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Increased Black-White disparities in mortality after the introduction of lifesaving innovations: a possible consequence of US federal laws.


ABSTRACT: OBJECTIVES:We explored whether the introduction of 3 lifesaving innovations introduced between 1989 and 1996 increased, decreased, or had no effect on disparities in Black-White mortality in the United States through 2006. METHODS:Centers for Disease Control and Prevention data were used to assess disease-, age-, gender-, and race-specific changes in mortality after the introduction of highly active anti-retroviral therapy (HAART) for treatment of HIV, surfactants for neonatal respiratory distress syndrome, and Medicare reimbursement of mammography screening for breast cancer. RESULTS:Disparities in Black-White mortality from HIV significantly increased after the introduction of HAART, surfactant therapy, and reimbursement for screening mammography. Between 1989 and 2006, these circumstances may have accounted for an estimated 22,441 potentially avoidable deaths among Blacks. CONCLUSIONS:These descriptive data contribute to the formulation of the hypothesis that federal laws promote increased disparities in Black-White mortality by inadvertently favoring Whites with respect to access to lifesaving innovations. Failure of legislation to address known social factors is a plausible explanation, at least in part, for the observed findings. Further research is necessary to test this hypothesis, including analytic epidemiological studies designed a priori to do so.

SUBMITTER: Levine RS 

PROVIDER: S-EPMC2951928 | biostudies-literature | 2010 Nov

REPOSITORIES: biostudies-literature

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Increased Black-White disparities in mortality after the introduction of lifesaving innovations: a possible consequence of US federal laws.

Levine Robert S RS   Rust George S GS   Pisu Maria M   Agboto Vincent V   Baltrus Peter A PA   Briggs Nathaniel C NC   Zoorob Roger R   Juarez Paul P   Hull Pamela C PC   Goldzweig Irwin I   Hennekens Charles H CH  

American journal of public health 20100923 11


<h4>Objectives</h4>We explored whether the introduction of 3 lifesaving innovations introduced between 1989 and 1996 increased, decreased, or had no effect on disparities in Black-White mortality in the United States through 2006.<h4>Methods</h4>Centers for Disease Control and Prevention data were used to assess disease-, age-, gender-, and race-specific changes in mortality after the introduction of highly active anti-retroviral therapy (HAART) for treatment of HIV, surfactants for neonatal res  ...[more]

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