We thank Dr. Kaciroti for his illuminating comments regarding the Overall Burden Measure
(OBM).
1
We proposed the quantitative OBM metric as an alternative means of making county-level
comparisons of injury (or disease) burden.
2
Similar to age-adjusted rates, the OBM can account for differences in age structure
between counties. However, rather than using the age structure of an arbitrary external
population, the OBM uses the county itself as its own reference population. This addresses
a well-known limitation of age-adjusted rates.
3
- Williams DR
The health of U.S. racial and ethnic populations.
J Gerontol B Psychol Sci Soc Sci. 2005; 60: 53-62https://doi.org/10.1093/geronb/60.Special_Issue_2.S53
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REFERENCES
Kaciroti N. Letter to the Editor in response to ‘Z-score Burden Metric: a Method for Assessing Burden of Injury and Disease.’ Am J Prev Med. In press.
- Z-score burden metric: a method for assessing burden of injury and disease.Am J Prev Med. 2022; 63: e65-e72https://doi.org/10.1016/j.amepre.2022.03.029
- The health of U.S. racial and ethnic populations.J Gerontol B Psychol Sci Soc Sci. 2005; 60: 53-62https://doi.org/10.1093/geronb/60.Special_Issue_2.S53
- Historic redlining, structural racism, and firearm violence: a structural equation modeling approach.Lancet Reg Health Am. 2021; 3100052https://doi.org/10.1016/j.lana.2021.100052
- Structural competency and the future of firearm research.Soc Sci Med. 2021; 277113879https://doi.org/10.1016/j.socscimed.2021.113879
- Time to take critical race theory seriously: moving beyond a colour-blind gender lens in global health.Lancet Glob Health. 2021; 9: e389-e390https://doi.org/10.1016/S2214-109X(20)30536-2
- Reflection on modern methods: statistical, policy, and ethical implications of using age-standardized health indicators to quantify inequities.Int J Epidemiol. 2022; 51: 324-333https://doi.org/10.1093/ije/dyab132
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