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      “Clear action requires clear thinking”: A systematic review of gentrification and health research in the United States

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          Abstract

          Gentrification is a process in which formerly declining, under-resourced, neighborhoods experience reinvestment and in-migration of increasingly affluent new residents, with understudied implications for individual health and health-protective community resources for low-income and minority residents. Increased attention on urban health inequities have propelled research on the relationship between gentrification and health. Yet, there are significant challenges inherent in the study of gentrification given its non-linear process occurring at multiple levels and via various mechanisms in a complex web of urban systems. How then have empirical studies addressed questions regarding the relationship between gentrification and health and wellness from a conceptual and methodological standpoint? Applying key search terms to PubMed and Web of Science, we identified 546 papers published in the United States. This review is guided by three foundational premises informing the inclusion and exclusion of articles. These include: 1. a clear definition of gentrification and explicit health outcome; 2. identification of a specific geographic context (United States) in which gentrification occurs, and 3. use of a social determinants of health framework to identify potential health outcomes of interest. 17 papers met our inclusion criteria. Through systematic content analysis using MaxQDA software, we evaluated the included studies using three critical frames: 1. conceptualization of gentrification; 2. mechanisms linking gentrification and health; and 3. spatio-temporal considerations. Based on this analysis, we identify the strengths and limitations of existing research, and offer three methodological approaches to strengthen the current literature on gentrification and health. We recommend that future studies: 1. explicitly identify the mechanisms and levels at which processes can occur and systems are organized; 2. incorporate space and time into the analytical strategy and 3. articulate an epistemological standpoint driven by their conceptualization of the exposure and identification of the relevant mechanism and outcome of interest.

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          Author and article information

          Journal
          9510067
          21632
          Health Place
          Health Place
          Health & place
          1353-8292
          1873-2054
          28 July 2019
          26 July 2019
          September 2019
          01 September 2020
          : 59
          : 102173
          Affiliations
          [a ]Center for Interdisciplinary Research on AIDS (CIRA), Yale University, 60 College St. New Haven, CT 06520-8034, USA
          [b ]Department of City and Regional Planning, University of California, Berkeley, 312 Wurster Hall #1850 Berkeley, CA 94720–1820, USA
          [c ]University of California, Berkeley School of Public Health Division of Epidemiology, Haviland Hall, 2121 Berkeley Way, Berkeley, CA 94720-7360
          [d ]University of California, Berkeley School of Public Health Division of Community Health Sciences, 2121 Berkeley Way, MC #5302; Berkeley, CA 94720-7360
          Author notes
          Corresponding author: Melody Esther Tulier, Center for Interdisciplinary Research on AIDS at Yale University, 135 College Street, Suite 200, New Haven, CT 06510-2483, melody.tulier@ 123456yale.edu , Phone: 203-764-4333 Fax: 203-764-4353
          Article
          PMC6868313 PMC6868313 6868313 nihpa1535847
          10.1016/j.healthplace.2019.102173
          6868313
          31357049
          50ab33f7-98ba-4e0d-8063-865fe8c2d1ef
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