Monitoring change in health disparity

Journal of Public Health Management and Practice : JPHMP
Jeffrey N Pearcy, Kenneth G Keppel

Abstract

Agencies and programs tasked to reduce and eliminate disparity need the best available methods to assess the success of their efforts. When monitoring disparity it is vital to be aware of how absolute and relative measures of disparity, and when changes are measured, can lead to different conclusions regarding progress. Absolute and relative disparities for homicide rates between Hispanics and non-Hispanic Whites were calculated on an annual basis for 1989 through 2003. A joinpoint regression of rates was used to identify where significant changes occurred over the 15-year period. Absolute and relative changes in disparity were measured for each interval identified. The annualized percent changes in homicide rates for each interval were used to evaluate how relative rates of change in homicide affect disparity. Three distinct change points were found for homicide rates and changes in disparity between Hispanics and non-Hispanic Whites for the period 1989-2003. Intervals 2 (1991-1994) and 3 (1994-1999) had declines in both absolute and relative disparity. Only interval 3 had disparity reductions sufficient, if they had continued, to suggest any elimination of disparity within the next 5 years. Reduction in the relative differenc...Continue Reading

References

Jan 29, 2000·Statistics in Medicine·H J KimD N Midthune
Sep 27, 2001·JAMA : the Journal of the American Medical Association·E C SchneiderA M Epstein
Nov 15, 2002·Public Health Reports·Jeffrey N Pearcy, Kenneth G Keppel
Nov 28, 2002·American Journal of Public Health·Greg R AlexanderSara Nabukera
Jan 10, 2004·American Journal of Public Health·Helen MargellosSteven Whitman
Sep 29, 2004·American Journal of Public Health·José J Escarce, Thomas G McGuire
Aug 19, 2005·The New England Journal of Medicine·Amal N TrivediJohn Z Ayanian
Oct 15, 2005·Journal of Public Health Management and Practice : JPHMP·Rebecca J Drewette-Card, Michael G Landen
Apr 22, 2006·BMJ : British Medical Journal·Allan Low, Anne Low

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Citations

Apr 25, 2012·American Journal of Preventive Medicine·Jenine K HarrisGlen P Mays
Aug 26, 2016·Preventing Chronic Disease·David KindigDebanjana Chatterjee
Jul 31, 2020·Preventing Chronic Disease·Valerie RobisonJason Hsia

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