Minority Health Archive

Racial Disparities in Context: A Multilevel Analysis of Neighborhood Variations in Poverty and Excess Mortality Among Black Populations in Massachusetts

Subramanian, S.V. and Chen, Jarvis T. and Rehkopf, David H. and Waterman, Pamela D. and Krieger, Nancy (2005) Racial Disparities in Context: A Multilevel Analysis of Neighborhood Variations in Poverty and Excess Mortality Among Black Populations in Massachusetts. American Journal of Public Health, 25 (2). pp. 260-265. ISSN 0090-0036

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Abstract

Objectives. We analyzed neighborhood heterogeneity in associations among mortality, race/ethnicity, and area poverty. Methods. We performed a multilevel statistical analysis of Massachusetts allcause mortality data for the period 1989 through 1991 (n=142836 deaths), modeled as 79813 cells (deaths and denominators cross-tabulated by age, gender, and race/ethnicity) at level 1 nested within 5532 block groups at level 2 within 1307 census tracts (CTs) at level 3. We also characterized CTs by percentage of the population living below poverty level. Results. Neighborhood variation in mortality across CTs and block groups was not accounted for by these areas’ age, gender, and racial/ethnic composition. Neighborhood variation in mortality was much greater for the Black population than for the White population, largely because of CT-level variation in poverty rates. Conclusions. Neighborhood heterogeneity in the relationship between mortality and race/ethnicity in Massachusetts is statistically significant and is closely related to CT-level variation in poverty.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: neighborhood heterogeneity; mortality; race/ethnicity; area poverty; Neighborhood variation in mortality; variation in poverty
Subjects: Health > Disparities
Research
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Depositing User: Users 141 not found.
Date Deposited: 12 Mar 2008
Last Modified: 30 Jun 2011 10:00
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/955

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