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    Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care.

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    Author
    Mansfield, Christopher J.; Wilson, James L.; Kobrinski, Edward J.; Mitchell, Jim
    Abstract
    OBJECTIVES: This study examined premature mortality by county in the United States and assessed its association with metro/urban/rural geographic location, socioeconomic status, household type, and availability of medical care. METHODS: Age-adjusted years of potential life lost before 75 years of age were calculated and mapped by county. Predictors of premature mortality were determined by multiple regression analysis. RESULTS: Premature mortality was greatest in rural counties in the Southeast and Southwest. In a model predicting 55% of variation across counties, community structure factors explained more than availability of medical care. The proportions of female-headed households and Black populations were the strongest predictors, followed by variables measuring low education, American Indian population, and chronic unemployment. Greater availability of generalist physicians predicted fewer years of life lost in metropolitan counties but more in rural counties. CONCLUSIONS: Community structure factors statistically explain much of the variation in premature mortality. The degree to which premature mortality is predicted by percentage of female-headed households is important for policy-making and delivery of medical care. The relationships described argue strongly for broadening the biomedical model. Originally published American Journal of Public Health, Vol. 89, No. 6, June 1999
    URI
    http://hdl.handle.net/10342/3048
    Subject
     Premature mortality; Medical care availability; Socioeconomic factors 
    Date
    1999-06
    Citation:
    APA:
    Mansfield, Christopher J., & Wilson, James L., & Kobrinski, Edward J., & Mitchell, Jim. (June 1999). Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care.. , (. Retrieved from http://hdl.handle.net/10342/3048

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Mansfield, Christopher J., and Wilson, James L., and Kobrinski, Edward J., and Mitchell, Jim. "Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care.". . . (.), June 1999. March 03, 2021. http://hdl.handle.net/10342/3048.
    Chicago:
    Mansfield, Christopher J. and Wilson, James L. and Kobrinski, Edward J. and Mitchell, Jim, "Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care.,"  , no. (June 1999), http://hdl.handle.net/10342/3048 (accessed March 03, 2021).
    AMA:
    Mansfield, Christopher J., Wilson, James L., Kobrinski, Edward J., Mitchell, Jim. Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care.. . June 1999; () . http://hdl.handle.net/10342/3048. Accessed March 03, 2021.
    Collections
    • Public Health
    Publisher
    East Carolina University

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