Journal of Epidemiology and Community Health 2006;60:1060-1064; doi:10.1136
/jech.2006.047100

Neighbourhood mortality inequalities in New York City, 1989–1991 and
1999–2001
Adam M Karpati, Mary T Bassett and Colin McCord
New York City Department of Health and Mental Hygiene, New York, USA

Correspondence to:
A Karpati
New York City Department of Health and Mental Hygiene, Brooklyn District
Public Health Office, 485 Throop Avenue, Brooklyn, NY 11221,
USA;[log in to unmask]

Objectives: To examine whether inequalities in mortality across
socioeconomically diverse neighbourhoods changed alongside the decline in
mortality observed in New York City between 1990 and 2000.

Design: Cross-sectional analysis of neighbourhood-level vital statistics.

Setting: New York City, 1989–1991 and 1999–2001.

Main results: In both poor and wealthy neighbourhoods, age-adjusted
mortality for most causes declined between the time periods, although
mortality from diabetes increased. Relative inequalities decreased
slightly—largely in the under 65 years population—although all-cause rates
in 1999–2001 were still 50% higher, and rates of years of potential life
lost before age 65 years were 150% higher, in the poorest communities than
in the wealthiest ones (relative index of inequality 1.7 and 3.3,
respectively). The relative index of inequality for mortality from AIDS
increased from 4.7 to 13.9. Over 50% of the excess mortality in the poorest
neighbourhoods in 1999–2001 was due to cardiovascular disease, AIDS and
cancer.

Conclusions: In New York City, despite substantial declines in absolute
mortality and rate differences between poor and wealthy neighbourhoods,
great relative socioeconomic inequalities in mortality persist.

-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]


To unsubscribe, send the following message in the text section -- NOT the subject header --  to [log in to unmask]

SIGNOFF SDOH

DO NOT SEND IT BY HITTING THE REPLY BUTTON. THIS SENDS THE MESSAGE TO THE ENTIRE LISTSERV AND STILL DOES NOT REMOVE YOU.

To subscribe to the SDOH list, send the following message to [log in to unmask] in the text section, NOT in the subject header.

SUBSCRIBE SDOH yourfirstname yourlastname

To post a message to all 1200+ subscribers, send it to [log in to unmask]
Include in the Subject, its content, and location and date, if relevant.

For a list of SDOH members, send a request to [log in to unmask]

To receive messages only once a day, send the following message to [log in to unmask]
SET SDOH DIGEST

To view the SDOH archives, go to: https://listserv.yorku.ca/archives/sdoh.html