腺癌存活率之间的关系。这些新的措施可以用来检查抵押歧视和疾病模式之间的关系在美国。(C) 2016 Elsevier Ltd.版权所有。
Racial health disparities continue to be a serious problem in the United States and have been linked to contextual factors, including racial segregation. In some cases, including breast cancer survival, racial disparities appear to be worsening. Using the Home Mortgage Disclosure Act (HMDA) database, we extend current spatial analysis methodology to derive new, spatially continuous indices of (1) racial bias in mortgage lending and (2) redlining. We then examine spatial patterns of these indices and the association between these new measures and breast cancer survival among Black/African American women in the Milwaukee, Wisconsin metropolitan area. These new measures can be used to examine relationships between mortgage discrimination and patterns of disease throughout the United States. (C) 2016 Elsevier Ltd. All rights reserved.