Dodd Isaac M E, Zafar Yousaf, Scott Malachi E, Gillum Richard F
Department of Medicine, Division of Hospital Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Department of Medicine, Howard University College of Medicine, Washington, DC, USA.
J Racial Ethn Health Disparities. 2025 Jan 20. doi: 10.1007/s40615-024-02276-7.
Racial disparities in mortality rates have been well-documented in the last century. Intersectionality theory has helped to identify the root causes of these health disparities. Few studies have examined disparities using the latest data for the state of Mississippi.
Mortality data for the state of Mississippi (MS) were obtained from the vital statistics program of the Centers for Disease Control & Prevention for years 1999-2020. The age-adjusted mortality rate (AAMR) for ages 35-84 years was calculated by county, gender-male (M) vs female (F), and race-black (B) vs white (W), among non-Hispanics (NH) for all causes of death.
In 2020, MS had the highest AAMR per 100,000 among states in the US: 1624.76 (1605.61-1643.91) for age group 35-84. In 1999-2020 combined, AAMR varied among counties for each gender-race group. High AAMR was concentrated in the delta region for NH black males (NHBM) and females (NHBF). This was less so for NH white males (NHWM) and not so for females (NHWF). The Black/White AAMR ratio among males and females was highest (1.42, 1.36) in the small metropolitan areas and lowest (1.18, 1.05) in the large fringe metropolitan areas. In 1999-2020 for NH males, the ratio of AAMR in NHB to NHW varied from 0.9 to 1.8. In NH females, the ratio varied from 0.9 to 2.2. In both genders, the ratio was significantly correlated with the percent of the population that was NH black.
The AAMR in MS varied greatly among counties as did the Black/White ratio of AAMR. Further research is needed to explain this geographic variation in racial disparity.
上个世纪，死亡率方面的种族差异已有充分记录。交叉性理论有助于找出这些健康差异的根本原因。很少有研究使用密西西比州的最新数据来研究差异情况。
从疾病控制与预防中心的生命统计项目获取了密西西比州1999年至2020年的死亡率数据。计算了35至84岁非西班牙裔人群中按县、性别（男性对女性）以及种族（黑人对白人）划分的全因年龄调整死亡率（AAMR）。
2020年，密西西比州的年龄调整死亡率在美国各州中最高，35至84岁年龄组每10万人的AAMR为1624.76（1605.61 - 1643.91）。在1999年至2020年的汇总数据中，每个性别 - 种族组的AAMR在各县之间存在差异。高AAMR集中在三角洲地区的非西班牙裔黑人男性（NHBM）和女性（NHBF）中。非西班牙裔白人男性（NHWM）的情况稍好，非西班牙裔白人女性（NHWF）则并非如此。男性和女性中黑人/白人AAMR比率在小都市地区最高（分别为1.42和1.36），在大边缘都市地区最低（分别为1.18和1.05）。在1999年至2020年期间，非西班牙裔男性中，非西班牙裔黑人与非西班牙裔白人的AAMR比率在各县从0.9到1.8不等。在非西班牙裔女性中，该比率从0.9到2.2不等。在两个性别中，该比率与非西班牙裔黑人在人口中的百分比显著相关。
密西西比州的AAMR在各县之间差异很大，AAMR的黑人/白人比率也是如此。需要进一步研究来解释这种种族差异的地理变化。
