Study Finds Diabetes is More Prevalent in Neighborhoods Impacted by Structural Racism

There is a higher prevalence of diabetes in neighborhoods that experienced historic residential redlining and where contemporary structural racism persists, according to a new study led by Leonard E. Egede, the Charles and Mary Bauer Endowed Chair in the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo in New York.

For their research, the authors examined data on over 15,000 U.S. census tracts in 157 counties within all 50 states and Washington, D.C. The researchers measured the contemporary structural racism of neighborhoods through the Structural Racism Effect Index, which generates a composite across nine domains of influence: built environment, criminal justice, education, employment, housing, income and/or poverty, social cohesion, transportation, and wealth.

According to their analysis, the authors found that census tracts with historic redlining, higher scores of contemporary structural racism, and higher shares of Black residents are significantly associated with higher diabetes prevalence.

“Neighborhoods shape daily opportunities for healthy eating, physical activity, stress exposure and access to health care — key determinants of diabetes prevention, control and management,” said Dr. Egede. “Furthermore, structural racism, defined as the ways in which societies foster racial discrimination through mutually reinforcing systems, is a specific type of structural inequity linked to racial and ethnic disparities in health outcomes.”

He continued, “The finding that contemporary structural racism is the strongest mediator between Black race and diabetes prevalence suggests that structural inequities are not only historically rooted but are actively maintained through current policies and systems.”

In addition to his faculty appointment, Dr. Egede serves as president and CEO of UBMD Internal Medicine. He earned his medical degree from the University of Benin in Africa and his master’s degree in clinical research from the Medical University of South Carolina.

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