Comparison of Health Status Indicators in Chicago: Are Black–White Disparities Worsening?

Helen Margellos-Anast · Abigail Silva · Steven Whitman

48 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 examined Chicago residents' progress toward the Healthy People 2000 goal of reducing racial disparities in health and compared the results with a recent analysis of US data. METHODS: Non-Hispanic Black-to-non-Hispanic White rate ratios were computed for 14 health status indicators for 1990 and for 1998. RESULTS: Nationally and in Chicago, indicators for both Blacks and Whites improved between 1990 and 1998; however, Whites consistently fared better. Nationally, gaps narrowed on 10 indicators; for Chicago, they widened on 10 indicators. CONCLUSIONS: Nationally, there is apparent progress in reducing Black-White disparities; this is not true for Chicago. Whether failure to reduce racial disparities is unique to Chicago or is common to other urban centers remains an open question with important implications.

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References

1993The Increasing Disparity in Mortality between Socioeconomic Groups in the United States, 1960 and 1986 1999Race, Socioeconomic Status, and Health The Added Effects of Racism and Discrimination 1998Age standardization of death rates: implementation of the year 2000 standard.1993Mortality by Hispanic Status in the United States 1996Paradox as paradigm--the health outcomes of Mexican Americans.2001Black-White Inequalities in Mortality and Life Expectancy, 1933–1999: Implications for Healthy People 2010 2002Trends in racial and ethnic-specific rates for the health status indicators: United States, 1990-98.1999Poverty, time, and place: variation in excess mortality across selected US populations, 1980-1990.

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2010Is There Progress toward Eliminating Racial/Ethnic Disparities in the Leading Causes of Death?2004Diversity and Disparity: GIS and Small-Area Analysis in Six Chicago Neighborhoods 2006Variations in the Health Conditions of 6 Chicago Community Areas: A Case for Local-Level Data

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