Historic racism in Kansas City affects Today's pediatric asthma burden.
Document Type
Article
Publication Date
11-2022
Identifier
DOI: 10.1016/j.healthplace.2022.102927
Abstract
Asthma morbidity is unequally distributed across populations throughout the United States, and reasons remain unclear. To assess how historical structural racism correlates with current day asthma disparities, we conducted a retrospective cohort study of 10,736 pediatric patients, ages 3-19 years, with two or more asthma encounters between October 2017-October 2019. Patient addresses were matched with historic Home Owners' Loan Corporation (HOLC) maps - which provide a measure of historic structural racism. Residential proximity to pollution sources served as an additional exposure measure. Healthcare utilization and asthma severity were studied against age, race, SES, geographic proximity to pollution, and HOLC grades. Patients living in historically divested neighborhoods and BIPOC patients were likely to require more acute care for asthma, even when adjusting for present day SES and residential proximity to pollution sources. This supports the assertion that historic structural racism influences present-day health.
Journal Title
Health & place
Volume
78
First Page
102927
Last Page
102927
MeSH Keywords
Humans; Child; United States; Child, Preschool; Adolescent; Young Adult; Adult; Racism; Retrospective Studies; Kansas; Residence Characteristics; Asthma
Keywords
Asthma; HOLC; Kansas city; Neighborhood; Redlining; Structural racism
Recommended Citation
Friedman E, Lee B, Kalman C, Wilson N. Historic racism in Kansas City affects Today's pediatric asthma burden. Health Place. 2022;78:102927. doi:10.1016/j.healthplace.2022.102927
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