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In reply to the discussion: Female Life Span Going Down In Some Parts Of The U.S. [View all]bananas
(27,509 posts)3. Abstract
The paper is behind a paywall at http://content.healthaffairs.org/content/32/3/451.abstract?=right
Here's the abstract:
Even As Mortality Fell In Most US Counties, Female Mortality Nonetheless Rose In 42.8 Percent Of Counties From 1992 To 2006
David A. Kindig1,* and
Erika R. Cheng2
+ Author Affiliations
1 David A. Kindig ([email protected]) is a professor emeritus of population health sciences and founder of the Population Health Institute at the School of Medicine and Public Health, University of WisconsinMadison.
2 Erika R. Cheng is a doctoral candidate and research assistant in the Department of Population Health Sciences, School of Medicine and Public Health, University of WisconsinMadison.
?*Corresponding author
Abstract
Researchers increasingly track variations in health outcomes across counties in the United States, but current ranking methods do not reflect changes in health outcomes over time. We examined trends in male and female mortality rates from 199296 to 200206 in 3,140 US counties. We found that female mortality rates increased in 42.8 percent of counties, while male mortality rates increased in only 3.4 percent. Several factors, including higher education levels, not being in the South or West, and low smoking rates, were associated with lower mortality rates. Medical care variables, such as proportions of primary care providers, were not associated with lower rates. These findings suggest that improving health outcomes across the United States will require increased public and private investment in the social and environmental determinants of healthbeyond an exclusive focus on access to care or individual health behavior.
doi: 10.1377/hlthaff.2011.0892 Health Aff March 2013 vol. 32 no. 3 451-458
David A. Kindig1,* and
Erika R. Cheng2
+ Author Affiliations
1 David A. Kindig ([email protected]) is a professor emeritus of population health sciences and founder of the Population Health Institute at the School of Medicine and Public Health, University of WisconsinMadison.
2 Erika R. Cheng is a doctoral candidate and research assistant in the Department of Population Health Sciences, School of Medicine and Public Health, University of WisconsinMadison.
?*Corresponding author
Abstract
Researchers increasingly track variations in health outcomes across counties in the United States, but current ranking methods do not reflect changes in health outcomes over time. We examined trends in male and female mortality rates from 199296 to 200206 in 3,140 US counties. We found that female mortality rates increased in 42.8 percent of counties, while male mortality rates increased in only 3.4 percent. Several factors, including higher education levels, not being in the South or West, and low smoking rates, were associated with lower mortality rates. Medical care variables, such as proportions of primary care providers, were not associated with lower rates. These findings suggest that improving health outcomes across the United States will require increased public and private investment in the social and environmental determinants of healthbeyond an exclusive focus on access to care or individual health behavior.
doi: 10.1377/hlthaff.2011.0892 Health Aff March 2013 vol. 32 no. 3 451-458
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Thank you for this: "No cultural support for healthy behavior." This, to me, is the main driver
Nay
Mar 2013
#26
When you inflict poverty and a lack of job opportunities on a population, it lives less.
Selatius
Mar 2013
#17
Russia's life expectancy dropped sharply after the U.S. promoted the Shock Doctrine there
Lydia Leftcoast
Mar 2013
#19
Breast cancer, cervical cancer and heart disease go undiagnosed and untreated among the poor.
darkangel218
Mar 2013
#23