Minority Health Archive

Variability and Vulnerability at the Ecological Level: Implications for Understanding the Social Determinants of Health

Karpati, Adam and Galea, Sandro and Awerbuch, Tamara and Levins, Richard (2002) Variability and Vulnerability at the Ecological Level: Implications for Understanding the Social Determinants of Health. American Journal of Public Health, 92 (11). pp. 1768-1772. ISSN 0090-0036

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Abstract

Objectives. We examined variability in disease rates to gain understanding of the complex interactions between contextual socioeconomic factors and health. Methods. We compared mortality rates between New York and California counties in the lowest and highest quartiles of socioeconomic status (SES), assessed rate variability between counties for various outcomes, and examined correlations between outcomes’ sensitivity to SES and their variability. Results. Outcomes with mortality rates that differed most by county SES were among those whose variability across counties was high (e.g., AIDS, homicide, cirrhosis). Lower- SES counties manifested greater variability among outcome measures. Conclusions. Differences in health outcome variability reflect differences in SES impact on health. Health variability at the ecological level might reflect the impact of stressors on vulnerable populations.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: socioeconomic factors; variability in disease rates; mortality rates; socioeconomic status; Health variability; vulnerable populations
Subjects: Health > Health Equity
Health
Research
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 05 Jul 2011 11:41
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/968

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