Historical redlining in the 1930s is widely used as a benchmark to measure the enduring effects of housing discrimination on today’s patterns of racial segregation and health disparities. Residents of historically redlined neighborhoods are more likely to experience depression, anxiety, and other adverse mental health outcomes. Prior research also shows that historically redlined neighborhoods disproportionately host environmentally burdensome locally unwanted land uses (LULUs), suggesting an important pathway through which structural racism becomes embedded in place and shapes health. Focusing on Chicago, a city marked by persistent racial segregation, this study uses path analysis to investigate the mediating role of three major types of LULUs (industrial land, transportation and utility land, and vacant land and construction sites) in the relationship between redlining-anchored disadvantage and poor neighborhood mental health. Greater historical redlining was associated with a higher prevalence of poor mental health, and this total effect was partially mediated through industrial land, vacant land and construction sites, as well as key neighborhood socio-economic factors. These results highlight the enduring impact of historical housing discrimination on present-day urban health outcomes. Policies aimed at reducing health inequities should address physical environmental risks, tackle underlying socio-economic inequalities, and prioritize support for historically marginalized communities.
AaronsonDHartleyDMazumderB (2021) The effects of the 1930s HOLC “redlining” maps. American Economic Journal: Economic Policy13(4): 355–392.
2.
AnBOrlandoAWRodnyanskyS (2019) The physical legacy of racism: How redlining cemented the modern built environment. SSRN Electronic Journal. Available at: http://dx.doi.org/10.2139/ssrn.3500612 (accessed 20 January 2026).
3.
ArjunaMPEdirisingheVManoharanK, et al. (2023) A study on the physical and mental health issues to the neighbouring residences due to the construction projects in Sri Lanka. In: 11th World Construction Symposium - 2023, July 2023, pp. 14–23. Ceylon Institute of Builders - Sri Lanka. Available at: http://dl.lib.uom.lk/handle/123/21244 (accessed 18 March 2025).
4.
ArnoldCA (1998) Planning milagros: Environmental justice and land use regulation. Denver Law Review76(1): 1.
5.
BaileyZDKriegerNAgénorM, et al. (2017) Structural racism and health inequities in the USA: Evidence and interventions. The Lancet389(10077): 1453–1463.
6.
BakolisIHammoudRStewartR, et al. (2021) Mental health consequences of urban air pollution: Prospective population-based longitudinal survey. Social Psychiatry and Psychiatric Epidemiology56(9): 1587–1599.
7.
BechtelRBChurchmanA (2002) Handbook of Environmental Psychology. John Wiley & Sons.
8.
BeenV (1994) Locally undesirable land uses in minority neighborhoods: Disproportionate siting or market dynamics?The Yale Law Journal103(6): 1383.
9.
BernardPCharafeddineRFrohlichKL, et al. (2007) Health inequalities and place: A theoretical conception of neighbourhood. Social Science & Medicine65(9): 1839–1852.
10.
BravemanPAArkinEProctorD, et al. (2022) Systemic and structural racism: Definitions, examples, health damages, and approaches to dismantling. Health Affairs41(2): 171–178.
11.
BrulleRJPellowDN (2006) Environmental justice: Human health and environmental inequalities. Annual Review of Public Health27(1): 103–124.
12.
CairneyJBoyleMH (2004) Home ownership, mortgages and psychological distress. Housing Studies19(2): 161–174.
13.
Centers for Disease Control and Prevention (CDC) (n.d.) PLACES: Local data for better health. Available at: https://www.cdc.gov/places (accessed 6 January 2025).
14.
ChenL (2025) Unraveling vacant land concerns in the social and economic dimensions of sustainability in Chicago neighborhoods. Journal of Urbanism: International Research on Placemaking and Urban Sustainability. Epub ahead of print 23January2025. DOI: https://doi.org/10.1080/17549175.2025.2455628
15.
ChenLMitchellBCLaurentSE, et al. (2026) Historical redlining and contemporary home mortgage lending: Investigating neighborhood-level racial disparities in mortgage originations in the United States. Cities170: 106632.
16.
CollinsTWGrineski SaraE (2025) Race, historical redlining, and contemporary transportation noise disparities in the United States. Journal of Exposure Science & Environmental Epidemiology35(1): 50–61.
17.
DaviesTMahA (eds) (2020) Toxic Truths: Environmental Justice and Citizen Science in a Post-Truth Age. Open Access e-Books. Manchester University Press.
18.
