# Associations Between Neighborhood Racialized Economic Segregation with Cardiometabolic Health and Cortisol in a Racially/Ethnically Diverse Sample of Children from Minneapolis—St. Paul

## TL;DR

This study finds that children in more economically segregated neighborhoods have worse cardiometabolic health and higher cortisol levels.

## Contribution

The study links racialized economic segregation at the neighborhood level to child health outcomes in a diverse sample.

## Key findings

- Health risk factors increased as neighborhood privilege decreased.
- Racialized economic segregation correlates with less favorable cardiometabolic and cortisol outcomes in children.
- Place-based interventions may help improve children's health in segregated areas.

## Abstract

Past research shows that structural racism contributes to disparities in cardiometabolic health among racially/ethnically minoritized populations.

This cross-sectional study examined the correlation between census tract-level racialized economic segregation and child health metrics among a racially and ethnically diverse cohort of 350 children (ages 6.5–13.8) from Minneapolis—St. Paul, MN.

A consistent cardiometabolic and cortisol outcome gradient was observed across the index of concentration at the extremes tertiles, such that health risk factors increased as tract privilege decreased.

Racialized economic segregation was associated with less favorable child health outcomes, underscoring the potential importance of place-based interventions for promoting children’s health.