Urban-Rural Disparities in Deaths of Despair: A County-Level Analysis 2004-2016 in the U.S.
Am J Prev Med
; 64(2): 149-156, 2023 02.
Article
em En
| MEDLINE
| ID: mdl-38584644
ABSTRACT
Introduction:
The purpose of this study is to examine nationwide disparities in drug, alcohol, and suicide mortality; evaluate the association between county-level characteristics and these mortality rates; and illustrate spatial patterns of mortality risk to identify areas with elevated risk.Methods:
The authors applied a Bayesian spatial regression technique to investigate the association between U.S. county-level characteristics and drug, alcohol, and suicide mortality rates for 2004-2016, accounting for spatial correlation that occurs among counties.Results:
Mortality risks from drug, alcohol, and suicide were positively associated with the degree of rurality, the proportion of vacant housing units, the population with a disability, the unemployed population, the population with low access to grocery stores, and the population with no health insurance. Conversely, risks were negatively associated with Hispanic population, non-Hispanic Black population, and population with a bachelor's degree or higher.Conclusions:
Spatial disparities in drug, alcohol, and suicide mortality exist at the county level across the U.S. social determinants of health; educational attainment, degree of rurality, ethnicity, disability, unemployment, and health insurance status are important factors associated with these mortality rates. A comprehensive strategy that includes downstream interventions providing equitable access to healthcare services and upstream efforts in addressing socioeconomic conditions is warranted to effectively reduce these mortality burdens.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
População Rural
/
Suicídio
/
População Urbana
/
Transtornos Relacionados ao Uso de Substâncias
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Prev Med
/
Am. j. prev. med
/
American journal of preventive medicine
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2023
Tipo de documento:
Article