Black-white differences in infectious disease mortality in the United States
January 2001
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OBJECTIVES: This study determined the degree to which Black-White differences in infectious disease mortality are explained by income and education and the extent to which infectious diseases contribute to Black-White differences in all-cause mortality. METHODS: A sample population of the National Longitudinal Mortality Study from 1979 through 1981 was analyzed and followed up through 1989. RESULTS: Infectious disease mortality among Blacks was higher than among Whites, with a relative risk of 1.53 after adjustment for age and sex and 1.34 after further adjustment for income and education. Death from infectious diseases contributed to 9.3% of the difference in all-cause mortality. CONCLUSIONS: In the United States, infectious diseases account for nearly 10% of the excess all-cause mortality rates in Blacks compared with Whites.
- Comparative Study
- Adult
- Aged
- Humans
- Middle aged
- Risk Factors
- Longitudinal Studies
- Socioeconomic Factors
- United States/epidemiology
- *Educational Status
- *Health Status Indicators
- *Income
- African Americans/*statistics & numerical data
- Censuses
- Communicable Diseases/*mortality
- European Continental Ancestry Group/*statistics & numerical data
- HIV Infections/mortality
- mortality
- disease
- difference
- death
- income
- black
- education
- study
- white
- ratio
- health
- family income
- population
- infection
- tuberculosis
- state
- rate ratio
- disease mortality
- all-cause mortality
- all-cause
