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Journal article
Measuring Variation in Infant Mortality and Deaths of Despair by U.S. Congressional Districts in Pennsylvania: A Methodological Case Study
American journal of epidemiology, v 193(7), pp 1040-1049
26 Feb 2024
PMID: 38412272
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Many ecological studies examine health outcomes and disparities using administrative boundaries such as census tracts, counties, or states. These boundaries help us to understand the patterning of health by place along with impacts of policies implemented at these levels. However, additional geo-political units, or units with both geographic and political meaning, such as congressional districts, present further opportunities to connect research with public policy. We provide a step-by-step guide in how to conduct disparities-focused analysis at the congressional district level, and as an applied case study we use geocoded vital statistics data from 2010-2015 to examine levels and disparities of infant mortality (IM) and deaths of despair (DoD) in the 19 U.S. congressional districts of Pennsylvania for the 111th-112th (2009-2012) Congresses, and 18 districts for the 113th-114th (2013-2016) Congresses. We also provide recommendations for extending congressional district level analysis to other outcomes, states, and geopolitical boundaries such as state legislative districts. Increased surveillance of health outcomes at the congressional district level can help prompt policy action, advocacy, and hopefully, reduce rates and disparities in health.
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Details
- Title
- Measuring Variation in Infant Mortality and Deaths of Despair by U.S. Congressional Districts in Pennsylvania: A Methodological Case Study
- Creators
- Alina Schnake-Mahl (Corresponding Author) - Drexel UniversityGiancarlo Anfuso - Drexel UniversityNeal D Goldstein - Drexel UniversityJonathan Purtle - New York UniversityJan M Eberth - Drexel UniversityAna Ortigoza - World Health Organization Regional Office for the AmericasUsama Bilal - Drexel University
- Publication Details
- American journal of epidemiology, v 193(7), pp 1040-1049
- Publisher
- Oxford University Press
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics; Health Management and Policy
- Web of Science ID
- WOS:001223904100001
- Scopus ID
- 2-s2.0-85197983530
- Other Identifier
- 991021860110804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health