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Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes

Krieger, Nancy ; Waterman, Pamela D ; Spasojevic, Jasmina ; Li, Wenhui ; Maduro, Gil ; Van Wye, Gretchen

American journal of public health (1971), 2016-02, Vol.106 (2), p.256-263 [Periódico revisado por pares]

United States: American Public Health Association

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Título:
Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes
Autor: Krieger, Nancy ; Waterman, Pamela D ; Spasojevic, Jasmina ; Li, Wenhui ; Maduro, Gil ; Van Wye, Gretchen
Assuntos: Adult ; AJPH Methods ; Censuses ; Cities ; Continental Population Groups ; Cross-Sectional Studies ; Demography - statistics & numerical data ; Diabetes ; Education ; Epidemiology ; Ethnic Groups ; Ethnicity ; Geography ; Health disparities ; Healthcare Disparities - ethnology ; High income ; Humans ; Hygiene ; Income inequality ; Infant ; Infant Mortality ; Low income groups ; Mortality, Premature ; Neighborhoods ; New York City - epidemiology ; Other Race/Ethnicity ; Other Statistics/Evaluation/Research ; Population ; Poverty ; Poverty - ethnology ; Poverty - statistics & numerical data ; Public health ; Public Health - methods ; Public Health Practice ; Race ; Segregation ; Social sciences ; Socioeconomic Factors ; Studies ; Vital statistics
É parte de: American journal of public health (1971), 2016-02, Vol.106 (2), p.256-263
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Peer Reviewed
CONTRIBUTORS
N. Krieger conceptualized and designed the study, and led writing of the article. P. D. Waterman generated the Index of Concentration at the Extremes data and produced the maps. G. Van Wye guided the analyses within New York City Department of Health and Mental Hygiene, J. Spasojevic and W. Li created the New York City Department of Health and Mental Hygiene database and conducted the statistical analyses. All authors contributed to the article and approved the final version for submission for publication.
Descrição: We evaluated use of the Index of Concentration at the Extremes (ICE) for public health monitoring. We used New York City data centered around 2010 to assess cross-sectional associations at the census tract and community district levels, for (1) diverse ICE measures plus the US poverty rate, with (2) infant mortality, premature mortality (before age 65 years), and diabetes mortality. Point estimates for rate ratios were consistently greatest for the novel ICE that jointly measured extreme concentrations of income and race/ethnicity. For example, the census tract-level rate ratio for infant mortality comparing the bottom versus top quintile for an ICE contrasting low-income Black versus high-income White equaled 2.93 (95% confidence interval [CI] = 2.11, 4.09), but was 2.19 (95% CI = 1.59, 3.02) for low versus high income, 2.77 (95% CI = 2.02, 3.81) for Black versus White, and 1.56 (95% CI = 1.19, 2.04) for census tracts with greater than or equal to 30% versus less than 10% below poverty. The ICE may be a useful metric for public health monitoring, as it simultaneously captures extremes of privilege and deprivation and can jointly measure economic and racial/ethnic segregation.
Editor: United States: American Public Health Association
Idioma: Inglês

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Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes

Krieger, Nancy ; Waterman, Pamela D ; Spasojevic, Jasmina ; Li, Wenhui ; Maduro, Gil ; Van Wye, Gretchen

United States: American Public Health Association

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