TY - JOUR
T1 - Health status, neighborhood socioeconomic context, and premature mortality in the United States
T2 - The national institutes of health-AARP diet and health study
AU - Doubeni, Chyke A.
AU - Schootman, Mario
AU - Major, Jacqueline M.
AU - Torres Stone, Rosalie A.
AU - Laiyemo, Adeyinka O.
AU - Park, Yikyung
AU - Lian, Min
AU - Messer, Lynne
AU - Graubard, Barry I.
AU - Sinha, Rashmi
AU - Hollenbeck, Albert R.
AU - Schatzkin, Arthur
PY - 2012/4
Y1 - 2012/4
N2 - Objectives. We examined whether the risk of premature mortality associated with living in socioeconomically deprived neighborhoods varies according to the health status of individuals. Methods. Community-dwelling adults (n=566402; age=50-71 years) in 6 US states and 2 metropolitan areas participated in the ongoing prospective National Institutes of Health-AARP Diet and Health Study, which began in 1995. We used baseline data for 565679 participants on health behaviors, self-rated health status, and medical history, collected by mailed questionnaires. Participants were linked to 2000 census data for an index of census tract socioeconomic deprivation. The main outcome was all-cause mortality ascertained through 2006. Results. In adjusted survival analyses of persons in good-to-excellent health at baseline, risk of mortality increased with increasing levels of census tract socioeconomic deprivation. Neighborhood socioeconomic mortality disparities among persons in fair-to-poor health were not statistically significant after adjustment for demographic characteristics, educational achievement, lifestyle, and medical conditions. Conclusions. Neighborhood socioeconomic inequalities lead to large disparities in risk of premature mortality among healthy US adults but not among those in poor health.
AB - Objectives. We examined whether the risk of premature mortality associated with living in socioeconomically deprived neighborhoods varies according to the health status of individuals. Methods. Community-dwelling adults (n=566402; age=50-71 years) in 6 US states and 2 metropolitan areas participated in the ongoing prospective National Institutes of Health-AARP Diet and Health Study, which began in 1995. We used baseline data for 565679 participants on health behaviors, self-rated health status, and medical history, collected by mailed questionnaires. Participants were linked to 2000 census data for an index of census tract socioeconomic deprivation. The main outcome was all-cause mortality ascertained through 2006. Results. In adjusted survival analyses of persons in good-to-excellent health at baseline, risk of mortality increased with increasing levels of census tract socioeconomic deprivation. Neighborhood socioeconomic mortality disparities among persons in fair-to-poor health were not statistically significant after adjustment for demographic characteristics, educational achievement, lifestyle, and medical conditions. Conclusions. Neighborhood socioeconomic inequalities lead to large disparities in risk of premature mortality among healthy US adults but not among those in poor health.
UR - http://www.scopus.com/inward/record.url?scp=84859025947&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2011.300158
DO - 10.2105/AJPH.2011.300158
M3 - Article
C2 - 21852636
AN - SCOPUS:84859025947
SN - 0090-0036
VL - 102
SP - 680
EP - 688
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 4
ER -