| Autor: |
Gong G; Gordon Gong, who retired in August 2019, was director of biostatistics at the F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center, in Lubbock, when this work was performed., Phillips SG; Scott G. Phillips ( scott. g. phillips@ttuhsc. edu ) is editor-in-chief of Rural Health Quarterly at the F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center., Hudson C; Catherine Hudson is director of research, reporting, and data management at the F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center., Curti D; Debra Curti is a research associate at the F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center., Philips BU; Billy U. Philips is a professor of public health and executive vice president and director for the F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center. |
| Jazyk: |
angličtina |
| Zdroj: |
Health affairs (Project Hope) [Health Aff (Millwood)] 2019 Dec; Vol. 38 (12), pp. 2003-2010. |
| DOI: |
10.1377/hlthaff.2019.00722 |
| Abstrakt: |
All-cause mortality rates in rural areas have exceeded those in urban areas of the US since the 1980s, and the gap continues to widen. Yet no definitive causes of this difference are known, and within-state differences that might be amenable to state-level policy have not been explored. An analysis of 2016 state-level data indicated that rural mortality exceeded urban mortality in all but three states, with substantial variability in both rates across states. Overall, higher rural mortality at the state level can be mainly explained by three factors: socioeconomic deprivation, physician shortages, and lack of health insurance. To a certain degree, these factors reflect a state's health policies, such as expansion of eligibility for Medicaid, health infrastructure, and socioeconomic conditions. Our findings suggest that state and federal policy efforts to address rural-urban disparities in these areas could alleviate the higher rates of all-cause mortality faced by rural US residents. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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