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Health status, neighborhood socioeconomic context, and premature mortality in the United States: The national institutes of health-AARP diet and health study

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  • Doubeni, C.A.
  • Schootman, M.
  • Major, J.M.
  • Torres Stone, R.A.
  • Laiyemo, A.O.
  • Park, Y.
  • Lian, M.
  • Messer, L.
  • Graubard, B.I.
  • Sinha, R.
  • Hollenbeck, A.R.
  • Schatzkin, A.

Abstract

Objectives. We examined whether the risk of premature mortality associated with living in socioeconomically deprived neighborhoods varies according to the health status of individuals. Methods. Community-dwelling adults (n=566402; age=50-71 years) in 6 US states and 2 metropolitan areas participated in the ongoing prospective National Institutes of Health-AARP Diet and Health Study, which began in 1995. We used baseline data for 565679 participants on health behaviors, self-rated health status, and medical history, collected by mailed questionnaires. Participants were linked to 2000 census data for an index of census tract socioeconomic deprivation. The main outcome was all-cause mortality ascertained through 2006. Results. In adjusted survival analyses of persons in good-to-excellent health at baseline, risk of mortality increased with increasing levels of census tract socioeconomic deprivation. Neighborhood socioeconomic mortality disparities among persons in fair-to-poor health were not statistically significant after adjustment for demographic characteristics, educational achievement, lifestyle, and medical conditions. Conclusions. Neighborhood socioeconomic inequalities lead to large disparities in risk of premature mortality among healthy US adults but not among those in poor health.

Suggested Citation

  • Doubeni, C.A. & Schootman, M. & Major, J.M. & Torres Stone, R.A. & Laiyemo, A.O. & Park, Y. & Lian, M. & Messer, L. & Graubard, B.I. & Sinha, R. & Hollenbeck, A.R. & Schatzkin, A., 2012. "Health status, neighborhood socioeconomic context, and premature mortality in the United States: The national institutes of health-AARP diet and health study," American Journal of Public Health, American Public Health Association, vol. 102(4), pages 680-688.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300158_3
    DOI: 10.2105/AJPH.2011.300158
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    Cited by:

    1. Kravitz-Wirtz, Nicole, 2016. "A discrete-time analysis of the effects of more prolonged exposure to neighborhood poverty on the risk of smoking initiation by age 25," Social Science & Medicine, Elsevier, vol. 148(C), pages 79-92.
    2. Chyke A Doubeni & Guruprasad D Jambaulikar & Hassan Fouayzi & Scott B Robinson & Margaret J Gunter & Terry S Field & Douglas W Roblin & Robert H Fletcher, 2012. "Neighborhood Socioeconomic Status and Use of Colonoscopy in an Insured Population – A Retrospective Cohort Study," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-7, May.
    3. Ana Stipčić & Tanja Ćorić & Marijan Erceg & Frane Mihanović & Ivana Kolčić & Ozren Polašek, 2015. "Socioeconomic inequalities show remarkably poor association with health and disease in Southern Croatia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(4), pages 417-426, May.

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