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Black–White Health Disparities in the United States and Chicago: A 15-Year Progress Analysis
Open accessAbstract
Objectives. In an effort to examine national and Chicago, Illinois, progress in meeting the Healthy People 2010 goal of eliminating health disparities, we examined whether disparities between non-Hispanic Black and non-Hispanic White persons widened, narrowed, or stayed the same between 1990 and 2005. Methods. We examined 15 health status indicators. We determined whether a disparity widened, narrowed, or remained unchanged between 1990 and 2005 by examining the percentage difference in rates between non-Hispanic Black and non-Hispanic White populations at both time points and at each location. We calculated P values to determine whether changes in percentage difference over time were statistically significant. Results. Disparities between non-Hispanic Black and non-Hispanic White populations widened for 6 of 15 health status indicators examined for the United States (5 significantly), whereas in Chicago the majority of disparities widened (11 of 15, 5 significantly). Conclusions. Overall, progress toward meeting the Healthy People 2010 goal of eliminating health disparities in the United States and in Chicago remains bleak. With more than 15 years of time and effort spent at the national and local level to reduce disparities, the impact remains negligible.
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“For example, following extensive cultural trauma and disadvantaging in U.S. social, economic, educational, and criminal justice institutions, African Americans currently experience heavy disparities in morbidity and mortality (Cunningham et al., 2017; Huie et al., 2003; Orsi et al., 2010; Read et al., 2005; Williams et al., 2019).”
From Cultural trauma as a fundamental cause of health disparities (2022) · cites this paper as Orsi et al., 2010
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Metadata
- Authors
- Orsi, J. M., Margellos-Anast, H., & Whitman, S.
- Affiliations
- Sinai Health System (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2010-02
- Volume
- 100
- Issue
- 2
- Pages
- 349-356
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2804622
- OpenAlex
- W2054804964
- Cited by
- 183
- References
- 46
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 14 · 2022: 16 · 2021: 10 · 2020: 20 · 2019: 11 · 2018: 7 · 2017: 10 · 2016: 15 · 2015: 4 · 2014: 17 · 2013: 17 · 2012: 9
- FWCI
- 10.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Illinois Department of Public Health
- National Institute on Minority Health and Health Disparities
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Public Health and Social Inequalities
- Keywords
- racial disparities in health, black-white disparities, non-Hispanic blacks, non-Hispanic whites, Healthy People 2010, health indicators, Chicago, United States
- MeSH terms
- Black or African American, Chicago, Health Status Indicators, Humans, Mortality, United States, Program Evaluation, Healthy People Programs, White People, Health Status Disparities
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