Historical Redlining, Social Determinants of Health, and Stroke Prevalence in Communities in New York City

Key Points Question Is the historical discriminatory housing policy known as redlining associated with modern-day stroke prevalence in New York City neighborhoods? Findings In this cross-sectional study of 2117 census tracts in New York City, historical redlining was independently associated with community-level stroke risk beyond recognized social determinants of health. Meaning Structural racism in the form of historical housing discrimination may be a factor in community stroke risk upstream of known social determinants of health.

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