Calculating census tract-based life expectancy in New York state: a generalizable approach

Abstract Background Life expectancy at birth (LE) has been calculated for states and counties. LE estimates at these levels mask health disparities in local communities. There are no nationwide estimates at the sub-county level. We present a stepwise approach for calculating LE using census tracts in New York state to identify health disparities. Methods Our study included 2751 census tracts in New York state, but excluded New York City. We used population data from the 2010 United States Census and 2008–2010 mortality data from the state health department. Tracts were assigned to 99.97% of the deaths. We removed tracts which had a majority of people living in group quarters. Deaths in these tracts are often recorded elsewhere. Of the remaining 2679 tracts, 6.6% of the tracts had standard errors ≥ 2 years. A geographic aggregation tool was used to aggregate tracts with fewer than 60 deaths, and then aggregate areas that had standard errors of ≥ 2 years. Results Aggregation resulted in a 9.9% reduction in the number of areas. Tracts with