The influence of urban restructuring on the social determinants of health in a Hispanic immigrant population in Charlotte, North Carolina.

The environment where a person lives impacts their health more than clinical care provided. (RWJF, 2013) This research posits that the determinants of health (DOH) are best understood as a combination of social, structural, spatial and temporal aspects, not just “social”. Literature to date acknowledges these dimensions, although researchers have yet to fully explore. Utilizing a mixed-method approach, this research explores various DOH and their interactions spatially, structurally and temporally at the neighborhood level and how changes to those determinants are impacted by restructuring forces adversely affecting a Hispanic immigrant population. Specifically, this research aims to answer the following questions (1) How are the DOH impacted by the social, spatial, structural and temporal elements individually and in concert; (2) How has urban restructuring been a factor in the DOH for the Hispanic immigrant population in Southwest (SW) Charlotte; and (3) How does the acknowledgement of the structural, spatial and temporal aspects of DOH inform action to address the social and health needs of Hispanic immigrants living in Charlotte, NC. The South Boulevard corridor in the SW area of the city is the ideal case study location as it is simultaneously experiencing several forms of urban restructuring and an on-going influx of Hispanic immigrants. Ultimately, urban restructuring is an overlooked DOH in its own right - especially as it impacts vulnerable communities such as Hispanic immigrants as well as the importance of viewing the DOH in a nuanced manner acknowledging the influence and interactions of the various aspects.