Trends in Disparity by Sex and Race/Ethnicity for the Leading Causes of Death in the United States-1999-2010
Autor: | Heba Athar, Ramal Moonesinghe, Benedict I. Truman, Man-Huei Chang |
---|---|
Rok vydání: | 2015 |
Předmět: |
Gerontology
Male Heart Diseases Population Ethnic group Poison control Context (language use) White People 03 medical and health sciences 0302 clinical medicine Alzheimer Disease Cause of Death Neoplasms Sepsis parasitic diseases Injury prevention Influenza Human Diabetes Mellitus Medicine Humans 030212 general & internal medicine education Cause of death Aged Aged 80 and over education.field_of_study 030505 public health Nephritis business.industry Health Policy Mortality rate Racial Groups Public Health Environmental and Occupational Health Age Factors Hispanic or Latino Middle Aged United States Black or African American Cerebrovascular Disorders Suicide Accidents Pacific islanders Female 0305 other medical science business Demography |
Zdroj: | Journal of public health management and practice : JPHMP. 22 |
ISSN: | 1550-5022 |
Popis: | CONTEXT: Temporal trends in disparities in the leading causes of death within and between US demographic subgroups indicate the need for and success of interventions to prevent premature death in vulnerable populations. Studies that report recent trends are limited and outdated. OBJECTIVE: To describe temporal trends in disparities in death rates by sex and race/ethnicity for the 10 leading causes of death in the United States during 1999-2010. DESIGN: We used underlying cause of death data and population estimates from the National Vital Statistics System to calculate age-adjusted death rates for the 10 leading causes of death during 1999-2010. We measured absolute and relative disparities by sex and race/ethnicity for each cause and year of death; we used weighted linear regression to test for significance of trends over time. RESULTS: Of the 10 leading causes of death, age-adjusted death rates by sex and race/ethnicity declined during 1999-2010 for 6 causes and increased for 4 causes. But sex and racial/ethnic disparities between groups persisted for each year and cause of death. In the US population, the decreasing trend during 1999-2010 was greatest for cerebrovascular disease (-36.5%) and the increasing trend was greatest for Alzheimer disease (52.4%). For each sex and year, the disparity in death rates between Asian/Pacific Islanders (API) and other groups varied significantly by cause of death. In 2010, the API-non-Hispanic black disparity was largest for heart disease, malignant neoplasms, cerebrovascular diseases, and nephritis; the API-American Indian/Alaska Native disparity was largest for unintentional injury, diabetes mellitus, influenza and pneumonia, and suicide; and the API-non-Hispanic white disparity was largest for chronic lower respiratory diseases and Alzheimer disease. CONCLUSIONS: Public health practitioners can use these findings to improve policies and practices and to evaluate progress in eliminating disparities and their social determinants in vulnerable populations. Language: en |
Databáze: | OpenAIRE |
Externí odkaz: |