Abstract
Racial disparities in hypertension remain a persistent public health concern in the US. While several studies report Black–White differences in the health impacts of gentrification, little is known concerning the impact of living in a gentrifying neighborhood on hypertension disparities. Data from the American Community Survey were used to identify gentrifying neighborhoods across the US from 2006 to 2017. Health and demographic data were obtained for non-Hispanic Black and White respondents of the 2014 Medical Expenditure Panel Survey (MEPS) residing in gentrifying neighborhoods. Modified Poisson models were used to determine whether there is a difference in the prevalence of hypertension of individuals by their race/ethnicity for those that live in gentrifying neighborhoods across the US. When compared to Whites living within gentrifying neighborhoods, Blacks living within gentrifying neighborhoods had a similar prevalence of hypertension. The non-existence of Black–White hypertension disparities within US gentrifying neighborhoods underscores the impact of neighborhood environment on race differences in hypertension.
Highlights
For at least two decades, Blacks have consistently exhibited a higher prevalence of hypertension compared with Whites, roughly 40% and 28%, respectively [1]
Overall, when compared to Whites living within gentrifying neighborhoods, Blacks living within gentrifying neighborhoods had a similar prevalence of hypertension
Prior literature suggests that racial health disparities persist within gentrified neighborhoods [23,24,25,26], but our findings indicated the expansion or elimination of health disparities within gentrifying neighborhoods differs across health outcomes
Summary
For at least two decades, Blacks have consistently exhibited a higher prevalence of hypertension compared with Whites, roughly 40% and 28%, respectively [1]. While this public health challenge has considerable impact on cardiovascular disease-related morbidity and mortality for Blacks [2], the reasons for these race differences are not fully understood. Have been shown to account for some but not all the observed difference [3], suggesting that other underlying factors, such as the environment in which one lives, contribute to race disparities in hypertension. Blacks and Whites tend to live in very different neighborhood environments with. Studies linking racial residential segregation and neighborhood environment to Black–White hypertension disparities offer concentrated poverty, unequal distribution of resources, and increased stressors as probable
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