Presenting Author: Melody Tulier, MPH, MCP, DrPH (c), University of California Berkeley

ABSTRACT

Background: Gentrification, a process of economic and demographic shifts within neighborhoods, changes a neighborhood's economic, social, and physical resources, which are critical to resident health outcomes. While some argue gentrification improves public services, neighborhood aesthetics and community safety, others contend it catalyzes displacement of long-term residents and loss of health protective social networks.

Objectives: Is the rate of preventable death changing over time among long-term residents in low-income census tracts of varying stages of gentrification within Alameda County?

Methods: In the context of gentrification, preventable deaths include those where: a limited time of exposure is necessary to result in death, the illnesses are easily treatable or acuity is modifiable, and resources necessary for modification are plausible within neighborhoods experiencing gentrification. Rates of preventable mortality are quantified by census tract using individual cause of death data for all deceased individuals in Alameda County from 2005 - 2013. These data are then divided into two time points (2005 - 2008 and 2009 - 2013) with distinct measures of gentrification.

Results: At the county level, there are increasing rates of preventable mortality. The association between stages of gentrification and preventable mortality in Alameda County is then examined.

Implications: This research helps to illuminate current macro-level forces exacerbating or mitigating health inequities and moves beyond traditional individual level behavior measures that stymie policy change.

Author: Melody Tulier, MPH, MCP.