Associations between 1930s HOLC grades and estimated population burden of cardiovascular disease risk factors in 2020.

ABSTRACT: Studies have recently begun to explore the potential long-term health impacts of homeownership policies implemented in the New Deal era. We investigated the association between assigned grades of lending risk by the Home Owners' Load Corporation (HOLC) maps from the 1930s and present-day prevalence of three cardiovascular risk factors (diabetes and obesity in 2020, and hypertension in 2019), estimated at the census tract level in the United States. To minimize potential confounding, we adjusted for sociodemographic data from the time period when HOLC maps were made. We calculated propensity scores (predicted probability of receiving a HOLC grade) and created a pseudo-population using inverse probability weighting. We then employed marginal structural models to estimate prevalence differenc

SUBMITTER: Wei H 

PROVIDER: S-EPMC11323776 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature