Evidence map›Paper›PMID 41797227›Full record

ArticleEthnicity & health2026

Does time heal all wounds? Examining the lasting impact of historic redlining on contemporary racial disparities in allostatic load in Baltimore, Maryland.

Marcus R Andrews, Linda M Chatters, Roshanak Mehdipanah, Andrew Grogan-Kaylor, Michele K Evans, Alan B Zonderman, Tiffany M Powell-Wiley, Amy J Schulz

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Article in Ethnicity & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Marcus R AndrewsDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Linda M ChattersDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Roshanak MehdipanahDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Andrew Grogan-KaylorSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Michele K EvansLaboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Baltimore, MD, USA.
Alan B ZondermanLaboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Baltimore, MD, USA.
Tiffany M Powell-WileySocial Determinants of Obesity and Cardiovascular Risk Laboratory, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Amy J SchulzDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.

Funding

Healthy Aging Neighborhoods of Diversity Across LifespanZ01AG000513 · NIA · NATIONAL INSTITUTE ON AGING · PI EVANS, MICHELE K · 2001 to 2008
$6.8M
Intramural NIH HHS Z01 AG000513
6 · The paper itself

Abstract

objectiveTo examine associations between historical residential redlining, a form of institutional racism, and contemporary allostatic load (AL), an indicator of physiologic stress, examine differences by race, and whether associations are mediated by neighborhood deprivation.

methodsWe used data from Wave 4 (2013-2017) of the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study in Baltimore, MD, Home Owners Loan Corporation (HOLC) scores, and data from the American Community Survey (ACS). We conducted a multilevel analysis, controlling for individual demographic and behavioral characteristics.

resultsCompared to blue- and greenlined neighborhoods, living in a yellowlined neighborhood was positively associated with allostatic load (

conclusionsContemporary residents of historically yellowlined, but not redlined, neighborhoods experienced heightened physiological deterioration. The strength of this association differed by race, and was substantially explained by the contemporary neighborhood deprivation index only for African Americans in yellowlined areas. Addressing health disparities requires attention to the long-lasting impacts of historical practices of institutional racism on contemporary health outcomes.

Indexed as

AllostasisBlack or African AmericanHealth Status DisparitiesNeighborhood CharacteristicsRacismResidence CharacteristicsAgedBaltimoreFemaleHumansMaleMiddle AgedResidential SegregationSocioeconomic Disparities in HealthWhiteAllostatic loadGood health and wellbeinghealth disparitiesHOLC scoreneighborhood environmentreduced inequalitiesurban health

Identifiers

PMID41797227
PMCPMC13225886

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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.