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Socioeconomic Status, Race, and Mortality: A Prospective Cohort Study
- Source :
- American Journal of Public Health. 104:e98-e107
- Publication Year :
- 2014
- Publisher :
- American Public Health Association, 2014.
-
Abstract
- Objectives. We evaluated the independent and joint effects of race, individual socioeconomic status (SES), and neighborhood SES on mortality risk. Methods. We conducted a prospective analysis involving 52 965 non-Hispanic Black and 23 592 non-Hispanic White adults taking part in the Southern Community Cohort Study. Cox proportional hazards modeling was used to determine associations of race and SES with all-cause and cause-specific mortality. Results. In our cohort, wherein Blacks and Whites had similar individual SES, Blacks were less likely than Whites to die during the follow-up period (hazard ratio [HR] = 0.78; 95% confidence interval [CI] = 0.73, 0.84). Low household income was a strong predictor of all-cause mortality among both Blacks and Whites (HR = 1.76; 95% CI = 1.45, 2.12). Being in the lowest (vs highest) category with respect to both individual and neighborhood SES was associated with a nearly 3-fold increase in all-cause mortality risk (HR = 2.76; 95% CI = 1.99, 3.84). There was no significant mortality-related interaction between individual SES and neighborhood SES among either Blacks or Whites. Conclusions. SES is a strong predictor of premature mortality, and the independent associations of individual SES and neighborhood SES with mortality risk are similar for Blacks and Whites.
- Subjects :
- Adult
Male
Social class
White People
Online Research and Practice
Risk Factors
Humans
Medicine
Prospective Studies
Mortality
Prospective cohort study
Socioeconomic status
Aged
Demography
Proportional hazards model
business.industry
Hazard ratio
Public Health, Environmental and Occupational Health
social sciences
Middle Aged
United States
Confidence interval
Black or African American
Social Class
Cohort
population characteristics
Female
business
Cohort study
Subjects
Details
- ISSN :
- 15410048 and 00900036
- Volume :
- 104
- Database :
- OpenAIRE
- Journal :
- American Journal of Public Health
- Accession number :
- edsair.doi.dedup.....d91f4173aaeee11da3d28881df9ec391