Document Detail


Contribution of smoking to excess mortality in Harlem.
MedLine Citation:
PMID:  9482499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The New York City neighborhood of Harlem has mortality rates that are among the highest in the United States. In absolute numbers, cardiovascular disease and cancer account for the overwhelming majority of deaths, especially among men, and these deaths occur at relatively young ages. The aim of this research was to examine self-reported smoking habits according to measures of socioeconomic status among Harlem men and women, in order to estimate the contribution of tobacco consumption to Harlem's remarkably high excess mortality. During 1992-1994, in-person interviews were conducted among 695 Harlem adults aged 18-65 years who were randomly selected from dwelling unit enumeration lists. The self-reported prevalence of current smoking was strikingly high among both men (48%) and women (41%), even among highly educated men (38%). The 21% of respondents without working telephones reported an even higher prevalence of current smoking (61%), indicating that national and state-based estimates which rely on telephone surveys may seriously underestimate the prevalence of smoking in poor urban communities. Among persons aged 35-64 years, the smoking attributable fractions for selected causes of death were larger in Harlem than in either New York City as a whole or the entire United States for both men and women. Tobacco consumption is likely to be one of several important mediators of the high numbers of premature deaths in Harlem.
Authors:
M E Northridge; A Morabia; M L Ganz; M T Bassett; D Gemson; H Andrews; C McCord
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of epidemiology     Volume:  147     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-03-06     Completed Date:  1998-03-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  250-8     Citation Subset:  IM; J    
Affiliation:
Harlem Center for Health Promotion and Disease Prevention, Columbia School of Public Health/Harlem Hospial Center, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cause of Death
Female
Humans
Male
Middle Aged
New York City / epidemiology
Prevalence
Retrospective Studies
Risk Factors
Self Disclosure
Smoking / mortality*
Social Class
Survival Rate / trends
Urban Population

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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