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Growth and Persistence of Place-Based Mortality in the United States: The Rural Mortality Penalty.
Cosby, Arthur G; McDoom-Echebiri, M Maya; James, Wesley; Khandekar, Hasna; Brown, Willie; Hanna, Heather L.
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  • Cosby AG; Arthur G. Cosby, Hasna Khandekar, Willie Brown, and Heather L. Hanna are with the Social Science Research Center, Mississippi State University, Starkville. M. Maya McDoom-Echebiri is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Wesley James is with the Departm
  • McDoom-Echebiri MM; Arthur G. Cosby, Hasna Khandekar, Willie Brown, and Heather L. Hanna are with the Social Science Research Center, Mississippi State University, Starkville. M. Maya McDoom-Echebiri is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Wesley James is with the Departm
  • James W; Arthur G. Cosby, Hasna Khandekar, Willie Brown, and Heather L. Hanna are with the Social Science Research Center, Mississippi State University, Starkville. M. Maya McDoom-Echebiri is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Wesley James is with the Departm
  • Khandekar H; Arthur G. Cosby, Hasna Khandekar, Willie Brown, and Heather L. Hanna are with the Social Science Research Center, Mississippi State University, Starkville. M. Maya McDoom-Echebiri is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Wesley James is with the Departm
  • Brown W; Arthur G. Cosby, Hasna Khandekar, Willie Brown, and Heather L. Hanna are with the Social Science Research Center, Mississippi State University, Starkville. M. Maya McDoom-Echebiri is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Wesley James is with the Departm
  • Hanna HL; Arthur G. Cosby, Hasna Khandekar, Willie Brown, and Heather L. Hanna are with the Social Science Research Center, Mississippi State University, Starkville. M. Maya McDoom-Echebiri is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Wesley James is with the Departm
Am J Public Health ; 109(1): 155-162, 2019 01.
Article en En | MEDLINE | ID: mdl-30496008
OBJECTIVES: To examine 47 years of US urban and rural mortality trends at the county level, controlling for effects of education, income, poverty, and race. METHODS: We obtained (1) Centers for Disease Control and Prevention WONDER (Wide-ranging ONline Data for Epidemiologic Research) data (1970-2016) on 104 million deaths; (2) US Census data on education, poverty, and race; and (3) Bureau of Economic Analysis data on income. We calculated ordinary least square regression models, including interaction models, for each year. We graphed standardized parameter estimates for 47 years. RESULTS: Rural-urban mortality disparities increased from the mid-1980s through 2016. We found education, race, and rurality to be strong predictors; we found strong interactions between percentage poverty and percentage rural, indicating that the largest penalty was in high-poverty, rural counties. CONCLUSIONS: The rural-urban mortality disparity was persistent, growing, and large when compared to other place-based disparities. The penalty had evolved into a high-poverty, rural penalty that rivaled the effects of education and exceeded the effects of race by 2016. Public Health Implications. Targeting public health programs that focus on high-poverty, rural locales is a promising strategy for addressing disparities in mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Población Rural / Población Urbana / Mortalidad Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Am J Public Health Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Población Rural / Población Urbana / Mortalidad Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Am J Public Health Año: 2019 Tipo del documento: Article Pais de publicación: Estados Unidos