Historic redlining, structural racism, and firearm violence: A structural equation modeling approach

Background: Firearm homicides disproportionately affect Black communities. Redlining - discriminatory lending practices of the early 20th century - are associated with current increased rates of firearm vio-lence. Poverty and concentrated disadvantage are also associated with firearm violence. The interaction of these factors with racist redlining housing practices remains unclear. Methods: We used generalized structural equation modeling to characterize the mediators through which redlining practices of the 1930s led to present rates of firearm violence in Boston using a negative bino-mial model. Principle component analysis was used to create four distinct mediating variables repre-senting census block socioeconomic and built environment information, while reducing dimensionality. We calculated the direct effect between harmful (Red and Yellow) vs beneficial (Green) designations and firearm incident rate, indirect effect between redlining designation and firearm incident rate through each mediating variable, and the total effect. The percentage mediation of each mediator was subsequently calculated. Findings: Red and Yellow areas of Boston were associated with an 11.1 (95% CI 5.5, 22.4) and 11.4 (5.7,22.8) increased incident rate of shooting when compared to Green. In the pathway between Red designation and firearm incident rate, poverty and poor educational attainment mediated 20% of the in-teraction, share of rented housing mediated 8%, and Black share of the population 3%. In the pathway between Yellow designation and firearm incident rate, poverty and poor educational attainment medi-ated 16% of the association, and Black share of the population mediated 13%. Interpretation: Redlining practices of the 1930s potentially contribute to increased rates of firearm vio-lence through changes to neighborhood environments, namely through preclusion from homeownership, poverty, poor educational attainment, and concentration (i.e. segregation) of Black communities. These downstream mediating factors serve as points for policy interventions to address urban firearm violence. (c) 2021 The Authors. Published by Elsevier Ltd.