Rural-urban residence and life expectancies with and without pain.

Autor: Sun F; Department of Kinesiology, University of Texas at Arlington, Arlington, TX, United States. Electronic address: Feinuo.Sun@uta.edu., Zimmer Z; Global Aging and Community Initiative, Mount Saint Vincent University, Halifax, Nova Scotia, Canada., Brouard N; Department of Mortality Health and Epidemiology, French Institute for Demographic Studies, Paris, France.
Jazyk: angličtina
Zdroj: Health & place [Health Place] 2024 Sep; Vol. 89, pp. 103305. Date of Electronic Publication: 2024 Jul 04.
DOI: 10.1016/j.healthplace.2024.103305
Abstrakt: This paper analyzes rural-urban disparities in life expectancy with and without pain among upper-middle age and older adults. Data are from the nationally representative Health and Retirement Study, 2000-2018, N = 18,160, age 53+. Interpolated Markov Chain software, based on the multistate life tables, is used to calculate absolute and relative pain expectancies by age, sex, rural-suburban-urban residence and U.S. regions. Results show significant rural disadvantages versus those in urban and often suburban areas. Example: males at 55 in rural areas can expect to live 15.1 years, or 65.2 percent pain-free life, while those in suburban areas expect to live 1.7 more years, or 2.6 percentage points more, pain-free life and urban residents expect to live 2.4 more year, or 4.7 percentage points more. The rural disadvantage persists for females, with differences being a little less prominent. At very old age (85+), rural-urban differences diminish or reverse. Rural-urban pain disparities are most pronounced in the Northeast and South regions, and least in the Midwest and West. The findings highlight that rural-urban is an important dimension shaping the geography of pain. More research is needed to disentangle the mechanisms through which residential environments impact people's pain experiences.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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