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Mortality Among Black Men in the USA
1Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA. dr.elizabeth.pathak@gmail.com.
Journal of Racial and Ethnic Health Disparities
|February 26, 2017
Summary
Black men experienced declining mortality rates from 2000-2014, narrowing the overall gap with white men. However, significant disparities persist for leading causes of death, including homicide and HIV/AIDS.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Black men in the USA exhibit the lowest life expectancy among major ethnic-sex populations.
- Comprehensive studies on black male mortality trends are lacking.
Purpose of the Study:
- To analyze recent mortality trends among black men in the USA.
- To examine disparities in mortality between black and white men (B to W).
Main Methods:
- National mortality surveillance data from 2000 to 2014 in the USA.
- Analysis of the 15 leading causes of death using linear regression.
- Comparison of B to W disparity rate ratios (RR) for 2000 and 2014.
Main Results:
- Overall mortality declined for black men, narrowing the B to W disparity to 1.21 in 2014.
- Significant declines were observed for 12 of 15 leading causes, notably HIV/AIDS.
- Persistent black disadvantage was noted for 10 causes, including homicide (RR 10.43) and HIV/AIDS (RR 8.01).
- Black men had lower death rates for unintentional injuries, chronic lower respiratory diseases, and suicide.
Conclusions:
- While overall mortality improved for black men, significant health disparities relative to white men remain for critical causes of death.
- Targeted interventions are necessary to address persistent inequities in homicide, HIV/AIDS, diabetes, and stroke mortality.
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