Association of community-level inequities and premature mortality: Chicago, 2011-2015

Association of community-level inequities and premature mortality: Chicago, 2011-2015
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DOI:
10.1136/jech-2018-210916
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发表时间:
2018-12-01
影响因子:
6.3
通讯作者:
Shah, Raj C.
Shah, Raj C.
中科院分区:
医学2区
文献类型:
--
作者:
Lange-Maia, Brittney S.;De Maio, Fernando;Shah, Raj C.

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背景芝加哥77个确定的社区地区之间的预期寿命差距很大,从大约69岁到85岁不等。纽约市和波士顿先前的工作表明,以极端集中指数(ICE)衡量的社区一级种族和经济隔离与过早死亡密切相关。这一新的衡量标准允许对基于地区的收入和种族两极分化进行联合评估。这项研究旨在评估种族和经济隔离以及经济困难与芝加哥过早死亡的关系。方法按年龄调整的年度过早死亡率(死亡
Background Substantial disparities in life expectancy exist between Chicago's 77 defined community areas, ranging from approximately 69 to 85 years. Prior work in New York City and Boston has shown that community-level racial and economic segregation as measured by the Index of Concentration at the Extremes (ICE) is strongly related to premature mortality. This novel metric allows for the joint assessment of area-based income and racial polarisation. This study aimed to assess the relationships between racial and economic segregation and economic hardship with premature mortality in Chicago.Methods Annual age-adjusted premature mortality rates (deaths