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No Man is an Island: The Impact of Neighborhood Disadvantage on Mortality.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health
    • بيانات النشر:
      Original Publication: Basel : MDPI, c2004-
    • الموضوع:
      Mortality* ; Poverty Areas* ; Socioeconomic Factors*; Air Pollution/*statistics & numerical data ; Crime Victims/*statistics & numerical data ; Poverty/*statistics & numerical data ; Residence Characteristics/*statistics & numerical data; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Risk Factors ; United States ; Young Adult
    • نبذة مختصرة :
      This study'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: 6.0–13.7%) 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's health.
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    • Contributed Indexing:
      Keywords: health; mortality; neighborhood disadvantage; social determinants; socioeconomic status
    • الموضوع:
      Date Created: 20190412 Date Completed: 20190812 Latest Revision: 20200309
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC6479700
    • الرقم المعرف:
      10.3390/ijerph16071265
    • الرقم المعرف:
      30970576