• J Urban Health · Dec 2024

    Increasing Access, Equitability, and Rigor in the Assessment of Neighborhood Mortgage Discrimination.

    • Leah Moubadder, Maya Bliss, Maret L Maliniak, Hannah Waddel, Jeffery M Switchenko, Howard H Chang, Michael R Kramer, and Lauren E McCullough.
    • Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA. leah.m.moubadder@emory.edu.
    • J Urban Health. 2024 Dec 1; 101 (6): 127412781274-1278.

    AbstractMortgage discrimination alters the distribution of investment, opportunity, and economic advantage-key contributors of health disparities. Leveraging Home Mortgage Disclosure Act data, we assessed mortgage denial risk in 380 U.S. urban areas. We estimated the risks by census tract-relative to the urban-specific average-using a Bayesian spatial model with conditionally autoregressive distributions fitted with integrated nested Laplace approximation. This approach borrows information through spatial and non-spatial smoothing, resulting in stable estimates in the presence of sparse data. The method, publicly accessible, allows researchers to apply our approach, fostering deeper insights into mortgage lending discrimination and systematic neighborhood disinvestment.© 2024. The New York Academy of Medicine.

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