Black–White Differences in Infectious Disease Mortality in the United States

Jan Hendrik Richardus · Anton Eduard Kunst

62 citations0/0 files storedAmerican Journal of Public Health

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Health disparities and outcomes Racial and Ethnic Identity Research Public Health and Social Inequalities

Abstract

OBJECTIVES: This study determined the degree to which Black-White differences in infectious disease mortality are explained by income and education and the extent to which infectious diseases contribute to Black-White differences in all-cause mortality. METHODS: A sample population of the National Longitudinal Mortality Study from 1979 through 1981 was analyzed and followed up through 1989. RESULTS: Infectious disease mortality among Blacks was higher than among Whites, with a relative risk of 1.53 after adjustment for age and sex and 1.34 after further adjustment for income and education. Death from infectious diseases contributed to 9.3% of the difference in all-cause mortality. CONCLUSIONS: In the United States, infectious diseases account for nearly 10% of the excess all-cause mortality rates in Blacks compared with Whites.

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References

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2009Black–white differences in avoidable mortality in the USA, 1980–2005 2004Cause-specific contributions to black-white differences in male mortality from 1960 to 1995 2017Infectious Disease Issues in Underserved Populations 2008Social capital and health status: Assessing whether the relationship varies between blacks and whites

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