Evidence map›Paper›PMID 38849692›Full record

ArticleJournal of racial and ethnic health disparities2025

Assessing the Influence of Redlining on Intergenerational Wealth and Body Mass Index Through a Quasi-experimental Framework.

Shanise Owens, Edmund Seto, Anjum Hajat, Paul Fishman, Ahoua Koné, Jessica C Jones-Smith

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Disparities in Pediatric Firearm Injury Care: A Comparison of Chronic Illness Pathways.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shanise OwensDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15Th Ave NE, Fourth Floor, Seattle, WA, 98195, USA. sowens15@uw.edu.ORCID 0000-0002-6934-9513
Edmund SetoDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, USA.
Anjum HajatDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Paul FishmanDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15Th Ave NE, Fourth Floor, Seattle, WA, 98195, USA.
Ahoua KonéDepartment of Global Health, School of Public Health, University of Washington, Seattle, WA, USA.
Jessica C Jones-SmithDepartment of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15Th Ave NE, Fourth Floor, Seattle, WA, 98195, USA.

Funding

XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI Sheela Sathyanarayana · 1995 to 2026
$42.5M
University of Washington Education and Research CenterT42OH008433 · OH · UNIVERSITY OF WASHINGTON · PI SIMPSON, CHRISTOPHER D · 2005 to 2024
$29.4M
Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI STEVEN M. GOODREAU · 2017 to 2026
$6.3M
Understanding the role of structural racism and intergenerational wealth on obesity outcomeF31MD017449 · NIMHD · UNIVERSITY OF WASHINGTON · PI OWENS, SHANISE ERIKA · 2022 to 2023
$81k
NICHD NIH HHS P2C HD042828NIEHS NIH HHS P30 ES007033NIMHD NIH HHS F31 MD017449NIMHD NIH HHS F31MD017449NIOSH CDC HHS T42 OH008433NIOSH CDC HHS T42OH008433
6 · The paper itself

Abstract

backgroundHigher levels of body mass index (BMI), particularly for those who have obesity defined as class II and III, are correlated with excess risk of all-cause mortality in the USA, and these risks disproportionately affects marginalized communities impacted by systemic racism. Redlining, a form of structural racism, is a practice by which federal agencies and banks disincentivized mortgage investments in predominantly racialized minority neighborhoods, contributing to residential segregation. The extent to which redlining contributes to current-day wealth and health inequities, including obesity, through wealth pathways or limited access to health-promoting resources, remains unclear. Our quasi-experimental study aimed to investigate the generational impacts of redlining on wealth and body mass index (BMI) outcomes.

methodsWe leveraged the Panel Study of Income Dynamics (PSID) and Home Owners' Loan Corporation (HOLC) maps to implement a geographical regression discontinuity design, where treatment assignment is randomly based on the boundary location of PSID grandparents in yellowlined vs. redlined areas and used outcome measures of wealth and mean BMI of grandchildren. To estimate our effects, we used a continuity-based approach and applied data-driven procedures to identify the most appropriate bandwidths for a valid estimation and inference.

resultsIn our fully adjusted model, grandchildren with grandparents living in redlined areas had lower average household wealth (β =  - $35,419; 95% CI

conclusionOur research supports the idea that redlining, a historical policy rooted in structural racism, is a key factor contributing to disparities in wealth accumulation and, conceivably, body mass index across racial groups.

Indexed as

Body Mass IndexIncomeIntergenerational RelationsSystemic RacismAdultAgedFemaleGrandparentsHumansMaleMiddle AgedNeighborhood CharacteristicsObesityUnited StatesBody mass indexIntergenerational wealthQuasi-experimentalResidential segregationSocial determinants of health

Identifiers

PMID38849692
PMCPMC11792783

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.