Lifting boatswithout closing gaps: Child health outcomes in distressed us cities from 1992-2002

Diana Silver, Tod Mijanovich, Jenny Uyei, Farzana Kapadia, Beth C. Weitzman

Research output: Contribution to journalArticle

Abstract

Objectives. We compared cause-specific mortality and birth rates for children and youths aged younger than 18 years in 100 US cities from 1992 through 2002. Methods. We used 5 census indicators to categorize the 100 most populous US cities in 1990 as economically distressed or nondistressed. We used Poisson regression to calculate rate ratios for cause-specific mortality and birth rates, comparing distressed cities to nondistressed cities overall and by race/ethnicity from 1992 through 2002. We also calculated rates of change in these variables within each city over this period. Results. Despite improvements in health for the study population in all cities, disparities between city groups held steady or widened over the study period. Gaps in outcomes between Whites and Blacks persisted across all cities. Living in a distressed city compounded the disparities in poor outcomes for Black children and youths. Conclusions. A strong national economy during the study period may have facilitated improvements in health outcomes for children and youths in US cities, but these benefits did not close gaps between distressed and nondistressed cities.

Original languageEnglish (US)
Pages (from-to)278-284
Number of pages7
JournalAmerican Journal of Public Health
Volume101
Issue number2
DOIs
StatePublished - Feb 1 2011

Fingerprint

Birth Rate
Child Health
Mortality
Censuses
Health
Population
hydroquinone

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Lifting boatswithout closing gaps : Child health outcomes in distressed us cities from 1992-2002. / Silver, Diana; Mijanovich, Tod; Uyei, Jenny; Kapadia, Farzana; Weitzman, Beth C.

In: American Journal of Public Health, Vol. 101, No. 2, 01.02.2011, p. 278-284.

Research output: Contribution to journalArticle

@article{3b9e747c1184445d84877ff48f1504e4,
title = "Lifting boatswithout closing gaps: Child health outcomes in distressed us cities from 1992-2002",
abstract = "Objectives. We compared cause-specific mortality and birth rates for children and youths aged younger than 18 years in 100 US cities from 1992 through 2002. Methods. We used 5 census indicators to categorize the 100 most populous US cities in 1990 as economically distressed or nondistressed. We used Poisson regression to calculate rate ratios for cause-specific mortality and birth rates, comparing distressed cities to nondistressed cities overall and by race/ethnicity from 1992 through 2002. We also calculated rates of change in these variables within each city over this period. Results. Despite improvements in health for the study population in all cities, disparities between city groups held steady or widened over the study period. Gaps in outcomes between Whites and Blacks persisted across all cities. Living in a distressed city compounded the disparities in poor outcomes for Black children and youths. Conclusions. A strong national economy during the study period may have facilitated improvements in health outcomes for children and youths in US cities, but these benefits did not close gaps between distressed and nondistressed cities.",
author = "Diana Silver and Tod Mijanovich and Jenny Uyei and Farzana Kapadia and Weitzman, {Beth C.}",
year = "2011",
month = "2",
day = "1",
doi = "10.2105/AJPH.2010.194761",
language = "English (US)",
volume = "101",
pages = "278--284",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "2",

}

TY - JOUR

T1 - Lifting boatswithout closing gaps

T2 - Child health outcomes in distressed us cities from 1992-2002

AU - Silver, Diana

AU - Mijanovich, Tod

AU - Uyei, Jenny

AU - Kapadia, Farzana

AU - Weitzman, Beth C.

PY - 2011/2/1

Y1 - 2011/2/1

N2 - Objectives. We compared cause-specific mortality and birth rates for children and youths aged younger than 18 years in 100 US cities from 1992 through 2002. Methods. We used 5 census indicators to categorize the 100 most populous US cities in 1990 as economically distressed or nondistressed. We used Poisson regression to calculate rate ratios for cause-specific mortality and birth rates, comparing distressed cities to nondistressed cities overall and by race/ethnicity from 1992 through 2002. We also calculated rates of change in these variables within each city over this period. Results. Despite improvements in health for the study population in all cities, disparities between city groups held steady or widened over the study period. Gaps in outcomes between Whites and Blacks persisted across all cities. Living in a distressed city compounded the disparities in poor outcomes for Black children and youths. Conclusions. A strong national economy during the study period may have facilitated improvements in health outcomes for children and youths in US cities, but these benefits did not close gaps between distressed and nondistressed cities.

AB - Objectives. We compared cause-specific mortality and birth rates for children and youths aged younger than 18 years in 100 US cities from 1992 through 2002. Methods. We used 5 census indicators to categorize the 100 most populous US cities in 1990 as economically distressed or nondistressed. We used Poisson regression to calculate rate ratios for cause-specific mortality and birth rates, comparing distressed cities to nondistressed cities overall and by race/ethnicity from 1992 through 2002. We also calculated rates of change in these variables within each city over this period. Results. Despite improvements in health for the study population in all cities, disparities between city groups held steady or widened over the study period. Gaps in outcomes between Whites and Blacks persisted across all cities. Living in a distressed city compounded the disparities in poor outcomes for Black children and youths. Conclusions. A strong national economy during the study period may have facilitated improvements in health outcomes for children and youths in US cities, but these benefits did not close gaps between distressed and nondistressed cities.

UR - http://www.scopus.com/inward/record.url?scp=78751476714&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78751476714&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2010.194761

DO - 10.2105/AJPH.2010.194761

M3 - Article

C2 - 21164084

AN - SCOPUS:78751476714

VL - 101

SP - 278

EP - 284

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 2

ER -