Performance Improvement 2003. Office of the Administrator


Big Cities Health Inventory

This report is the fourth in a series from the Chicago Department of Public Health presenting city-to-city comparisons of leading measures of health. This edition established an advisory group to help guide the reports’ focus and content. Based on the committee’s recommendations, the report includes, for the first time, Healthy People 2010 objectives to serve as benchmarks. The report focuses on 20 indicators of health: five indicators of communicable diseases, nine causes of mortality, and six indicators of maternal and child health. The data presented here and in other studies analyzing urban health suggest that there is a unique urban health profile influenced by the dynamics peculiar to large cities. For example, the health outcome of the nation’s largest cities are less favorable than those of smaller urban and rural areas. The three largest cities in the U.S., New York, Los Angeles and Chicago had considerably different health profiles. New York ranked among the top ten cities for incidence of HIV, TB and HIV-related mortality. Chicago ranked highest in syphilis and homicide. Los Angeles ranked in the middle for most indicators. A better understanding of what caused such different health outcomes may improve health policies and programs in these cities.

FEDERAL CONTACT: Michael Millman, 301-443-0368 PIC ID: 7241

PERFORMER: Chicago Center for Health Systems Development, Chicago, IL

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