ArticleJournal of urban health : bulletin of the New York Academy of Medicine2014
Racial disparities in diabetes mortality in the 50 most populous US cities.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.
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Who cites it
47 citing papers in PubMed.
- A Spatial Machine Learning Approach for Analyzing Population-Level Factors Associated with Emergency Department Visits with Diabetes Diagnoses.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Temporal and Regional Trends in Cardiovascular Mortality Associated With Diabetes Mellitus: A Nationwide Analysis From 1999 to 2020 in the United States.Health science reports · 2026Article
- Exploring racial and ethnic diversity trajectories and diabetes prevalence in the United States.Social science & medicine (1982) · 2026Article
- Racial/Ethnic Differences in the Joint Effect of Edentulism and Diabetes on All-Cause Mortality Risks: A 12-Year Prospective Cohort Analysis.Journal of public health dentistry · 2025Article
- The Burden of Diabetes Mortality by County, Race, and Ethnicity in the U.S., 2000-2019.Diabetes care · 2025Article
- Trends in hypertensive heart disease-related mortality among older adults in the USA: a retrospective analysis from CDC WONDER between 1999 and 2020.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025Article
- Racial and economic segregation and diabetes mortality in the USA, 2016-2020.Journal of epidemiology and community health · 2024Article
- "Mentally you don't function the same": a Qualitative Examination of the Normalization, Embodiment, and Psychological Impact of Everyday Racism.Journal of racial and ethnic health disparities · 2024Article
- Zip Code Health Disparities: Mapping Cardiovascular Inequities at the Neighborhood Level.Methodist DeBakey cardiovascular journal · 2024Review
- Harnessing Wearables and Digital Technologies to Decode the Cardiovascular Exposome.Methodist DeBakey cardiovascular journal · 2024Review
- Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Parental and Other Caregiver Loss Due to COVID-19 in the United States: Prevalence by Race, State, Relationship, and Child Age.Journal of community health · 2023Article
- Racial and Ethnic Disparities in Geographic Access to Autism Resources Across the US.JAMA network open · 2023Article
- Racial/Ethnic and Educational Disparities in the Impact of Diabetes on Population Health Among the U.S.-Born Population.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Moderation of the Association between Primary Language and Health by Race and Gender: An Intersectional Approach.International journal of environmental research and public health · 2022Article
- Trends and Variations in Emergency Department Use Associated With Diabetes in the US by Sociodemographic Factors, 2008-2017.JAMA network open · 2022Article
- Black-White Inequities in Kidney Disease Mortality Across the 30 Most Populous US Cities.Journal of general internal medicine · 2022Article
- Provider Network Structure and Black-to-White Disparity Gaps for Medicare Patients with Diabetes: County-Level Analysis of Cost, Utilization, and Clinical Care.Journal of general internal medicine · 2022Article
- Racial/ethnic and socioeconomic disparities in the use of newer diabetes medications in the Look AHEAD study.Lancet regional health. Americas · 2022Article
- Black/White Disparities in Obesity Widen with Increasing Rurality: Evidence from a National Survey.Health equity · 2022Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
While studies have consistently shown that in the USA, non-Hispanic Blacks (Blacks) have higher diabetes prevalence, complication and death rates than non-Hispanic Whites (Whites), there are no studies that compare disparities in diabetes mortality across the largest US cities. This study presents and compares Black/White age-adjusted diabetes mortality rate ratios (RRs), calculated using national death files and census data, for the 50 most populous US cities. Relationships between city-level diabetes mortality RRs and 12 ecological variables were explored using bivariate correlation analyses. Multivariate analyses were conducted using negative binomial regression to examine how much of the disparity could be explained by these variables. Blacks had statistically significantly higher mortality rates compared to Whites in 39 of the 41 cities included in analyses, with statistically significant rate ratios ranging from 1.57 (95 % CI: 1.33-1.86) in Baltimore to 3.78 (95 % CI: 2.84-5.02) in Washington, DC. Analyses showed that economic inequality was strongly correlated with the diabetes mortality disparity, driven by differences in White poverty levels. This was followed by segregation. Multivariate analyses showed that adjusting for Black/White poverty alone explained 58.5 % of the disparity. Adjusting for Black/White poverty and segregation explained 72.6 % of the disparity. This study emphasizes the role that inequalities in social and economic determinants, rather than for example poverty on its own, play in Black/White diabetes mortality disparities. It also highlights how the magnitude of the disparity and the factors that influence it can vary greatly across cities, underscoring the importance of using local data to identify context specific barriers and develop effective interventions to eliminate health disparities.
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