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Am J Public Health. 2005 Feb;95(2):260-5.

Racial disparities in context: a multilevel analysis of neighborhood variations in poverty and excess mortality among black populations in Massachusetts.

Author information

  • 1Department of Society, Human Development and Health, Harvard School of Public Health, 677 Huntington Ave, Kresge 7th Floor, Boston MA 02115-6096, USA. svsubram@hsph.harvard.edu

Erratum in

  • Am J Public Health. 2005 Mar;95(3):375.

Abstract

OBJECTIVES:

We analyzed neighborhood heterogeneity in associations among mortality, race/ethnicity, and area poverty.

METHODS:

We performed a multilevel statistical analysis of Massachusetts all-cause 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.

PMID:
15671462
[PubMed - indexed for MEDLINE]
PMCID:
PMC1449164
Free PMC Article
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