TY - JOUR
T1 - Health Disparities, Transportation Equity and Complete Streets
T2 - a Case Study of a Policy Development Process through the Lens of Critical Race Theory
AU - Ingram, Maia
AU - Leih, Rachel
AU - Adkins, Arlie
AU - Sonmez, Evren
AU - Yetman, Emily
N1 - Publisher Copyright:
© 2020, The New York Academy of Medicine.
PY - 2020/12
Y1 - 2020/12
N2 - Historic disinvestment in transportation infrastructure is directly related to adverse social conditions underlying health disparities in low-income communities of color. Complete Streets policies offer a strategy to address inequities and subsequent public health outcomes. This case study examines the potential for an equity-focused policy process to address systemic barriers and identify potential measures to track progress toward equity outcomes. Critical race theory provided the analytical framework to examine grant reports, task force notes, community workshop/outreach activities, digital stories, and stakeholder interviews. Analysis showed that transportation inequities are entrenched in historically rooted disparities that are perpetuated in ongoing decision-making processes. Intentional efforts to incorporate equity into discussions with community members and representatives contributed to explicit equity language being included in the final policy. The potential to achieve equity outcomes will depend upon policy implementation. Concrete strategies to engage community members and focus city decision-making practices on marginalized and disenfranchised communities are identified.
AB - Historic disinvestment in transportation infrastructure is directly related to adverse social conditions underlying health disparities in low-income communities of color. Complete Streets policies offer a strategy to address inequities and subsequent public health outcomes. This case study examines the potential for an equity-focused policy process to address systemic barriers and identify potential measures to track progress toward equity outcomes. Critical race theory provided the analytical framework to examine grant reports, task force notes, community workshop/outreach activities, digital stories, and stakeholder interviews. Analysis showed that transportation inequities are entrenched in historically rooted disparities that are perpetuated in ongoing decision-making processes. Intentional efforts to incorporate equity into discussions with community members and representatives contributed to explicit equity language being included in the final policy. The potential to achieve equity outcomes will depend upon policy implementation. Concrete strategies to engage community members and focus city decision-making practices on marginalized and disenfranchised communities are identified.
KW - Complete streets policy
KW - Critical race theory
KW - Health disparities
KW - Health equity
KW - Transportation equity
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U2 - 10.1007/s11524-020-00460-8
DO - 10.1007/s11524-020-00460-8
M3 - Article
C2 - 32748284
AN - SCOPUS:85088956214
SN - 1099-3460
VL - 97
SP - 876
EP - 886
JO - Journal of Urban Health
JF - Journal of Urban Health
IS - 6
ER -