Health Care Utilization among Young Adults: Associations with Historic Redlining.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI:10.1353/hpu.2026.a982967

Aliya Redd, Taeya Mayes, Rashida Chatani, Elizabeth Evans, Molly Jacobs

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Abstract

Introduction: This study explored the association between historic redlining and health-related outcomes.

Methods: Respondents from Waves III-V of the National Longitudinal Survey of Adolescent to Adult Health were mapped to districts coded red by the Home Owners' Loan Corporation (HOLC). Logistic regression evaluated the association between distance from a redlined district and having insurance, visiting a private physician, receiving medical care, and perceiving good health.

Results: About 71% of White, 53.5% of Black, and 41.9% of Hispanic individuals lived five miles or further outside a redlined district, which was associated with a higher likelihood of visiting a private physician (OR=1.20), having insurance (OR=1.05), receiving medical care (OR=1.34), and perceiving good health (OR=1.09). Compared with those living closer than five miles away, Black and Hispanic individuals residing five miles away or further were more likely to receive care (Black OR=1.09; Hispanic OR=1.02) and perceive good health (Black OR=1.20; Hispanic OR=1.03).

Conclusion: Proximity to a historic redlined district was associated with worse outcomes.

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年轻人的医疗保健利用：与历史红线的关联。

简介：本研究探讨了历史红线与健康相关结局之间的关系。方法：将全国青少年至成人健康纵向调查第三至第五波的受访者映射到由房主贷款公司（HOLC）标记为红色的地区。Logistic回归评估了距离红线地区的距离与有保险、看私人医生、接受医疗护理和感觉身体健康之间的关系。结果：约71%的白人、53.5%的黑人和41.9%的西班牙裔居住在红线区以外5英里或更远的地方，这与更高的可能性相关，即去看私人医生（or =1.20）、有保险（or =1.05）、接受医疗护理（or =1.34）和自我感觉良好（or =1.09）。与住在5英里或更远的人相比，住在5英里或更远的黑人和西班牙裔人更有可能得到护理（黑人or =1.09；西班牙裔or =1.02），并认为自己健康状况良好（黑人or =1.20；西班牙裔or =1.03）。结论：靠近历史上的红线区与较差的结果相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.