Historical redlining and cardiovascular health: The Multi-Ethnic Study of Atherosclerosis
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Significance: 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.
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Recent publications that focus on reducing cardiovascular disease-related disparities underscore the importance of considering resilience strategies in addition to unique historical barriers faced by underrepresented racial and ethnic groups.
“Recent publications that focus on reducing cardiovascular disease-related disparities underscore the importance of considering resilience strategies in addition to unique historical barriers faced by underrepresented racial and ethnic groups.[121][122][123][124][125][126]”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [121]
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- Authors
- Mujahid, M. S., Gao, X., Tabb, L. P., Morris, C., & Lewis, T. T.
- Affiliations
- University of California, Berkeley (US)
- Drexel University (US)
- Emory University (US)
- Corresponding author
- Mujahid, Mahasin S.
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2021-12-13
- Volume
- 118
- Issue
- 51
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC8713797
- OpenAlex
- W4200465319
- Cited by
- 161
- References
- 50
- Citations by year
- 2026: 22 · 2025: 28 · 2024: 44 · 2023: 43 · 2022: 23
- FWCI
- 15.19
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (n01hc95164-17-0-1, 75N92020D00005, 75N92020D00003, UL1TR001420, n01hc95165-34-0-1, n01hc95161-24-0-1, n01hc095169-003, 75N99020D00005, N01-HC- 95166, 75N99020D00004, 75N92020D00006, 75N99020D00006, n01hc95166-21-0-1, 75N98020D00007, N01-HC9-5168, 75N92020D00001 ,, n01hc95162-31-0-1, 75N90020D00003, n01hc95168-27-0-1, n01hc95160-18-0-1, 75N99020D00007, n01hc095167-000, N01-HC- 95159, UL1TR001079, 75N90020D00002, n01hc95163-22-0-1, HHSN268201500003I, 75N92020D00004, n01hc95159-40-0-1, 75N99020D00002, 75N92020D00007, 75N99020D00003, UL1TR000040, 75N92020D00002, UL1-TR-, N01‐HC‐95161, N01- HC-95163, N01- HC-95165, N01‐HC‐95160, N01 HC95164, N01-HC-95167, N01-HC95162, N01‐HC‐95169)
- National Heart, Lung, and Blood Institute (75N 92021D00006, N01 HC-95159, N01-HC-95160, N01-HC095169, 75N92020D00001, N01 HC-95168, N01-HC-095165, 75N92020D00006, R01HL131610, N01 HC95167, (N01-HC-95163, N01 HC095163, 75N92020D00007, N01 HC-95161, N01 HC95165, N01HC95164, 75N92022D00007, 75N92020D00002, N01-HC-095159, N01 HC095168, N01-HC-095162, N01-HC-095161, 75N92020D00005, HHSN268201500003C, HHSN26820150 0003I, 75N92020D00003, N01 HC095167, N01-HC-095160, N01 HC095166, N01 HC095164, N01‐HC‐95166, N01 HC-95162, 75N92020D00004, N01 HC95169)
- National Institute on Drug Abuse (75N95020D00004, 75N95020D00003, 75N95020D00002, 75N95020D00007, 75N95020D00005)
- National Institute of Allergy and Infectious Diseases (75N93020D00002)
- National Institute of Environmental Health Sciences (75N96020D00003, 75N96020D00002)
- National Center for Advancing Translational Sciences (N01-HC-95161, N01-HC-95168, UL1-TR, N01-HC-95162, N01-HC-95159, N01-HC-95160, HHSN268201500003I, N01-HC-95166, N01-HC-95169, N01-HC-95163, N01-HC-95167, N01-HC-95165, N01-HC-95164)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
- Keywords
- historical redlining, structural racism, cardiovascular health, racial disparities in health, African Americans, neighborhood social environment, residential segregation, Multi-Ethnic Study of Atherosclerosis, cardiovascular risk
- MeSH terms
- Heart Disease Risk Factors, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Prospective Studies, Residence Characteristics, Social Environment, United States, Racial Groups, Atherosclerosis, Health Status Disparities, Racism
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