Melton-Fant Courtnee, Harrison Austin, Mason Katy Ramsey
Division of Health Systems Management & Policy, University of Memphis, School of Public Health, United States.
Urban Studies Institute, Georgia State University, United States.
Prev Med Rep. 2022 Feb 17;26:101736. doi: 10.1016/j.pmedr.2022.101736. eCollection 2022 Apr.
Although evictions are a major disruptor of residential stability, their contribution to health disparities is understudied. Both experiencing eviction and the threat of being evicted are associated with adverse physical and mental health outcomes. Communities with higher proportions of Black people have higher rates of eviction filings. Market characteristics alone are insufficient for explaining the clustering of eviction in neighborhoods of color. Memphis is the fastest-growing rental market in the United States, facing an eviction crisis and is rife with persistent racial health disparities. This study explored the relationship between eviction filings, mental health, and neighborhood racial composition in Memphis to inform local policy approaches. We combined health from the City Health Dashboard, 2019 American Community Survey 5-year estimates, and eviction filings from the Shelby County, TN General Sessions Civil Court. Multivariate regression models were used to examine the relationship between health outcomes and eviction filing rates while controlling other relevant neighborhood characteristics. Separate models were run based on neighborhood racial composition. Poor mental health was significantly associated with higher eviction filling rates in majority Black neighborhoods but not in majority white and racially mixed neighborhoods. These findings point to evictions as an important contributor to racial health inequities in Memphis and the importance of race-conscious policy interventions that address the dual crisis of evictions and racial health disparities.
尽管驱逐是住宅稳定性的主要干扰因素,但对其对健康差距的影响研究不足。经历驱逐以及面临被驱逐的威胁都与不良的身心健康结果相关。黑人比例较高的社区驱逐申请率也较高。仅靠市场特征不足以解释有色人种社区驱逐现象的聚集。孟菲斯是美国增长最快的租赁市场,面临驱逐危机,且长期存在种族健康差距。本研究探讨了孟菲斯驱逐申请、心理健康与邻里种族构成之间的关系,为地方政策方法提供参考。我们结合了城市健康仪表盘的健康数据、2019年美国社区调查的5年估计数据以及田纳西州谢尔比县一般诉讼民事法庭的驱逐申请数据。多元回归模型用于检验健康结果与驱逐申请率之间的关系,同时控制其他相关邻里特征。根据邻里种族构成运行了单独的模型。在黑人占多数的社区,心理健康状况不佳与较高的驱逐申请率显著相关,但在白人占多数和种族混合的社区则不然。这些发现表明驱逐是孟菲斯种族健康不平等的一个重要因素,以及具有种族意识的政策干预措施对于解决驱逐和种族健康差距双重危机的重要性。