Mapping and measuring social disparities in premature mortality: The impact of census tract poverty within and across Boston neighborhoods, 1999-2001
Mapping and measuring social disparities in premature mortality: The impact of census tract poverty within and across Boston neighborhoods, 1999-2001
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DOI：
10.1007/s11524-006-9089-7
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发表时间：
2006-11-01
影响因子：
6.6
通讯作者：
Krieger, Nancy
中科院分区：
文献类型：
--
作者：
Chen, Jarvis T.;Rehkopf, David H.;Krieger, Nancy
查明和记录健康差距是公共卫生监测的重要职能。这些差距通常是按性别、种族/民族和社会阶层划分的沿着，在城市环境中往往表现为社区之间健康的地理差距。认识到过早死亡率是一个强大的指标，在健康状况和获得医疗保健的差距，可以很容易地使用常规的公共卫生监测数据进行监测，我们进行了系统的分析，在波士顿（1999-2001年）的过早死亡率的空间变化在社区和次neigbborboods人口普查区（CT）贫困。使用基于多水平模型的框架，我们估计，与生活在最不贫困地区的人相比，生活在经济最贫困地区（贫困率低于20%）的人的过早死亡率高出1.39倍（95%可信区间为1.09-1.78）。
The identification and documentation of health disparities are important functions of public health surveillance. These disparities, typically falling along lines defined by gender, race/ethnicity, and social class, are often made visible in urban settings as geographic disparities in health between neighborhoods. Recognizing that Premature mortality is a powerful indicator of disparities in both health status and access to health care that can readily be monitored using routinely available public health surveillance data, we undertook a systematic analysis of spatial variation in premature mortality in Boston (1999-2001) across neighborhoods and sub-neigbborboods in relation to census tract (CT) poverty. Using a multilevel model based framework, we estimated that the incidence of premature mortality was 1.39 times higher (95% credible interval 1.09-1.78) among persons living in the most economically deprived CTs (>= 20% below poverty) compared to those in the least impoverished tracts (