Risk factors for excess mortality in Harlem

Findings from the Harlem Household Survey

Robert E. Fullilove, Mindy Thompson Fullilove, Mary Northridge, Michael L. Ganz, Mary T. Bassett, Diane E. McLean, Angela A. Aidala, Donald H. Gemson, Colin McCord

Research output: Contribution to journalArticle

Abstract

Introduction: In 1980, age-adjusted mortality rates in Central Harlem were the highest among New York City's 30 health districts. This population- based study was designed to describe the self-reported frequency of selected health conditions, behavioral risk factors, preventive health practices, and drug use in the Harlem community. Methods: From 1992 to 1994, in-person interviews were conducted among 695 adults aged 18 to 65 years who were randomly selected from dwelling-unit enumeration lists for the Central Harlem health district. Descriptive statistics were computed for men and women separately, and compared to other population-based surveys. Results: Self- reported medical insurance coverage in Harlem was unexpectedly high (74% of men, 86% of women) as was lifetime use of preventive health practices, e.g., blood cholesterol screening (58% of men, 70% of women). However, lifetime rates of substance use, e.g. crack cocaine (14%) and self-reported history of traumatic events, e.g., witnessing someone seriously injured or violently killed (49% of men, 21% of women) were also high in Harlem, especially in comparison to other populations. Conclusions: This study has identified important patterns of similarities and differences in risk behaviors between Harlem and other populations. Potential solutions to the health problems of Harlem may lie in the creation of strategies that operate at the community, municipal, and regional level, as well as at the level of individual behavior and risk-taking.

Original languageEnglish (US)
Pages (from-to)22-28
Number of pages7
JournalAmerican Journal of Preventive Medicine
Volume16
Issue number3 Suppl
StatePublished - Apr 1999

Fingerprint

Mortality
Health
Risk-Taking
Population
Crack Cocaine
Insurance Coverage
Surveys and Questionnaires
Cholesterol
Interviews
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

Cite this

Fullilove, R. E., Thompson Fullilove, M., Northridge, M., Ganz, M. L., Bassett, M. T., McLean, D. E., ... McCord, C. (1999). Risk factors for excess mortality in Harlem: Findings from the Harlem Household Survey. American Journal of Preventive Medicine, 16(3 Suppl), 22-28.

Risk factors for excess mortality in Harlem : Findings from the Harlem Household Survey. / Fullilove, Robert E.; Thompson Fullilove, Mindy; Northridge, Mary; Ganz, Michael L.; Bassett, Mary T.; McLean, Diane E.; Aidala, Angela A.; Gemson, Donald H.; McCord, Colin.

In: American Journal of Preventive Medicine, Vol. 16, No. 3 Suppl, 04.1999, p. 22-28.

Research output: Contribution to journalArticle

Fullilove, RE, Thompson Fullilove, M, Northridge, M, Ganz, ML, Bassett, MT, McLean, DE, Aidala, AA, Gemson, DH & McCord, C 1999, 'Risk factors for excess mortality in Harlem: Findings from the Harlem Household Survey', American Journal of Preventive Medicine, vol. 16, no. 3 Suppl, pp. 22-28.
Fullilove RE, Thompson Fullilove M, Northridge M, Ganz ML, Bassett MT, McLean DE et al. Risk factors for excess mortality in Harlem: Findings from the Harlem Household Survey. American Journal of Preventive Medicine. 1999 Apr;16(3 Suppl):22-28.
Fullilove, Robert E. ; Thompson Fullilove, Mindy ; Northridge, Mary ; Ganz, Michael L. ; Bassett, Mary T. ; McLean, Diane E. ; Aidala, Angela A. ; Gemson, Donald H. ; McCord, Colin. / Risk factors for excess mortality in Harlem : Findings from the Harlem Household Survey. In: American Journal of Preventive Medicine. 1999 ; Vol. 16, No. 3 Suppl. pp. 22-28.
@article{35698fc38c8746d4abb5a686f3317fb7,
title = "Risk factors for excess mortality in Harlem: Findings from the Harlem Household Survey",
abstract = "Introduction: In 1980, age-adjusted mortality rates in Central Harlem were the highest among New York City's 30 health districts. This population- based study was designed to describe the self-reported frequency of selected health conditions, behavioral risk factors, preventive health practices, and drug use in the Harlem community. Methods: From 1992 to 1994, in-person interviews were conducted among 695 adults aged 18 to 65 years who were randomly selected from dwelling-unit enumeration lists for the Central Harlem health district. Descriptive statistics were computed for men and women separately, and compared to other population-based surveys. Results: Self- reported medical insurance coverage in Harlem was unexpectedly high (74{\%} of men, 86{\%} of women) as was lifetime use of preventive health practices, e.g., blood cholesterol screening (58{\%} of men, 70{\%} of women). However, lifetime rates of substance use, e.g. crack cocaine (14{\%}) and self-reported history of traumatic events, e.g., witnessing someone seriously injured or violently killed (49{\%} of men, 21{\%} of women) were also high in Harlem, especially in comparison to other populations. Conclusions: This study has identified important patterns of similarities and differences in risk behaviors between Harlem and other populations. Potential solutions to the health problems of Harlem may lie in the creation of strategies that operate at the community, municipal, and regional level, as well as at the level of individual behavior and risk-taking.",
author = "Fullilove, {Robert E.} and {Thompson Fullilove}, Mindy and Mary Northridge and Ganz, {Michael L.} and Bassett, {Mary T.} and McLean, {Diane E.} and Aidala, {Angela A.} and Gemson, {Donald H.} and Colin McCord",
year = "1999",
month = "4",
language = "English (US)",
volume = "16",
pages = "22--28",
journal = "American Journal of Preventive Medicine",
issn = "0749-3797",
publisher = "Elsevier Inc.",
number = "3 Suppl",

