Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: The public health disparities geocoding project
Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: The public health disparities geocoding project
复制标题
DOI：
10.2105/ajph.2003.032482
复制
发表时间：
2005-02-01
影响因子：
12.7
通讯作者：
Subramanian, SV
中科院分区：
文献类型：
--
作者：
Krieger, N;Chen, JT;Subramanian, SV
目标。我们描述了一种促进对美国社会经济健康差异进行常规监测的方法。方法。我们分析了地理编码的公共卫生监测数据，包括与马萨诸塞州和罗德岛州 1990 年人口普查区 (CT) 贫困数据相关的从出生到死亡（约 1990 年）的事件。结果。对于几乎所有的结果，风险随着 CT 贫困而增加，当我们根据 CT 贫困进行调整时，种族/民族差异大幅减少。对于一半的结果来说，如果人口比例与最贫困地区的人口比例相同，那么超过 50% 的病例就不会发生。在 20 世纪 90 年代初期，最贫困的 CT 人口是唯一能够在未来十年实现“健康人口 2000”目标的群体。结论。 CT 贫困衡量标准的地理编码和使用允许使用通用且可访问的指标对美国健康方面的社会经济不平等情况进行常规监测。
Objectives. We describe a method to facilitate routine monitoring of socioeconomic health disparities in the United States.Methods. We analyzed geocoded public health surveillance data including events from birth to death (c. 1990) linked to 1990 census tract (CT) poverty data for Massachusetts and Rhode Island.Results. For virtually all outcomes, risk increased with CT poverty, and when we adjusted for CT poverty racial/ethnic disparities were substantially reduced. For half the outcomes, more than 50% of cases would not have occurred if population rates equaled those of persons in the least impoverished CTs. In the early 1990s, persons in the least impoverished CT were the only group meeting Healthy People 2000 objectives a decade ahead.Conclusions. Geocoding and use of the CT poverty measure permit routine monitoring of US socioeconomic inequalities in health, using a common and accessible metric.