Association of community-level inequities and premature mortality: Chicago, 2011-2015

Journal of Epidemiology and Community Health
Brittney S Lange-MaiaRaj C Shah

Abstract

Substantial disparities in life expectancy exist between Chicago's 77 defined community areas, ranging from approximately 69 to 85 years. Prior work in New York City and Boston has shown that community-level racial and economic segregation as measured by the Index of Concentration at the Extremes (ICE) is strongly related to premature mortality. This novel metric allows for the joint assessment of area-based income and racial polarisation. This study aimed to assess the relationships between racial and economic segregation and economic hardship with premature mortality in Chicago. Annual age-adjusted premature mortality rates (deaths <65 years) from 2011 to 2015 were calculated for Chicago's 77 community areas. ICE measures for household income (<US$25 000 vs ≥US$100 000), race (black vs non-Hispanic white), combined ICE measure incorporating income and race, and hardship index were calculated from 2015 American Community Survey 5-year estimates. Average annual premature mortality rates ranged from 94 (95% CI 61 to 133) deaths per 100 000 population age <65 to 699 (95% CI 394 to 1089). Compared with the highest ICE quintiles, communities in the lowest quintiles had significantly higher rates of premature mortality (ICEIncomerat...Continue Reading

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Apr 21, 2017·American Journal of Public Health·Nancy KriegerSnehal N Shah

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Citations

Jan 29, 2020·Journal of Ethnicity in Substance Abuse·Tamara RushovichNikhil Prachand
Apr 21, 2020·Journal of Parkinson's Disease·Chunsong JiaTongwen Ou
May 18, 2020·Journal of Parkinson's Disease·Meagan BaileyDeborah A Hall
May 2, 2020·International Journal of Environmental Research and Public Health·Kelvin C FongAntonella Zanobetti
Dec 22, 2020·Public Health·J Bishop-RoyseF DeMaio

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