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AJPH First Look, published online ahead of print Jun 29, 2006
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August 2006, Vol 96, No. 8 | American Journal of Public Health 1485-1491
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.052076

RESEARCH AND PRACTICE

Variations in the Health Conditions of 6 Chicago Community Areas: A Case for Local-Level Data

Ami M. Shah, MPH, Steven Whitman, PhD and Abigail Silva, MPH

The authors are with the Sinai Urban Health Institute, Chicago, Ill. Steven Whitman is also with the Rosalind Franklin University of Medicine and Science, North Chicago.

Correspondence: Requests for reprints should be sent to Ami M. Shah, MPH, Sinai Urban Health Institute, Mount Sinai Hospital, 1500 S California Ave, Room K-439, Chicago, IL 60608 (e-mail: suhi{at}sinai.org).

Objectives. Although local-level chronic disease and risk factor data are not typically available, they are valuable for guiding public health interventions and policies. To present a case for disaggregated community-level health data, we conducted a study exploring the relevance of such data to research on health disparities.

Methods. We designed a population-based health survey to gather information on many health measures, 13 of which are presented here. Interviews were conducted with 1699 adults (18–75 years) in 6 Chicago community areas between September 2002 and April 2003.

Results. Statistically significant variations in health measures were found between the 6 communities themselves (108 of 195 pairwise comparisons were significant) and between the communities and Chicago as a whole (35 of 54 comparisons were significant).

Conclusions. The local-level variations in health revealed in this study emphasize that geographic and racial/ethnic health disparities are still prominent in Chicago and shed light on the limitations of existing city- and regional-level data.






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