DowneyLVan WilligenM (2005) Environmental stressors: The mental health impacts of living near industrial activity. Journal of Health and Social Behavior46(3): 289–305.
19.
EgedeLEWalkerRJCampbellJA, et al. (2023) Modern day consequences of historic redlining: Finding a path forward. Journal of General Internal Medicine38(6): 1534–1537.
20.
EstienCOWilkinsonCEMorello-FroschR, et al. (2024) Historical redlining is associated with disparities in environmental quality across California. Environmental Science & Technology Letters11(2): 54–59.
21.
FaberJ (2021) Contemporary echoes of segregationist policy: Spatial marking and the persistence of inequality. Urban Studies58(5): 1067–1086.
22.
GarnerRHancockBHKimK (2007) Segregation in Chicago. The Tocqueville Review28(1): 41–73.
23.
GarvinEBranasCKeddemS, et al. (2013) More than just an eyesore: Local insights and solutions on vacant land and urban health. Journal of Urban Health90(3): 412–426.
24.
GonzalezDJXNardoneANguyenAV, et al. (2023) Historic redlining and the siting of oil and gas wells in the United States. Journal of Exposure Science & Environmental Epidemiology33(1): 76–83.
25.
GrantKGoldizenFCSlyPD, et al. (2013) Health consequences of exposure to e-waste: A systematic review. The Lancet Global Health1(6): e350–e361.
26.
GreenbergM (1993) Proving environmental inequity in siting locally unwanted land uses. Risk4(1993): 235.
27.
GreerJL (2014) Historic home mortgage redlining in Chicago. Journal of the Illinois State Historical Society (1998-)107(2): 204–233.
28.
HahadOKunticMAl-KindiS, et al. (2025) Noise and mental health: Evidence, mechanisms, and consequences. Journal of Exposure Science & Environmental Epidemiology35(1): 16–23.
29.
HamblenRH (1996) A community divided: Coping with a locally unwanted land use. Thesis, University of Southern Maine, ME, USA.
30.
HuangH (2021) A spatial analysis of obesity: Interaction of urban food environments and racial segregation in Chicago. Journal of Urban Health98(5): 676–686.
31.
IzahSCOgwuMC (eds) (2023) Sustainable Utilization and Conservation of Africa’s Biological Resources and Environment. Sustainable Development and Biodiversity. Springer Nature Singapore. Available at: https://link.springer.com/10.1007/978-981-19-6974-4 (accessed 17 March 2025).
32.
KisaAKisaS (2025) Structural racism as a fundamental cause of health inequities: A scoping review. International Journal for Equity in Health24(1): 257.
33.
KrausNTConnorSShodaK, et al. (2024) Historic redlining and health outcomes: A systematic review. Public Health Nursing41(2): 287–296.
34.
KuruvillaAJacobKS (2007) Poverty, social stress & mental health. Indian Journal of Medical Research126(4): 273–278.
35.
LaneHMMorello-FroschRMarshallJD, et al. (2022) Historical redlining is associated with present-day air pollution disparities in US Cities. Environmental Science & Technology Letters9(4): 345–350.
36.
LeggRPriorJAdamsJ, et al. (2022) A geography of contaminated sites, mental health and wellbeing: The body, home, environment and state at Australian PFAS sites. Emotion, Space and Society44: 100910.
37.
LeggRPriorJAdamsJ, et al. (2023) The relations between mental health and psychological wellbeing and living with environmental contamination: A systematic review and conceptual framework. Journal of Environmental Psychology87: 101994.
38.
LercherPEvansGWMeisM, et al. (2002) Ambient neighbourhood noise and children’s mental health. Occupational and Environmental Medicine59(6): 380–386.
39.
LoganJRXuZStultsBJ (2014) Interpolating US decennial census tract data from as early as 1970 to 2010: A longitudinal tract database. The Professional Geographer66(3): 412–420.
40.
LuYLinYHowardN, et al. (2025) The long-run effect of historical redlining practices on social vulnerability in US cities. Cities157: 105590.
41.
LynchEEMalcoeLHLaurentSE, et al. (2021) The legacy of structural racism: Associations between historic redlining, current mortgage lending, and health. SSM - Population Health14: 100793.
42.
MadriganoJCalvo HernandezCStephensonS, et al. (2021) Environmental racism: The relationship between historical residential redlining and current environmental hazards. ISEE Conference Abstracts2021(1): 10.1289/isee. 2021.O-LT-061
43.
McAlpineDDMcCreedyEAlangS (2018) The meaning and predictive value of self-rated mental health among persons with a mental health problem. Journal of Health and Social Behavior59(2): 200–214.
