Gentrification and Cancer: A Systematic Review of the Literature

Authors: Pichardo, C.M., Rosas, C.E., Barraza-Gallego, K., Chebli, P., Strayhorn, S.M., Molina, Y.

Category: Cancer Health Disparities
Conference Year: 2020

Abstract Body:
Purpose: Neighborhood gentrification represents an important, understudied dynamic neighborhood driver of cancer disparities. However, to our knowledge, no systematic review has examined the health impact of gentrification on cancer disparities and behavioral risk factors in the US. Objective: This review aims to: 1) synthesize the literature on empirical work that tests the association between gentrification, cancer incidence, and lifestyle behavioral risk factors; and, 2) develop a responsive conceptual framework.Method: Between March and November 2019, authors conducted a systematic review via electronic literature searches using PubMed, MEDLINE through Ovid, PsychInfo, and Sociological Abstracts. Studies were included if they reported a measured of a) gentrification, b) cancers and c) behavioral risk factors (e.g., diet, physical activity, smoking, alcohol use). Results: Of the 99 titles and abstracts reviewed, 19 full text articles were reviewed. No articles were focused on cancer incidence, but 4 were associated with behavioral risk factors. All studies focused on alcohol use. One study found a negative association between gentrification and alcohol use two found no association. Other studies, found that these relationships varied for displaced resident. One study found that displaced residents were six times more likely to have alcohol-related hospital admissions, while another found that moving to a neighborhood with higher socioeconomic conditions (as a result of displacement) was associated with a decrease in binge drinking among displaced residents. In contrasts, residents living in neighborhoods less than five years were at greater risk for binge drinking, compared to those in stable communities. The limited literature, establishes a relationship between gentrification and cancer-related lifestyle risk factors (i.e. alcohol use), alluding to a link between gentrification and cancer through, cancer-related lifestyle risk factors (i.e. alcohol use). Conclusion: Given the established causal link between alcohol consumption and multiple cancer types, to inform whether gentrification is associated with cancer through cancer-related lifestyle risk (i.e. alcohol consumption), further empirical work that explicitly test these association are needed.

Keywords: Cancer, Gentrification, Lifestyle health behaviors