Economic Opportunity, Health Behaviors, and Mortality in the United States.
Am J Public Health
; 106(3): 478-84, 2016 Mar.
Article
em En
| MEDLINE
| ID: mdl-26691108
ABSTRACT
OBJECTIVES:
We assessed whether economic opportunity was independently associated with health behaviors and outcomes in the United States.METHODS:
Using newly available, cross-sectional, county-level data from the Equality of Opportunity Project Database and vital statistics, we estimated associations between all-cause mortality rates (averaged over 2000-2012) and economic opportunity, adjusting for socioeconomic, demographic, and health system covariates. Our measure of economic opportunity was the county-average rank in the national income distribution attained by individuals born to families in the bottom income quartile. Secondary outcomes included rates of age- and race-specific mortality, smoking, obesity, hypertension, and diabetes.RESULTS:
An increase in economic opportunity from the lowest to the highest quintile was associated with a 16.7% decrease in mortality. The magnitudes of association were largest for working-age adults and African Americans. Greater economic opportunity was also associated with health behaviors and risk factors.CONCLUSIONS:
Economic opportunity is a robust, independent predictor of health. Future work should investigate underlying causal links and mechanisms.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
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Nível de Saúde
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Mortalidade
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Renda
Tipo de estudo:
Etiology_studies
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Health_economic_evaluation
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article