Arline T. Geronimus photo

Excess black mortality in the United States and in select black or white high-poverty areas, 1980-2000

Publication Abstract

Geronimus, Arline T., John Bound, and Cynthia Colen. 2011. "Excess black mortality in the United States and in select black or white high-poverty areas, 1980-2000." American Journal of Public Health, 101(4): 720-729.

Objectives. Black working-aged residents of urban high-poverty areas suffered severe excess mortality in 1980 and 1990. Our goal in this study was to determine whether this trend persisted in 2000. Methods. We analyzed death certificate and census data to estimate age-standardized all-cause and cause-specific mortality among 16- to 64-year-old Blacks and Whites nationwide and in selected urban and rural high-poverty areas. Results. Urban men's mortality rate estimates peaked in 1990 and declined between 1990 and 2000 back to or below 1980 levels. Evidence of excess mortality declines among urban or rural women and among rural men was modest, with some increases. Between 1980 and 2000, there was little decline in chronic disease mortality among men and women in most areas, and in some instances there were increases. Conclusions. In 2000, despite improved economic conditions, working-age residents of the study areas still died disproportionately of early onset of chronic disease, suggesting an entrenched burden of disease and unmet health care needs. The lack of consistent improvement in death rates among working-age residents of high-poverty areas since 1980 necessitates reflection and concerted action given that sustainable progress has been elusive for this age group.

10.2105/AJPH.2010.195537

PMCID: PMC3052342. (Pub Med Central)

Country of focus: United States of America.

Browse | Search | Books | Next

PSC In The News

RSS Feed icon

Sarah Miller comments on the U.S. Census Bureau report that found that the percentage of Americans without health insurance jumped.

Geronimus writes about her research on "weathering," or the constant presence of stress hormones in the body from our ceaseless daily grind over years & decades, & how stress is actually killing us.

'Ban the Box' Laws Could Negatively Impact Minorities, according to a study by Agan and Starr

More News

Highlights

National Study of Caregiving (NSOC) Extended

Fabian Pfeffer receives Doris Entwisle Early Career Award from American Sociological Association

More Highlights


Connect with PSC follow PSC on Twitter Like PSC on Facebook