Polednak A P
Connecticut Department of Public Health, Hartford 06134, USA.
J Urban Health. 1998 Sep;75(3):550-7. doi: 10.1007/BF02427703.
Very high mortality rates have been reported in large inner-city areas such as the South Bronx and Harlem in New York City, but also may occur in smaller US urban areas. Using published death rates for the South Bronx as the standard, the standardized mortality ratio was slightly lower than 1.00 for Hartford, Connecticut (population 139,739 in 1990), but more than 1.00 for three impoverished Hartford census tracts that contained public housing projects. Compared with the South Bronx, death rates in Hartford were lower for human immunodeficiency virus (HIV), injury-homicide, and alcohol-drugs, but higher for hypertension-stroke (in all three tracts) and cancer (in two of the three tracts). Variations in patterns of causes of death among impoverished US urban areas have implications for planning epidemiologic studies and targeting interventions.
据报道，纽约市南布朗克斯和哈莱姆等大型市中心城区的死亡率极高，但美国较小的城市地区也可能出现这种情况。以公布的南布朗克斯死亡率为标准，康涅狄格州哈特福德市（1990年人口为139,739）的标准化死亡率略低于1.00，但在哈特福德三个包含公共住房项目的贫困人口普查区，该比率超过了1.00。与南布朗克斯相比，哈特福德的人类免疫缺陷病毒（HIV）、伤害性杀人以及酒精 - 药物导致的死亡率较低，但高血压 - 中风（在所有三个普查区）和癌症（在三个普查区中的两个）导致的死亡率较高。美国贫困城市地区死亡原因模式的差异对规划流行病学研究和确定干预目标具有影响。
