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American Journal of Epidemiology Advance Access published online on April 26, 2007
American Journal of Epidemiology, doi:10.1093/aje/kwm044
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American Journal of Epidemiology Copyright © 2007 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A.

Practice of Epidemiology

Ten Largest Racial and Ethnic Health Disparities in the United States based on Healthy People 2010 Objectives

Kenneth G. Keppel

From the National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD

Correspondence to Dr. Kenneth G. Keppel, National Center for Health Statistics, 3311 Toledo Road, Room 6314, Hyattsville, MD 20782 (e-mail: KKeppel{at}cdc.gov).

Received for publication July 28, 2006. Accepted for publication January 17, 2007.

A consistent framework has been developed for measuring health disparities and making comparisons across indicators with regard to the public health goals of Healthy People 2010. Disparities are measured as the percent difference from the best group rate, with all indicators being expressed in terms of adverse events. The 10 largest health disparities for each of five US racial and ethnic groups are identified here. There are both similarities and differences in the largest health disparities. New cases of tuberculosis and drug-induced death rates are among the largest health disparities for four of the five racial and ethnic groups. However, drug-induced death is the only indicator among the 10 largest disparities that is shared by both Black and White non-Hispanic populations.

ethnic groups; health promotion; minority groups; public health


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