ArticleEpidemiology (Cambridge, Mass.)2026
Historical Neighborhood Redlining and Fertility in a Cohort of US Black Women.
Article in Epidemiology (Cambridge, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Racialized economic segregation in relation to fecundability in a preconception cohort study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
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11 authors.
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Abstract
backgroundStructural racism can manifest in contemporary neighborhoods via historical policies or programs. For example, the Home Owners' Loan Corporation, a government-backed program from the 1930s, systematically diverted wealth away from Black neighborhoods. The reproductive health consequences of this racist program remain understudied. We evaluated associations between residence in a historically redlined neighborhood and fecundability, the per-cycle probability of conception.
methodsWe used data from the Black Women's Health Study, a US cohort of Black women who were aged 21-69 years in 1995 and were followed up with biannual questionnaires. Experiences of infertility (i.e., tried for ≥12 months to conceive without success) were captured on several questionnaires. A 2011 supplemental module collected pregnancy histories between 1995 and 2011, including planning status and time to conception. We linked geocoded addresses to historical Home Owners' Loan Corporation grades (A ["best"] to D ["hazardous," i.e., redlined]). Using proportional probabilities regression models with generalized estimating equations, we estimated fecundability ratios and 95% confidence intervals (CIs).
resultsOur analysis included 818 planned pregnancy attempts from 674 participants (mean age = 33.9 years). Relative to participants residing in neighborhoods with the highest grades (A or B), adjusted models showed reduced fecundability among participants who resided in lower graded neighborhoods (C: 0.91, 95% CI: 0.77, 1.09; D: 0.82, 95% CI: 0.68, 0.99).
conclusionsIn this cohort of US Black women, contemporary residence in a historically redlined neighborhood was associated with reduced fecundability. Our findings highlight the importance of exploring how historical neighborhood disinvestment affects reproductive health.
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