With concepts like structural racism and social determinants of health currently trending in both academic and public discourse, examining the health consequences of legacies of racism in the built environment is increasingly timely. Resource scarcity in neighborhoods and the emergence of resource deserts in urban cities are critical sources of urban social inequality. As research shows how the sociodemographic makeup of neighborhoods can predict resident access to important material resources like grocery stores, pharmacies, and parks, exploring how this lack of access might impact health is imperative. Employing an environmental justice framework, this study brings together scholarship on environmental racism and stress theory to explore the impacts of spatial inequality on health at the neighborhood level. Using public-use data from the American Community Survey (ACS), Centers for Disease Control and Prevention (CDC), the National Provider Identifier (NPI) registry, and local and state government sources, the author examines the influence of co-occurring resource scarcity (i.e., multiply-deserted areas [MDAs]) on health in neighborhoods across urban cities in the American South. Results indicate that MDAs have higher prevalence of physical inactivity, asthma, diabetes, and obesity compared to neighborhoods with low or no resource scarcity. In addition, across MDAs, neighborhoods that are predominantly Black have higher prevalence of physical inactivity, asthma, diabetes, and obesity relative to nonpredominantly Black neighborhoods. Results also suggest that higher income MDAs have lower obesity prevalence compared with low-income MDAs. Findings contribute to a growing area of literature connecting and examining the structural racism-health connection.

随着诸如结构性种族主义和健康的社会决定因素等概念目前在学术和公共话语中流行，研究建筑环境中种族主义遗产的健康后果越来越及时。社区资源稀缺和城市资源荒漠的出现是城市社会不平等的重要根源。研究表明，社区的社会人口构成如何预测居民对杂货店、药店和公园等重要物质资源的访问，探索这种缺乏访问可能如何影响健康势在必行。本研究采用环境正义框架，将环境种族主义和压力理论的学术研究结合起来，探讨空间不平等对社区健康的影响。作者使用来自美国社区调查 (ACS)、疾病控制和预防中心 (CDC)、国家提供者标识符 (NPI) 登记处以及地方和州政府来源的公共使用数据，检查了共同发生资源的影响美国南部城市社区的健康稀缺性（即多荒漠地区 [MDAs]）。结果表明，与资源稀缺程度低或不稀缺的社区相比，MDA 的身体不活动、哮喘、糖尿病和肥胖症的患病率更高。此外，在 MDA 中，以黑人为主的社区与非黑人为主的社区相比，缺乏身体活动、哮喘、糖尿病和肥胖症的患病率更高。结果还表明，与低收入 MDA 相比，高收入 MDA 的肥胖患病率较低。