Cooper Hannah, Friedman Samuel R, Tempalski Barbara, Friedman Risa, Keem Marie
Medical and Health Research Association of New York City, Inc., NY, USA.
Ann Epidemiol. 2005 May;15(5):326-34. doi: 10.1016/j.annepidem.2004.10.008.
Because blacks and Latinos bear a disproportionate burden of injection-related health problems compared with whites, we sought to describe black/white and Latino/white disparities in injecting drugs in 94 US metropolitan statistical areas (MSAs) in 1998.
Using US Census data and three databases documenting injectors' use of different healthcare services (drug treatment, HIV counseling and testing, and AIDS diagnoses), we calculated database-specific black/white and Latino/white disparities in injecting in each MSA and created an index of black/white and Latino/white disparities by averaging data across the three databases.
The median black/white injecting disparity in the MSAs ranged from 1.4 to 3.7 across the three databases; corresponding median Latino/white injecting disparities ranged from 1.0 to 1.1. Median black/white and Latino/white index disparity values were 2.6 and 1.0, respectively.
Although whites were the majority of injectors in most MSAs, database-specific and index black/white disparity scores indicate that blacks were more likely to inject than whites. While database-specific and index disparity scores indicate that Latinos and whites had similar injecting rates, they also revealed considerable variation in disparities across MSAs. Future research should investigate these disparities' causes, including racial/ethnic inequality and discrimination, and study their contributions to the disproportionate burden of injection-related health problems borne by blacks and Latinos.
由于与白人相比，黑人和拉丁裔在注射相关健康问题上承担着不成比例的负担，我们试图描述1998年美国94个大都市统计区（MSA）中黑人和白人以及拉丁裔和白人在注射吸毒方面的差异。
利用美国人口普查数据和三个记录注射吸毒者使用不同医疗服务（药物治疗、艾滋病毒咨询和检测以及艾滋病诊断）的数据库，我们计算了每个MSA中特定数据库的黑人和白人以及拉丁裔和白人在注射方面的差异，并通过对三个数据库的数据进行平均，创建了一个黑人和白人以及拉丁裔和白人差异指数。
在这三个数据库中，MSA中黑人和白人注射差异的中位数在1.4至3.7之间；相应的拉丁裔和白人注射差异中位数在1.0至1.1之间。黑人和白人以及拉丁裔和白人指数差异值的中位数分别为2.6和1.0。
尽管在大多数MSA中，白人是注射吸毒者的主体，但特定数据库和指数的黑人和白人差异得分表明，黑人比白人更有可能注射吸毒。虽然特定数据库和指数差异得分表明拉丁裔和白人的注射率相似，但它们也揭示了不同MSA之间差异的显著变化。未来的研究应该调查这些差异的原因，包括种族/族裔不平等和歧视，并研究它们对黑人和拉丁裔所承担的不成比例的注射相关健康问题负担的影响。
