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January 2004, Vol 94, No. 1 | American Journal of Public Health 116-121
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Comparison of Health Status Indicators in Chicago: Are Black–White Disparities Worsening?

Helen Margellos, MPH, Abigail Silva, MPH and Steven Whitman, PhD

The authors are with the Sinai Urban Health Institute, Sinai Health System, Chicago, Ill. Steven Whitman is also with the Chicago Medical School.

Correspondence: Requests for reprints should be sent to Helen Margellos, Sinai Urban Health Institute, Sinai Health System, Room K450, California Ave at 15th St, Chicago, IL 60608-1797 (e-mail: marhe{at}sinai.org).

Objectives. This study examined Chicago residents’ progress toward the Healthy People 2000 goal of reducing racial disparities in health and compared the results with a recent analysis of US data.

Methods. Non-Hispanic Black–to–non-Hispanic White rate ratios were computed for 14 health status indicators for 1990 and for 1998.

Results. Nationally and in Chicago, indicators for both Blacks and Whites improved between 1990 and 1998; however, Whites consistently fared better. Nationally, gaps narrowed on 10 indicators; for Chicago, they widened on 10 indicators.

Conclusions. Nationally, there is apparent progress in reducing Black–White disparities; this is not true for Chicago. Whether failure to reduce racial disparities is unique to Chicago or is common to other urban centers remains an open question with important implications.




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