"You can have the most impact when you focus on the biggest problem," said Hasnain-Wynia, also an associate professor of medicine at the Feinberg School. "This information helps the city identify where it should target its resources to reduce disparities in health care, such as providing funding for free clinics in a neighborhood, if there's a scarcity of primary care providers."

For each winnable battle, the study reveals major health disparities according to race and ethnicity. Black residents, who comprise an estimated 33 percent of Chicago's population, and Hispanic/Latino residents, who comprise 27 percent of the population, fare worse than white residents. (The population figures are from 2009.)

Racial/Ethnic Disparities

Childhood Obesity

In 2009, a higher proportion of black (22.6%) and Hispanic/Latino (22.4%) Chicago high school students were overweight, compared with white students (11.8%).

HIV/AIDS

In 2008, blacks in Chicago accounted for 60% of the HIV diagnoses in adolescents and adults despite representing one-third of Chicago's population.

Teen Pregnancy

In 2007, more than 95% of Chicago's teen births occurred among black and Hispanic/Latina females.

Breast Cancer

The most recent Chicago data available (3-year average, 2005) indicate that the cancer mortality rate for black women is 1.62 times higher than for white women (38.3 per 100,000 females vs. 23.6 per 100,000 females).

Motor Vehicle Injury and Death

In 2007, the death rate in Chicago from motor vehicle accidents was highest among blacks (11.3 per 100,000 population), approximately twice that of whites (5.5 per 100,000 population).

A series of maps were created for the study illustrating the prevalence of disease rates and distribution of Chicago's health care resources including primary care clinics, primary and specialty-care physicians, hospitals, HIV test sites and breast health services.

"The maps help communities identify areas where resources are lacking," Yonek said. "Documenting health and resources at the community level helps people feel accountable. Now they can see how to make a difference."

Source: Northwestern University

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