ArticleAmerican journal of public health2016
Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes.
Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 281 papers, 2 of them syntheses that pooled it.
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Who cites it
281 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measures of Racism and Discrimination in Preterm Birth Studies.Obstetrics and gynecology · 2023Pooled it
- Structural racism and adverse maternal health outcomes: A systematic review.Health & place · 2022Pooled it
- Do Geographic Barriers and Community Vulnerability Impact PrEP Use Among Transgender Latinas in the US South? Findings from the ChiCAS Study.AIDS and behavior · 2026Trial
- Building a Culture of Health Through the Built Environment: Impact of a Cluster Randomized Trial Remediating Vacant and Abandoned Property on Health Mindsets.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Trial
- Inequality in Children's Physical Activity Across Time-Segmented Youth Sport Practice.Research quarterly for exercise and sport · 2025Trial
- Obesity Disparities in California Vary by School Ethnic Segregation and School Neighbourhood Income.Pediatric obesity · 2026Observational
- A decomposition analysis to evaluate the role of social, chemical, and neighborhood factors on the Black/White disparity in preterm birth in Greater Houston, Texas.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
- Racialized economic concentration predicts storm-related injuries and deaths in the United States, 2005-2022.Nature communications · 2026Article
- Structural Inequalities in Ambulatory Care: A Scoping Review of Access and Quality and the Neglected Dimension of Patient Safety.International journal of environmental research and public health · 2026Article
- A Multidimensional Approach to Measure Structural Racism and Its Association with Fatal and Nonfatal Community Firearm Violence at the Census Tract Level in New York City.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Racialized Economic Segregation and Disparities in the Risk of Stillbirth.Journal of racial and ethnic health disparities · 2026Article
- Allostatic Load, Neighborhood Disadvantage, and Birth Outcomes.Journal of racial and ethnic health disparities · 2026Article
- Associations of neighborhood racial and ethnic, economical, and educational segregation with breast cancer risk: The Multiethnic ohort Study.Cancer causes & control : CCC · 2026Article
- Health Atlas: Tutorial of a Visualization Tool and Data Resource for Place-Based Social and Structural Determinants of Health.Journal of medical Internet research · 2026Article
- Social vulnerability index and inflammation: a proteomic analysis linking social context to biological risk in older black adults.BMC medicine · 2026Article
- A Microsimulation-Based Approach for Mitigating Societal Bias in Chronic Kidney Disease Data.Medical decision making : an international journal of the Society for Medical Decision Making · 2026Article
- An Analysis of Grants Focused on Health Disparities Held by the National Cancer Institute's Health Communication and Informatics Research Branch, 2010-2024.Health communication · 2026Article
- State Point-of-Sale Comprehensive Background Check Policies and County Firearm Homicide Rates.JAMA network open · 2026Article
- Associations of racialized economic segregation with the prevalence of unhealthy behaviors and poor mental health in the United States.Preventive medicine reports · 2026Article
- Neighborhood Disinvestment and Racial Disparities in Early Hypertension Onset Among Women.JAMA network open · 2026Article
221 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe evaluated use of the Index of Concentration at the Extremes (ICE) for public health monitoring.
methodsWe 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.
resultsPoint 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.
conclusionsThe 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.
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