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Community social change and mortality

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  • Lasker, Judith N.
  • Egolf, Brenda P.
  • Wolf, Stewart

Abstract

This paper first reviews the types of explanations that have been used in analyzing unequal distribution in coronary heart disease among different groups and changes in prevalence over time. The explanations have mostly focused on the individual: individual behaviors, personalities, stressors, or social ties. It is suggested here that a shift in focus to community-level characteristics may also aid in understanding changes in mortality. Data are presented from Roseto, PA--a town that became known in the 1960's for its strong Italian traditions and very low mortality from myocardial infarction and that subsequently experienced a sharp rise in mortality--and from the adjacent comparison town of Bangor. Data collected over several decades--in some cases as far back as 1925--on marriages, population composition, organizational memberships, voting patterns, and social class indicators suggest that important community changes that accelerated significantly in the 1960's coincided with and may help to explain Roseto's loss of protection from coronary heart disease deaths after 1965.

Suggested Citation

  • Lasker, Judith N. & Egolf, Brenda P. & Wolf, Stewart, 1994. "Community social change and mortality," Social Science & Medicine, Elsevier, vol. 39(1), pages 53-62, July.
    • Handle: RePEc:eee:socmed:v:39:y:1994:i:1:p:53-62
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    Cited by:

    1. Leu, Janxin & Yen, Irene H. & Gansky, Stuart A. & Walton, Emily & Adler, Nancy E. & Takeuchi, David T., 2008. "The association between subjective social status and mental health among Asian immigrants: Investigating the influence of age at immigration," Social Science & Medicine, Elsevier, vol. 66(5), pages 1152-1164, March.
    2. Giordano, Giuseppe N. & Lindstrom, Martin, 2010. "The impact of changes in different aspects of social capital and material conditions on self-rated health over time: A longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 70(5), pages 700-710, March.
    3. Giordano, Giuseppe Nicola & Björk, Jonas & Lindström, Martin, 2012. "Social capital and self-rated health – A study of temporal (causal) relationships," Social Science & Medicine, Elsevier, vol. 75(2), pages 340-348.

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