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Neighborhood poverty and the resurgence of tuberculosis in New York City, 1984-1992

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  • Graham Barr, R.
  • Diez-Roux, A.V.
  • Knirsch, C.A.
  • Pablos-Méndez, A.

Abstract

Objectives. The resurgence of tuberculosis (TB) in New York City has been attributed to AIDS and immigration; however, the role of poverty in the epidemic is unclear. We assessed the relation between neighborhood poverty and TB at the height of the epidemic and longitudinally from 1984 through 1992. Methods: Census block groups were used as proxies for neighborhoods. For each neighborhood, we calculated TB and AIDS incidence in 1984 and 1992 with data from the Bureaus of Tuberculosis Control and AIDS Surveillance and obtained poverty rates from the census. Results. For 1992, 3343 TB cases were mapped to 5482 neighborhoods, yielding a mean incidence of 46.5 per 100 000. Neighborhood poverty was associated with TB (relative risk = 1.33; 95% confidence interval = 1.30, 1.36 per 10% increase in poverty).This association persisted after adjustment for AIDS, proportion foreign-born, and race/ethnicity. Neighborhoods with declining income from 1980 to 1990 had larger increases in TB incidence than did neighborhoods with increasing income. Conclusions. Leading up to and at the height of the TB epidemic in New York City, neighborhood poverty was strongly associated with TB incidence. Public health interventions should target impoverished areas.

Suggested Citation

  • Graham Barr, R. & Diez-Roux, A.V. & Knirsch, C.A. & Pablos-Méndez, A., 2001. "Neighborhood poverty and the resurgence of tuberculosis in New York City, 1984-1992," American Journal of Public Health, American Public Health Association, vol. 91(9), pages 1487-1493.
    • Handle: RePEc:aph:ajpbhl:2001:91:9:1487-1493_1
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    Cited by:

    1. Mark E. Votruba & Jeffrey R. Kling, 2005. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 95, Princeton University, Department of Economics, Center for Economic Policy Studies..
    2. Mark E. Votruba & Jeffrey R. Kling, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    3. Jeffrey R. Kling & Mark E. Votruba, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    4. repec:pri:cepsud:107kling is not listed on IDEAS

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