Background: This paper analyzes black-white disparities in Avoidable Mortality (AM) – causes of death that should not occur in the presence of high-quality and timely medical treatment and from causes that can be influenced at least in part by public policy/behavior.
Methods: Avoidable Mortality is defined as premature mortality under age 65 from:1) conditions amenable to medical care; 2) those sensitive to public policy and/or behavior change; 3) ischemic heart disease; 4) HIV/AIDS; and 5) the remaining causes of death. Age-standardized death rates (ASDRs) were constructed for each race and sex group using vital statistics and census data from 1980-2005. Absolute rate differences and the proportionate contribution of each cause of death group to all-cause black-white mortality disparities are calculated based on the ASDRs. Negative binomial regression was used to model relative risks of death.
Results: In 2005, medical care amenable mortality was the largest source of absolute black-white mortality disparity, contributing 30% of the black-white difference in all cause mortality among men and 42% among women; mortality subject to policy/behavior interventions contributed 20% of the black-white difference for men and 4% for women. Although absolute black-white differences for most conditions diminished over time, relative disparities as measured by rate ratios showed little change, except for HIV/AIDS for which relative risks increased substantially for black men and women.
Conclusions: There is considerable potential for narrowing of the black-white difference in avoidable mortality, especially from causes amenable to medical care and policy/behavior interventions.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.