Historical redlining and mortality in children, adolescents, and young adults with cancer in California, 2000-2019.

ABSTRACT:

Background

Historical redlining, or the Home Owners' Loan Corporation (HOLC) program's racially biased mortgage risk monitoring maps in the 1930s, is implicated in shaping modern neighborhoods and health outcomes. This retrospective cohort study evaluates the association between redlining and mortality in young cancer patients.

Methods

Using the California Cancer Registry, we identified patients aged younger than 25 years diagnosed with malignant cancer between 2000 and 2019. HOLC maps were spatially joined with patient address at diagnosis to determine redlining status (A [best], B [still desirable], C [declining], D [hazardous]). Census tract-level US Census and American Community Survey data were appended to determine modern neighborhood characteristics. The Kaplan-Meier

SUBMITTER: Karvonen KA 

PROVIDER: S-EPMC12756997 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature