IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2015.302955_2.html
   My bibliography  Save this article

Public health monitoring of privilege and deprivation with the index of concentration at the extremes

Author

Listed:
  • Krieger, N.
  • Waterman, P.D.
  • Spasojevic, J.
  • Li, W.
  • Maduro, G.
  • Van Wye, G.

Abstract

Objectives. We evaluated use of the Index of Concentration at the Extremes (ICE) for public health monitoring. Methods.We used New York City data centered around 2010 to assess cross-sectional associations at the census tract and community district levels, for (1) diverse ICE measures plus the US poverty rate, with (2) infant mortality, premature mortality (before age 65 years), and diabetes mortality. Results. Point estimates for rate ratios were consistently greatest for the novel ICE that jointly measured extreme concentrations of income and race/ethnicity. For example, the census tract-level rate ratio for infant mortality comparing the bottom versus top quintile for an ICE contrasting low-income Black versus high-income White equaled 2.93 (95% confidence interval [CI] = 2.11, 4.09), but was 2.19 (95% CI = 1.59, 3.02) for low versus high income, 2.77 (95% CI = 2.02, 3.81) for Black versus White, and 1.56 (95% CI = 1.19, 2.04) for census tracts with greater than or equal to 30% versus less than 10% below poverty. Conclusions. The ICE may be a useful metric for public health monitoring, as it simultaneously captures extremes of privilege and deprivation and can jointly measure economic and racial/ethnic segregation.

Suggested Citation

  • Krieger, N. & Waterman, P.D. & Spasojevic, J. & Li, W. & Maduro, G. & Van Wye, G., 2016. "Public health monitoring of privilege and deprivation with the index of concentration at the extremes," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 256-263.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302955_2
    DOI: 10.2105/AJPH.2015.302955
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2015.302955
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2015.302955?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kelvin C. Fong & Maayan Yitshak-Sade & Kevin J. Lane & M. Patricia Fabian & Itai Kloog & Joel D. Schwartz & Brent A. Coull & Petros Koutrakis & Jaime E. Hart & Francine Laden & Antonella Zanobetti, 2020. "Racial Disparities in Associations between Neighborhood Demographic Polarization and Birth Weight," IJERPH, MDPI, vol. 17(9), pages 1-11, April.
    2. Jeffers, Noelene K. & Berger, Blair O. & Marea, Christina X. & Gemmill, Alison, 2023. "Investigating the impact of structural racism on black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity," Social Science & Medicine, Elsevier, vol. 317(C).
    3. Marilyn D. Thomas & Eli K. Michaels & Sean Darling-Hammond & Thu T. Nguyen & M. Maria Glymour & Eric Vittinghoff, 2020. "Whites’ County-Level Racial Bias, COVID-19 Rates, and Racial Inequities in the United States," IJERPH, MDPI, vol. 17(22), pages 1-19, November.
    4. Jahn, Jaquelyn L. & Chen, Jarvis T. & Agénor, Madina & Krieger, Nancy, 2020. "County-level jail incarceration and preterm birth among non-Hispanic Black and white U.S. women, 1999–2015," Social Science & Medicine, Elsevier, vol. 250(C).
    5. Majid Afshar & Cara Joyce & Dmitriy Dligach & Brihat Sharma & Robert Kania & Meng Xie & Kristin Swope & Elizabeth Salisbury-Afshar & Niranjan S Karnik, 2019. "Subtypes in patients with opioid misuse: A prognostic enrichment strategy using electronic health record data in hospitalized patients," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-18, July.
    6. Wen Fan & Liying Luo, 2020. "Understanding Trends in the Concentration of Infant Mortality Among Disadvantaged White and Black Mothers in the United States, 1983–2013: A Decomposition Analysis," Demography, Springer;Population Association of America (PAA), vol. 57(3), pages 979-1005, June.
    7. Veni Kandasamy & Ashley H Hirai & Jay S Kaufman & Arthur R James & Milton Kotelchuck, 2020. "Regional variation in Black infant mortality: The contribution of contextual factors," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-15, August.
    8. Kiara N. Mayhand & Elizabeth A. Handorf & Angel G. Ortiz & Evelyn T. Gonzalez & Amie Devlin & Kristen A. Sorice & Nestor Esnaola & Susan Fisher & Shannon M. Lynch, 2021. "Effect of Neighborhood and Individual-Level Socioeconomic Factors on Colorectal Cancer Screening Adherence," IJERPH, MDPI, vol. 18(9), pages 1-17, April.
    9. Joseph Gibbons & Tse-Chuan Yang & Elizabeth Brault & Michael Barton, 2020. "Evaluating Residential Segregation’s Relation to the Clustering of Poor Health across American Cities," IJERPH, MDPI, vol. 17(11), pages 1-18, June.
    10. Jennifer Ish & Elaine Symanski & Kristina W. Whitworth, 2019. "Exploring Disparities in Maternal Residential Proximity to Unconventional Gas Development in the Barnett Shale in North Texas," IJERPH, MDPI, vol. 16(3), pages 1-9, January.
    11. Anders Larrabee Sonderlund & Mia Charifson & Antoinette Schoenthaler & Traci Carson & Natasha J Williams, 2022. "Racialized economic segregation and health outcomes: A systematic review of studies that use the Index of Concentration at the Extremes for race, income, and their interaction," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-27, January.
    12. Joan A. Casey & Peter James & Lara Cushing & Bill M. Jesdale & Rachel Morello-Frosch, 2017. "Race, Ethnicity, Income Concentration and 10-Year Change in Urban Greenness in the United States," IJERPH, MDPI, vol. 14(12), pages 1-15, December.
    13. Robinovich, Jossiana & Bosma, Hans & Borne, Bart van der & Ossa, Ximena & Muñoz, Sergio & Krumeich, Anja, 2021. "Is a ‘culture of plus-size women’ the independent effect of neighborhood disadvantage on female BMI? A cross-sectional study in two Chilean Municipalities," Social Science & Medicine, Elsevier, vol. 280(C).
    14. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    15. Angel G. Ortiz & Daniel Wiese & Kristen A. Sorice & Minhhuyen Nguyen & Evelyn T. González & Kevin A. Henry & Shannon M. Lynch, 2020. "Liver Cancer Incidence and Area-Level Geographic Disparities in Pennsylvania—A Geo-Additive Approach," IJERPH, MDPI, vol. 17(20), pages 1-20, October.
    16. Pichardo, Catherine M. & Chambers, Earle C. & Sanchez-Johnsen, Lisa A.P. & Pichardo, Margaret S. & Gallo, Linda & Talavera, Gregory A. & Pirzada, Amber & Roy, Amanda & Castañeda, Sheila F. & Durazo-Ar, 2023. "Association of census-tract level gentrification and income inequality with 6-year incidence of metabolic syndrome in the Hispanic Community Health Study/Study of Latinos, an epidemiologic cohort stud," Social Science & Medicine, Elsevier, vol. 336(C).
    17. Laura A. Rodriguez-Villamizar & Diana Marín & Juan Gabriel Piñeros-Jiménez & Oscar Alberto Rojas-Sánchez & Jesus Serrano-Lomelin & Victor Herrera, 2023. "Intraurban Geographic and Socioeconomic Inequalities of Mortality in Four Cities in Colombia," IJERPH, MDPI, vol. 20(2), pages 1-19, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302955_2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.