No Man is an Island: The Impact of Neighborhood Disadvantage on Mortality
| Autor: | Eric T. Roberts, Darrell J. Gaskin, Rachael McCleary, Benjo A. Delarmente, Christine Buttorff, Kitty S. Chan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Health Toxicology and Mutagenesis lcsh:Medicine Poison control social determinants Occupational safety and health Article socioeconomic status 03 medical and health sciences Young Adult 0302 clinical medicine Personal income Residence Characteristics Risk Factors Environmental health Life insurance Air Pollution Poverty Areas Juvenile delinquency Humans 030212 general & internal medicine Social determinants of health neighborhood disadvantage Socioeconomic status Poverty Crime Victims Aged Aged 80 and over 030505 public health lcsh:R Public Health Environmental and Occupational Health health social sciences Middle Aged mortality United States Socioeconomic Factors Female Business 0305 other medical science |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 16 Issue 7 International Journal of Environmental Research and Public Health, Vol 16, Iss 7, p 1265 (2019) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | This study&rsquo s purpose is to determine if neighborhood disadvantage, air quality, economic distress, and violent crime are associated with mortality among term life insurance policyholders, after adjusting for individual demographics, health, and socioeconomic characteristics. We used a sample of approximately 38,000 term life policyholders, from a large national life insurance company, who purchased a policy from 2002 to 2010. We linked this data to area-level data on neighborhood disadvantage, economic distress, violent crime, and air pollution. The hazard of dying for policyholders increased by 9.8% (CI: 6.0&ndash 13.7%) as neighborhood disadvantage increased by one standard deviation. Area-level poverty and mortgage delinquency were important predictors of mortality, even after controlling for individual personal income and occupational status. County level pollution and violent crime rates were positively, but not statistically significantly, associated with the hazard of dying. Our study provides evidence that neighborhood disadvantage and economic stress impact individual mortality independently from individual socioeconomic characteristics. Future studies should investigate pathways by which these area-level factors influence mortality. Public policies that reduce poverty rates and address economic distress can benefit everyone&rsquo s health. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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