Black-White Health Disparities in the United States and Chicago: A 15-Year Progress Analysis
Black-White Health Disparities in the United States and Chicago: A 15-Year Progress Analysis
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DOI：
10.2105/ajph.2009.165407
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发表时间：
2010-02-01
影响因子：
12.7
通讯作者：
Whitman, Steven
中科院分区：
文献类型：
--
作者：
Orsi, Jennifer M.;Margellos-Anast, Helen;Whitman, Steven
目标.在努力检查国家和芝加哥，伊利诺伊州，在满足健康的人2010年的目标，消除健康差距的进展，我们检查了非西班牙裔黑人和非西班牙裔白色人之间的差距是否扩大，缩小，或保持不变，在1990年和2005年之间。我们检查了15个健康状况指标。我们通过检查非西班牙裔黑人和非西班牙裔白色人群在两个时间点和每个地点的比率差异来确定1990年至2005年之间的差异是否扩大、缩小或保持不变。我们计算P值以确定百分比差异随时间的变化是否具有统计学意义。非西班牙裔黑人和非西班牙裔白色人口之间的差异扩大了6的15个健康状况指标检查美国（5显着），而在芝加哥的大多数差距扩大（11 15，5显着）。总的来说，在美国和芝加哥实现2010年健康人消除健康差距的目标的进展仍然暗淡。在国家和地方一级为减少差距花费了15年以上的时间和努力，但其影响仍然微不足道。(Am J公共卫生。2010;100：349-356. doi：10.2105/AJPH.2009.165407）
Objectives. In an effort to examine national and Chicago, Illinois, progress in meeting the Healthy People 2010 goal of eliminating health disparities, we examined whether disparities between non-Hispanic Black and non-Hispanic White persons widened, narrowed, or stayed the same between 1990 and 2005.Methods. We examined 15 health status indicators. We determined whether a disparity widened, narrowed, or remained unchanged between 1990 and 2005 by examining the percentage difference in rates between non-Hispanic Black and non-Hispanic White populations at both time points and at each location. We calculated P values to determine whether changes in percentage difference over time were statistically significant.Results. Disparities between non-Hispanic Black and non-Hispanic White populations widened for 6 of 15 health status indicators examined for the United States (5 significantly), whereas in Chicago the majority of disparities widened (11 of 15, 5 significantly).Conclusions. Overall, progress toward meeting the Healthy People 2010 goal of eliminating health disparities in the United States and in Chicago remains bleak. With more than 15 years of time and effort spent at the national and local level to reduce disparities, the impact remains negligible. (Am J Public Health. 2010;100: 349-356. doi:10.2105/AJPH.2009.165407)