Mapping gentrification, segregation, rental cost burden and sexually transmitted infections in Atlanta, Georgia, 2005-2018

Spat Spatiotemporal Epidemiol. 2024 Nov:51:100680. doi: 10.1016/j.sste.2024.100680. Epub 2024 Aug 8.

Abstract

Racial disparities in sexually transmitted infections (STIs) in the United States have been linked to social inequities. Gentrification instigates population-level shifts in housing markets and neighborhood racial/ethnic composition in ways that may impact the spatial distribution of STIs. This study assessed overlap in clusters of STIs, gentrification, social and economic disadvantage, and rental cost burden in Atlanta, Georgia, between 2005 and 2018. Overlap between gentrification and STIs among Black people was greater than that observed for the overlap between gentrification and STIs among White people. Overlap of STIs with social disadvantage and rental cost burden was more prominent among White people than Black people over time. Additional investigation into the factors behind the spatial dynamics observed in this study, and explanations for their variation by race, are necessary to inform where place-based efforts are targeted to reduce racial disparities in STI transmission in gentrifying cities.

Keywords: Gentrification; Health disparities; Sexually transmitted diseases; Social polarization; Spatial statistics.

MeSH terms

  • Adolescent
  • Adult
  • Black or African American / statistics & numerical data
  • Female
  • Georgia / epidemiology
  • Health Status Disparities
  • Humans
  • Male
  • Middle Aged
  • Residence Characteristics
  • Residential Segregation
  • Sexually Transmitted Diseases* / economics
  • Sexually Transmitted Diseases* / epidemiology
  • Social Segregation
  • Socioeconomic Factors
  • Spatio-Temporal Analysis
  • White
  • White People / statistics & numerical data
  • Young Adult