ABSTRACT

This study examines the relationship between state preemption of inclusionary zoning policies and health outcomes among different demographic groups. Controlling for state- and individual-level controls, preemption of inclusionary association was negatively associated with health outcomes, particularly among Black adults. Adults living in states that preempt inclusionary zoning were more likely to have poor or fair self-rated health status. Additionally, Black adults were more likely to report delaying medical care because of cost in preemption states. Study findings suggest that changes to land-use regulation and zoning policy are important policy levers for improving health and longstanding racial health inequities. Policy interventions should be race-conscious and account for the historical and systemic barriers experienced by Black people.