Are Local Health Department Expenditures Related to Racial Disparities in Mortality?

Details

• Personal Author:
  Bekemeier B ; Conrad D ; Grembowski D ; Kreuter W
• Description:
  This study estimated whether 1990-1997 changes in expenditures per capita of local health departments (LHDs) and percentage share of local public revenue allocated to LHDs were associated inversely with 1990-1997 changes in mortality rates for Black and White racial/ethnic groups in the US. Population was 883 local jurisdictions with 1990 and 1997 mortality rates for Black and White racial populations from the Centers for Disease Control and Prevention Wonder Compressed Mortality File and LHD expenditures from the National Association of County and City Health Officials. Using a time-trend ecologic design, changes in LHD expenditures per capita and percentage share of public revenue were not related to reductions in Black/White disparities in total, all-cause mortality rates. Increased LHD expenditures or percentage share were associated with reduced Black/White disparities for adults aged 15-44 and males. LHD expenditures or percentage share were related to absolute reductions in mortality for infants, Blacks, and White females but did not close Black-White mortality differences for these groups. Therefore, disparities in Black and White mortality rates for subgroups with the greatest mortality gaps may be more likely to be reduced by public investment in local health departments than disparities in Black and White total, all-cause mortality rates. [Description provided by NIOSH]
• Subjects:
  Healthcare Disparities Mortality Occupational Health Public Health Race Factors Safety
• Keywords:
  Author Keywords: Local Health Departments Costs Health Care Health Disparities Health Inequalities Mortality Disparities Mortality Rates Public Health Public Health Expenditures Public Health Systems Research Race And Ethnicity Racial Factors USA

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• ISSN:
  0277-9536
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  71
• Issue:
  12
• NIOSHTIC Number:
  nn:20056510
• Citation:
  Soc Sci Med 2010 Dec; 71(12):2057-2065
• Contact Point Address:
  David Grembowski, University of Washington, Health Services, Box 357660, Seattle, WA 98195-7660, United States
• Email:
  grem@u.washington.edu
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Social Science and Medicine
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:725c17f3620f6869a90b98dd3fc79628e09019f6db11f36e8f638f7070f2e783c8fe5c98e342353a8a47f9dac058a2ca98d962dc54b225c98e59bb00eeedc3c4
• Download URL:
  https://stacks.cdc.gov/view/cdc/214108/cdc_214108_DS1.pdf
• File Type:
  [PDF - 183.66 KB ]