Regional and Racial Inequality in Infectious Disease Mortality in US Cities, 1900-1948
Regional and Racial Inequality in Infectious Disease Mortality in US Cities, 1900-1948
复制标题
DOI：
10.1007/s13524-019-00789-z
复制
发表时间：
2019-08-01
期刊：
影响因子：
3.5
通讯作者：
Wrigley-Field, Elizabeth
中科院分区：
文献类型：
--
作者：
Feigenbaum, James J.;Muller, Christopher;Wrigley-Field, Elizabeth
二十世纪上半叶，美国传染病死亡率急剧下降。尽管这种下降是众所周知的并且有据可查，但令人惊讶的是，几乎没有证据表明这种下降是否在美国各地区均匀发生。我们使用所有报告的美国城市的传染病死亡数据来描述 1900 年至 1948 年城市传染病死亡率下降的区域模式。我们报告了三个主要结果。首先，从1900年到1948年，南方城市的传染病死亡率每年都较高。其次，南方城市的传染病死亡率下降晚于其他地区的城市。第三，南部城市相对较高的感染死亡率主要是由非裔美国人极高的感染死亡率造成的。从 1906 年到 1920 年，城市中的非裔美国人死于传染病的比率高于 1918 年流感大流行期间城市白人的死亡率。
In the first half of the twentieth century, the rate of death from infectious disease in the United States fell precipitously. Although this decline is well-known and well-documented, there is surprisingly little evidence about whether it took place uniformly across the regions of the United States. We use data on infectious disease deaths from all reporting U.S. cities to describe regional patterns in the decline of urban infectious mortality from 1900 to 1948. We report three main results. First, urban infectious mortality was higher in the South in every year from 1900 to 1948. Second, infectious mortality declined later in southern cities than in cities in the other regions. Third, comparatively high infectious mortality in southern cities was driven primarily by extremely high infectious mortality among African Americans. From 1906 to 1920, African Americans in cities experienced a rate of death from infectious disease that was greater than what urban whites experienced during the 1918 flu pandemic.