Racial disparities in adult all-cause and cause-specific mortality among us adults: mediating and moderating factors
Autor: | Shaker M. Eid, Jose-Atilio Canas, Gregory A. Dore, May A. Beydoun, Nicolle A. Mode, Hind A. Beydoun, Alan B. Zonderman |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Male
Poison control 0302 clinical medicine Cause of Death Neoplasms Epidemiology Ethnicity 030212 general & internal medicine Prospective Studies Cancer Hispanic paradox Adult mortality lcsh:Public aspects of medicine Absolute risk reduction Middle Aged Nutrition Surveys Cardiovascular disease Allostasis Cardiovascular Diseases Income Educational Status Female 0305 other medical science Research Article Adult Risk medicine.medical_specialty National Health and Nutrition Examination Survey Socio-economic status Lower risk Race/ethnicity 03 medical and health sciences Young Adult Environmental health medicine Humans Socioeconomic status Poverty Aged Proportional Hazards Models 030505 public health Proportional hazards model business.industry Racial Groups Public Health Environmental and Occupational Health lcsh:RA1-1270 Health Status Disparities United States Diet Social Class business |
Zdroj: | BMC Public Health, Vol 16, Iss 1, Pp 1-13 (2016) BMC Public Health Scopus-Elsevier |
ISSN: | 1471-2458 |
Popis: | Background Studies uncovering factors beyond socio-economic status (SES) that would explain racial and ethnic disparities in mortality are scarce. Methods Using prospective cohort data from the Third National Health and Nutrition Examination Survey (NHANES III), we examined all-cause and cause-specific mortality disparities by race, mediation through key factors and moderation by age (20–49 vs. 50+), sex and poverty status. Cox proportional hazards, discrete-time hazards and competing risk regression models were conducted (N = 16,573 participants, n = 4207 deaths, Median time = 170 months (1–217 months)). Results Age, sex and poverty income ratio-adjusted hazard rates were higher among Non-Hispanic Blacks (NHBs) vs. Non-Hispanic Whites (NHW). Within the above-poverty young men stratum where this association was the strongest, the socio-demographic-adjusted HR = 2.59, p |
Databáze: | OpenAIRE |
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