Torey Edmonds has lived in the same house in an African-American neighborhood of the East End of Richmond, Va., for all of her 61 years. When she was a little girl, she says her neighborhood was a place of tidy homes with rose bushes and fruit trees, and residents had ready access to shops like beauty salons, movie theaters and several grocery stores.
But as she grew up, she says, the neighborhood went downhill. By the 1970s, stores had disappeared; those that did return were corner shops selling cheap alcohol but "no real food," Edmonds says. Houses declined too, as homeowners – including her parents – were rejected for loans.
"If the bank's not loaning, she says, "then things deteriorate."
Today, Edmonds' neighborhood remains overwhelmingly African-American, with a poverty rate of nearly 60%. Many of her neighbors suffer chronic medical conditions like kidney disease and diabetes.
"They age differently," says Edmonds, who works for Virginia Commonwealth University promoting community health. "We have a lot of our neighbors that have health challenges."