44.
MeierHMitchellB (2022) Tracing the legacy of redlining: A new method for tracking the origins of housing segregation. National Community Reinvestment Coalition. Available at: https://ncrc.org/redlining-score/ (accessed 10 March 2025).
45.
MeierHMitchellB (2023) Historic redlining indicator for 2000, 2010, and 2020 US Census Tracts. Inter-university Consortium for Political and Social Research.
46.
MoriartyDGZackMMKobauR (2003) The Centers for Disease Control and Prevention’s Healthy Days Measures-Population tracking of perceived physical and mental health over time. Health and Quality of Life Outcomes1: 37.
47.
MotairekIChenZMakhloufMHE, et al. (2023) Historical neighbourhood redlining and contemporary environmental racism. Local Environment28(4): 518–528.
48.
NakhjiriAKakroodiAA (2024) Air pollution in industrial clusters: A comprehensive analysis and prediction using multi-source data. Ecological Informatics80: 102504.
49.
NardoneAChiangJCorburnJ (2020) Historic redlining and urban health today in US cities. Environmental Justice13(4): 109–119.
50.
NelsonRKWinlingL (2023). Mapping inequality: Redlining in New Deal America. Digital Scholarship Lab. Available at: https://dsl.richmond.edu/panorama/redlining (accessed 10 March 2025).
51.
NoelkeCOutrichMBaekM, et al. (2022) Connecting past to present: Examining different approaches to linking historical redlining to present day health inequities. PLoS One17(5): e0267606.
52.
PalmerSRDunstanFDJFielderH, et al. (2005) Risk of congenital anomalies after the opening of landfill sites. Environmental Health Perspectives113(10): 1362–1365.
53.
Sarper ErdoganMYavuzCCaglayanC, et al. (2005) An analysis of the environmental threats posed by industry in Kocaeli, turkey. Management of Environmental Quality: An International Journal16(1): 26–36.
54.
SchmittHJCallowayEESullivanD, et al. (2021) Chronic environmental contamination: A systematic review of psychological health consequences. Science of the Total Environment772: 145025.
55.
SchwarzKBerlandAHerrmannDL (2018) Green, but not just? Rethinking environmental justice indicators in shrinking cities. Sustainable Cities and Society41: 816–821.
56.
SchwegmanDJ (2025) Historical housing discrimination, redlining, and the contemporary distribution of local economic development funding: The case of Chicago. Economic Development Quarterly39(2): 75–92.
57.
ShenCWangY (2023) Public reactions to locally unwanted land-uses: Mixed methods evidence from three petrochemicals plants in China. Energy Research & Social Science95: 102909.
58.
SinghGKDausGPAllenderM, et al. (2018) Social determinants of health in the United States: Addressing major health inequality trends for the nation, 1935-2016. International Journal of Maternal and Child Health and AIDS (IJMA)6(2): 139–164.
59.
SivakCJPearsonALHurlburtP (2021) Effects of vacant lots on human health: A systematic review of the evidence. Landscape and Urban Planning208: 104020.
60.
SquiresGDDewolfeRDewolfeAS (1979) Urban decline or disinvestment: Uneven development, redlining and the role of the insurance industry. Social Problems27(1): 79–95.
61.
SteelmanTACarminJ (1998) Common property, collective interests, and community opposition to locally unwanted land uses. Society & Natural Resources11(5): 485–504.
62.
SwopeCBHernándezDCushingLJ (2022) The relationship of historical redlining with present-day neighborhood environmental and health outcomes: A scoping review and conceptual model. Journal of Urban Health99(6): 959–983.
63.
TungELCagneyKAPeekME, et al. (2017) Spatial context and health inequity: Reconfiguring race, place, and poverty. Journal of Urban Health94(6): 757–763.
64.
WhiteKHaasJSWilliamsDR (2012) Elucidating the role of place in health care disparities: The example of racial/ethnic residential segregation. Health Services Research47(3pt2): 1278–1299.
65.
WilliamsDRCollinsC (2001) Racial residential segregation: A fundamental cause of racial disparities in health. Public Health Reports116(5): 404–416.
66.
WinlingLCMichneyTM (2021) The roots of redlining: Academic, governmental, and professional networks in the making of the new deal lending regime. Journal of American History108(1): 42–69.
67.
YooERobertsJE (2024) Differential effects of air pollution exposure on mental health: Historical redlining in New York State. Science of the Total Environment948: 174516.
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