Evaluating Chicago's Success in Reaching the Healthy People 2000 Goal of Reducing Health Disparities Export

@article{silva_et_al_2001, abstract = {Objective: This study was designed to assess Chicago's progress from 1980 to 1998 in addressing the Healthy People 2000 goal of reducing health disparities. Methods: Chicago vital statistics and surveillance data were used to calculate black:white rate ratios of mortality and morbidity for 1980-1998. Mortality and morbidity rate ratios were also used to compare people living in areas with the lowest median household income with those living in the highest for 1979-1981, 1991-1993, and 1996-1998. The health measures included mortality associated with leading causes of death; all-cause mortality, incidence rates for two communicable diseases; and two birth outcomes. Results: Both black:white and low-income:high-income rate ratios monotonically increased for virtually all measures of mortality and morbidity. Almost all of the rate ratios and linear trends were statistically significant. From 1980 to 1998, the black:white rate ratio for all-cause mortality increased by 57\% to 2.03. From 1979-1981 to 1996-1998, the low-income:high-income rate ratio for all-cause mortality increased by 56\% to 2.68. Conclusions: These findings provide clear evidence that disparities in health did not decrease in Chicago. Instead, racial and economic disparities increased for almost all measures of mortality and morbidity used in this study. The fact that the Healthy People 2000 campaign to reduce and then eliminate health disparities was not effective must serve as a stimulus for improved strategies.}, author = {Silva, Abigail and Whitman, Steven and Margellos, Helen and Ansell, David}, citeulike-article-id = {3413254}, citeulike-linkout-0 = {http://dx.doi.org/10.2307/4598683}, citeulike-linkout-1 = {http://www.jstor.org/stable/4598683}, comment = {An evaluation of a public health initiative in Chicago to reduce health inequalities across income group and race. For mortality and morbidity outcomes, such inequalities did not decrease; instead they increased. This prompts a re-evaluation of the strategy used in the initiative.}, doi = {10.2307/4598683}, issn = {00333549}, journal = {Public Health Reports (1974-)}, keywords = {assessment, chicago, disparities, health, intervention, race, social-class, urban}, number = {5}, pages = {484--494}, posted-at = {2008-10-15 18:32:53}, priority = {0}, publisher = {Association of Schools of Public Health}, title = {Evaluating Chicago's Success in Reaching the Healthy People 2000 Goal of Reducing Health Disparities}, url = {http://dx.doi.org/10.2307/4598683}, volume = {116}, year = {2001} }

TY - JOUR ID - silva_et_al_2001 L3 - citeulike-article-id:3413254 N2 - Objective: This study was designed to assess Chicago's progress from 1980 to 1998 in addressing the Healthy People 2000 goal of reducing health disparities. Methods: Chicago vital statistics and surveillance data were used to calculate black:white rate ratios of mortality and morbidity for 1980-1998. Mortality and morbidity rate ratios were also used to compare people living in areas with the lowest median household income with those living in the highest for 1979-1981, 1991-1993, and 1996-1998. The health measures included mortality associated with leading causes of death; all-cause mortality, incidence rates for two communicable diseases; and two birth outcomes. Results: Both black:white and low-income:high-income rate ratios monotonically increased for virtually all measures of mortality and morbidity. Almost all of the rate ratios and linear trends were statistically significant. From 1980 to 1998, the black:white rate ratio for all-cause mortality increased by 57% to 2.03. From 1979-1981 to 1996-1998, the low-income:high-income rate ratio for all-cause mortality increased by 56% to 2.68. Conclusions: These findings provide clear evidence that disparities in health did not decrease in Chicago. Instead, racial and economic disparities increased for almost all measures of mortality and morbidity used in this study. The fact that the Healthy People 2000 campaign to reduce and then eliminate health disparities was not effective must serve as a stimulus for improved strategies. IS - 5 JF - Public Health Reports (1974-) SN - 00333549 EP - 494 TI - Evaluating Chicago's Success in Reaching the Healthy People 2000 Goal of Reducing Health Disparities PB - Association of Schools of Public Health VL - 116 SP - 484 KW - assessment KW - chicago KW - disparities KW - health KW - intervention KW - race KW - social-class KW - urban N1 - An evaluation of a public health initiative in Chicago to reduce health inequalities across income group and race. For mortality and morbidity outcomes, such inequalities did not decrease; instead they increased. This prompts a re-evaluation of the strategy used in the initiative. AU - Silva, Abigail AU - Whitman, Steven AU - Margellos, Helen AU - Ansell, David PY - 2001/// UR - http://dx.doi.org/10.2307/4598683 ER -