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This study examines exposure to four contextual Determinants of Health (cDOH): healthcare access (Medically Underserved Areas), socioeconomic condition (Area Deprivation Index), air pollution (Nitrogen Dioxide (NO2), Particulate Matter 2.5 (PM 2.5) and Particulate Matter 10 (PM 10)), and walkability (National Walkability Index) among residents of gentrifying and not gentrifying lower income neighborhoods in central cities for the 100 largest metropolitan regions in the US using their location in 2006 and 2019 based on individual level consumer trace data. Individuals who lived in gentrifying neighborhoods as of 2006 had more favorable cDOH in terms of MUA, ADI and Walkability Index and similar levels of pollution. Between 2006 and 2019, they experienced worse changes in MUAs, ADI, and Walkability Index but a greater improvement in exposure to air pollutants. The negative changes are driven by movers, while stayers actually experience a relative improvement in MUAs and ADI and larger improvements in exposure to air pollutants. The findings indicate that gentrification may contribute to health disparities through changes in exposure to cDOH through mobility to communities with worse cDOH among residents of gentrifying neighborhoods although results in terms of exposure to health pollutants are mixed. [ABSTRACT FROM AUTHOR]

This study uses individual level consumer trace data for 2006 residents of low- and moderate-income neighborhoods for the principal cities of the 100 largest metropolitan regions in the US using their location in 2006 and 2019 to examine exposure to the following four cSDOH: healthcare access (Medically Underserved Areas), socioeconomic condition (Area Deprivation Index), air pollution (NO2, PM 2.5 and PM10), and walkability (National Walkability Index). The results control for individual characteristics and initial neighborhood conditions. Residents of neighborhoods classified as gentrifying were exposed to more favorable cSDOH as of 2006 relative to residents of low- and moderate-income neighborhoods that were not gentrifying in terms of likelihood to be in a MUA, and level of local deprivation and walkability while experiencing similar level of air pollution. As a result of changes in neighborhood characteristics and differential mobility pattern, between 2006 and 2019, individuals who originally lived in gentrifying neighborhoods experienced worse changes in MUAs, ADI, and Walkability Index but a greater improvement in exposure to air pollutants. The negative changes are driven by movers, while stayers actually experience a relative improvement in MUAs and ADI and larger improvements in exposure to air pollutants. The findings indicate that gentrification may contribute to health disparities through changes in exposure to cSDOH through mobility to communities with worse cSDOH among residents of gentrifying neighborhoods although results in terms of exposure to health pollutants are mixed.