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Structural Racism and Mortality Disparities in D.C.

A recent study published in JAMA Network Open sheds light on how structural racism contributes to mortality disparities in Washington, D.C. The research, led by Dr. Mahsa Hashemian from George Washington University, analyzed mortality data from 2010 to 2020, revealing significant differences in death rates among racial and ethnic groups.
The study found that Black residents of D.C. had a mortality rate nearly twice that of White residents. This disparity was particularly pronounced in deaths from cardiovascular diseases, cancer, and diabetes. Dr. Hashemian emphasized that these differences are not merely due to individual health behaviors but are deeply rooted in systemic inequities. “Our findings highlight the critical role of structural racism in shaping health outcomes,” she stated.

The research also pointed out that neighborhoods with higher proportions of Black residents often lack access to quality healthcare, nutritious food, and safe recreational spaces. These social determinants of health contribute to the higher prevalence of chronic diseases and lower life expectancy in these communities. The study calls for comprehensive policy changes to address these structural barriers and promote health equity.

Efforts to mitigate these disparities include improving access to healthcare services, investing in community health programs, and addressing socio-economic inequalities. By tackling the root causes of health disparities, policymakers can help ensure that all residents of D.C. have the opportunity to live healthier lives.

See: “How Structural Racism Engineers Mortality Disparities in the District of Columbia” (April 3, 2025) 

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