}

TY - JOUR

T1 - Risk factors for excess mortality in Harlem

T2 - Findings from the Harlem Household Survey

AU - Fullilove, Robert E.

AU - Thompson Fullilove, Mindy

AU - Northridge, Mary

AU - Ganz, Michael L.

AU - Bassett, Mary T.

AU - McLean, Diane E.

AU - Aidala, Angela A.

AU - Gemson, Donald H.

AU - McCord, Colin

PY - 1999/4

Y1 - 1999/4

N2 - Introduction: In 1980, age-adjusted mortality rates in Central Harlem were the highest among New York City's 30 health districts. This population- based study was designed to describe the self-reported frequency of selected health conditions, behavioral risk factors, preventive health practices, and drug use in the Harlem community. Methods: From 1992 to 1994, in-person interviews were conducted among 695 adults aged 18 to 65 years who were randomly selected from dwelling-unit enumeration lists for the Central Harlem health district. Descriptive statistics were computed for men and women separately, and compared to other population-based surveys. Results: Self- reported medical insurance coverage in Harlem was unexpectedly high (74% of men, 86% of women) as was lifetime use of preventive health practices, e.g., blood cholesterol screening (58% of men, 70% of women). However, lifetime rates of substance use, e.g. crack cocaine (14%) and self-reported history of traumatic events, e.g., witnessing someone seriously injured or violently killed (49% of men, 21% of women) were also high in Harlem, especially in comparison to other populations. Conclusions: This study has identified important patterns of similarities and differences in risk behaviors between Harlem and other populations. Potential solutions to the health problems of Harlem may lie in the creation of strategies that operate at the community, municipal, and regional level, as well as at the level of individual behavior and risk-taking.

AB - Introduction: In 1980, age-adjusted mortality rates in Central Harlem were the highest among New York City's 30 health districts. This population- based study was designed to describe the self-reported frequency of selected health conditions, behavioral risk factors, preventive health practices, and drug use in the Harlem community. Methods: From 1992 to 1994, in-person interviews were conducted among 695 adults aged 18 to 65 years who were randomly selected from dwelling-unit enumeration lists for the Central Harlem health district. Descriptive statistics were computed for men and women separately, and compared to other population-based surveys. Results: Self- reported medical insurance coverage in Harlem was unexpectedly high (74% of men, 86% of women) as was lifetime use of preventive health practices, e.g., blood cholesterol screening (58% of men, 70% of women). However, lifetime rates of substance use, e.g. crack cocaine (14%) and self-reported history of traumatic events, e.g., witnessing someone seriously injured or violently killed (49% of men, 21% of women) were also high in Harlem, especially in comparison to other populations. Conclusions: This study has identified important patterns of similarities and differences in risk behaviors between Harlem and other populations. Potential solutions to the health problems of Harlem may lie in the creation of strategies that operate at the community, municipal, and regional level, as well as at the level of individual behavior and risk-taking.

UR - http://www.scopus.com/inward/record.url?scp=0033120675&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033120675&partnerID=8YFLogxK

M3 - Article

VL - 16

SP - 22

EP - 28

JO - American Journal of Preventive Medicine

JF - American Journal of Preventive Medicine

SN - 0749-3797

IS - 3 Suppl

ER -