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
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