Emory University, Department of Sociology, Atlanta, GA.
Ethn Dis. 2021 May 20;31(Suppl 1):319-332. doi: 10.18865/ed.31.S1.319. eCollection 2021.
Health studies of structural racism/discrimination have been animated through the deployment of neighborhood effects frameworks that engage institutionalist concerns about sociopolitical resources and mobility structures. This study highlights the acute illness risks of place-based inequalities and neighborhood-varying race-based inequalities by focusing on access to and the regulation of mortgage markets.
By merging neighborhood data on lending processes from the Home Mortgage Disclosure Act with individual health from the Project on Human Development in Chicago Neighborhoods, this article evaluates the acute childhood illness risks of four mutually inclusive, political economies using multilevel generalized linear models.
Chicago, IL, USA.
Youth aged 0 to 17 years.
The prevalence of 11 acute illnesses (cold/flu, sinus trouble, sore throat/tonsils, headache, upset stomach, bronchitis, skin infection, pneumonia, urinary tract infections, fungal disease, mononucleosis) and the past-year frequencies of 6 acute illnesses (cold/flu, sinus trouble, sore throat/tonsils, headache, upset stomach, bronchitis) are evaluated.
Multilevel logistic regression.
The most theoretically consistent predictor of illness is a measure identifying neighborhoods with above-city-median levels of racial disparities in the regulation of loans - a mesolevel measure of structural racism. In areas with high levels of minority-White differences in less-regulated credit, youth are more likely to have a range of acute illnesses and experience them at more frequent intervals in the past year.
This article highlights the substantive and methodological importance of focusing on multidimensional representations of institutionalized political economic inequalities circumscribed and traversed by the power relations established by institutions and the state.
健康研究中的结构性种族主义/歧视，一直以来都受到邻里效应框架的推动，该框架涉及制度主义对社会政治资源和流动结构的关注。通过关注抵押贷款市场的准入和监管，本研究强调了基于地点的不平等和基于邻里的不平等带来的急性疾病风险。
本文通过合并来自《住房抵押贷款披露法案》的邻里贷款过程数据和来自《芝加哥社区人类发展计划》的个体健康数据，利用多层次广义线性模型，评估了四种相互包容的政治经济模式下的儿童急性疾病风险。
美国伊利诺伊州芝加哥市。
年龄在 0 至 17 岁的儿童。
11 种急性疾病（感冒/流感、鼻窦问题、喉咙/扁桃体炎、头痛、胃部不适、支气管炎、皮肤感染、肺炎、尿路感染、真菌感染、单核细胞增多症）的流行率和 6 种急性疾病（感冒/流感、鼻窦问题、喉咙/扁桃体炎、头痛、胃部不适、支气管炎）的过去一年发病频率。
多层次逻辑回归。
最符合理论预期的疾病预测指标是一个识别出城市中在贷款监管方面存在种族差异的邻里的度量指标，即一个中观层面的结构性种族主义度量指标。在信用监管程度较低、少数族裔与白人之间存在较大差异的地区，年轻人更有可能患上一系列急性疾病，并且在过去一年中更频繁地发病。
本文强调了关注制度性政治经济不平等的多维表现形式的实质性和方法学重要性，这些不平等受到机构和国家建立的权力关系的限制和跨越。
