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Neighborhood Socioeconomic Deprivation and Mortality: NIH-AARP Diet and Health Study

Author

Listed:
  • Jacqueline M Major
  • Chyke A Doubeni
  • Neal D Freedman
  • Yikyung Park
  • Min Lian
  • Albert R Hollenbeck
  • Arthur Schatzkin
  • Barry I Graubard
  • Rashmi Sinha

Abstract

Purpose: Residing in deprived areas may increase risk of mortality beyond that explained by a person's own SES-related factors and lifestyle. The aim of this study was to examine the relation between neighborhood socioeconomic deprivation and all-cause, cancer- and cardiovascular disease (CVD)-specific mortality for men and women after accounting for education and other important person-level risk factors. Methods: In the longitudinal NIH-AARP Study, we analyzed data from healthy participants, ages 50–71 years at study baseline (1995–1996). Deaths (n = 33831) were identified through December 2005. Information on census tracts was obtained from the 2000 US Census. Cox models estimated hazard ratios (HRs) and 95% confidence intervals (CIs) for quintiles of neighborhood deprivation. Results: Participants in the highest quintile of deprivation had elevated risks for overall mortality (HRmen = 1.17, 95% CI: 1.10, 1.24; HRwomen = 1.13, 95% CI: 1.05, 1.22) and marginally increased risk for cancer deaths (HRmen = 1.09, 95% CI: 1.00, 1.20; HRwomen = 1.09, 95% CI: 0.99, 1.22). CVD mortality associations appeared stronger in men (HR = 1.33, 95% CI: 1.19, 1.49) than women (HR = 1.18, 95% CI: 1.01, 1.38). There was no evidence of an effect modification by education. Conclusion: Higher neighborhood deprivation was associated with modest increases in all-cause, cancer- and CVD-mortality after accounting for many established risk factors.

Suggested Citation

  • Jacqueline M Major & Chyke A Doubeni & Neal D Freedman & Yikyung Park & Min Lian & Albert R Hollenbeck & Arthur Schatzkin & Barry I Graubard & Rashmi Sinha, 2010. "Neighborhood Socioeconomic Deprivation and Mortality: NIH-AARP Diet and Health Study," PLOS ONE, Public Library of Science, vol. 5(11), pages 1-6, November.
    • Handle: RePEc:plo:pone00:0015538
    DOI: 10.1371/journal.pone.0015538
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    References listed on IDEAS

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    1. Stephanie Griggs & Christine Horvat Davey & Quiana Howard & Grant Pignatiello & Deepesh Duwadi, 2022. "Socioeconomic Deprivation, Sleep Duration, and Mental Health during the First Year of the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(21), pages 1-10, November.
    2. Mar Pujades-Rodriguez & Adam Timmis & Dimitris Stogiannis & Eleni Rapsomaniki & Spiros Denaxas & Anoop Shah & Gene Feder & Mika Kivimaki & Harry Hemingway, 2014. "Socioeconomic Deprivation and the Incidence of 12 Cardiovascular Diseases in 1.9 Million Women and Men: Implications for Risk Prediction and Prevention," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-12, August.
    3. Regidor, Enrique & Vallejo, Fernando & Reques, Laura & Cea, Lucía & Miqueleiz, Estrella & Barrio, Gregorio, 2015. "Area-level socioeconomic context, total mortality and cause-specific mortality in Spain: Heterogeneous findings depending on the level of geographic aggregation," Social Science & Medicine, Elsevier, vol. 141(C), pages 142-150.
    4. Hastert, Theresa A. & Ruterbusch, Julie J. & Beresford, Shirley A.A. & Sheppard, Lianne & White, Emily, 2016. "Contribution of health behaviors to the association between area-level socioeconomic status and cancer mortality," Social Science & Medicine, Elsevier, vol. 148(C), pages 52-58.
    5. Nancy A. Ross & Lisa N. Oliver & Paul J. Villeneuve, 2013. "The Contribution of Neighbourhood Material and Social Deprivation to Survival: A 22-Year Follow-up of More than 500,000 Canadians," IJERPH, MDPI, vol. 10(4), pages 1-14, April.
    6. Maria T Sánchez-Santos & Marco Mesa-Frias & Minkyoung Choi & Eveline Nüesch & Angel Asunsolo-Del Barco & Antoinette Amuzu & George Davey Smith & Shah Ebrahim & David Prieto-Merino & Juan P Casas, 2013. "Area-Level Deprivation and Overall and Cause-Specific Mortality: 12 Years’ Observation on British Women and Systematic Review of Prospective Studies," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.

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