IDEAS home Printed from https://ideas.repec.org/a/sae/anname/v672y2017i1p257-281.html
   My bibliography  Save this article

The Cardiovascular Health of Young Adults: Disparities along the Urban-Rural Continuum

Author

Listed:
  • Elizabeth Lawrence
  • Robert A. Hummer
  • Kathleen Mullan Harris

Abstract

U.S. young adults coming of age in the early twenty-first century are the first cohort to grow up during the obesity epidemic; justifiably, there is much concern about their cardiovascular health. To date, however, no research has examined the extent to which there are disparities in young adult cardiovascular health across the urban-rural continuum. We examine this topic using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). We find that young adults who live in metropolitan core areas exhibit more favorable cardiovascular health than individuals who live in smaller communities and that population density largely accounts for this association. Further, individuals living in more densely populated areas in young adulthood relative to during adolescence have better cardiovascular health than those who live in areas similar or less dense than their adolescent residence. Our results strongly suggest that the physical and social features of communities represent important contexts for young adult cardiovascular health.

Suggested Citation

  • Elizabeth Lawrence & Robert A. Hummer & Kathleen Mullan Harris, 2017. "The Cardiovascular Health of Young Adults: Disparities along the Urban-Rural Continuum," The ANNALS of the American Academy of Political and Social Science, , vol. 672(1), pages 257-281, July.
  • Handle: RePEc:sae:anname:v:672:y:2017:i:1:p:257-281
    DOI: 10.1177/0002716217711426
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0002716217711426
    Download Restriction: no

    File URL: https://libkey.io/10.1177/0002716217711426?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hartley, D., 2004. "Rural health disparities, population health, and rural culture," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1675-1678.
    2. James, P. & Troped, P.J. & Hart, J.E. & Joshu, C.E. & Colditz, G.A. & Brownson, R.C. & Ewing, R. & Laden, F., 2013. "Urban sprawl, physical activity, and body mass index: Nurses' health study and nurses' health study II," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 369-375.
    3. Cossman, J.S. & James, W.L. & Cosby, A.G. & Cossman, R.E., 2010. "Underlying causes of the emerging nonmetropolitan mortality penalty," American Journal of Public Health, American Public Health Association, vol. 100(8), pages 1417-1419.
    4. Eberhardt, M.S. & Pamuk, E.R., 2004. "The importance of place of residence: Examining health in rural and nonrural areas," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1682-1686.
    5. James, W.L., 2014. "All rural places are not created equal: Revisiting the rural mortality penalty in the United States," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2122-2129.
    6. Kenneth T. Jackson, 2009. "A Nation of Cities: The Federal Government and the Shape of the American Metropolis," The ANNALS of the American Academy of Political and Social Science, , vol. 626(1), pages 11-20, November.
    7. Caldwell, J.T. & Ford, C.L. & Wallace, S.P. & Wang, M.C. & Takahashi, L.M., 2016. "Intersection of living in a rural versus urban area and race/ethnicity in explaining access to health care in the United States," American Journal of Public Health, American Public Health Association, vol. 106(8), pages 1463-1469.
    8. Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Debra Leiter & Jack Reilly & Beth Vonnahme, 2021. "The crowding of social distancing: How social context and interpersonal connections affect individual responses to the coronavirus," Social Science Quarterly, Southwestern Social Science Association, vol. 102(5), pages 2435-2451, September.
    2. Samuel L. K. Baxter & Richard Chung & Leah Frerichs & Roland J. Thorpe & Asheley C. Skinner & Morris Weinberger, 2021. "Racial Residential Segregation and Race Differences in Ideal Cardiovascular Health among Young Men," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    3. Dylan B. Jackson & Alexander Testa & Krista P. Woodward & Farah Qureshi & Kyle T. Ganson & Jason M. Nagata, 2022. "Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System," IJERPH, MDPI, vol. 19(18), pages 1-18, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cheryl Dye & Deborah Willoughby & Begum Aybar-Damali & Carmelita Grady & Rebecca Oran & Alana Knudson, 2018. "Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching," IJERPH, MDPI, vol. 15(4), pages 1-23, April.
    2. Bednarik, Zuzana, 2023. "The impact of health disparities on the subjective well-being in rural communities," NCR-Stat Discussion Papers 339129, North Central Regional Center for Rural Development (NCRCRD).
    3. Donna L. Schminkey & Xiaoyue Liu & Sandra Annan & Erika Metzler Sawin, 2019. "Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework," SAGE Open, , vol. 9(1), pages 21582440188, January.
    4. Roth, Adam R. & Denney, Justin T. & Amiri, Solmaz & Amram, Ofer, 2020. "Characteristics of place and the rural disadvantage in deaths from highly preventable causes," Social Science & Medicine, Elsevier, vol. 245(C).
    5. Wesley James & Jeralynn Cossman & Julia Wolf, 2018. "Persistence of death in the United States: The remarkably different mortality patterns between America’s Heartland and Dixieland," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 39(33), pages 897-910.
    6. Allan, Rebecca & Williamson, Paul & Kulu, Hill, 2019. "Gendered mortality differentials over the rural-urban continuum: The analysis of census linked longitudinal data from England and Wales," Social Science & Medicine, Elsevier, vol. 221(C), pages 68-78.
    7. Neto, Amir B. Ferreira & Hall, Joshua, 2017. "The Eect of Health Care Entrepreneurship on Local Health: The Case of MedExpress in Appalachia," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 48(2), July.
    8. Nathan T. Dollar & Iliya Gutin & Elizabeth M. Lawrence & David B. Braudt & Samuel Fishman & Richard G. Rogers & Robert A. Hummer, 2020. "The persistent southern disadvantage in US early life mortality, 1965‒2014," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(11), pages 343-382.
    9. Riva, Mylene & Curtis, Sarah & Gauvin, Lise & Fagg, James, 2009. "Unravelling the extent of inequalities in health across urban and rural areas: Evidence from a national sample in England," Social Science & Medicine, Elsevier, vol. 68(4), pages 654-663, February.
    10. Thomas, Kelsey L. & Dobis, Elizabeth A. & McGranahan, David A., 2024. "The Nature of the Rural-Urban Mortality Gap," Economic Information Bulletin 341639, United States Department of Agriculture, Economic Research Service.
    11. Jeffrey E. Hall & Ramal Moonesinghe & Karen Bouye & Ana Penman-Aguilar, 2019. "Racial/Ethnic Disparities in Mortality: Contributions and Variations by Rurality in the United States, 2012–2015," IJERPH, MDPI, vol. 16(3), pages 1-18, February.
    12. Doogan, Nathan J. & Roberts, Megan E. & Wewers, Mary Ellen & Tanenbaum, Erin R. & Mumford, Elizabeth A. & Stillman, Frances A., 2018. "Validation of a new continuous geographic isolation scale: A tool for rural health disparities research," Social Science & Medicine, Elsevier, vol. 215(C), pages 123-132.
    13. Matthew Lee Smith & Thomas R. Prohaska & Kara E. MacLeod & Marcia G. Ory & Amy R. Eisenstein & David R. Ragland & Cheryl Irmiter & Samuel D. Towne & William A. Satariano, 2017. "Non-Emergency Medical Transportation Needs of Middle-Aged and Older Adults: A Rural-Urban Comparison in Delaware, USA," IJERPH, MDPI, vol. 14(2), pages 1-13, February.
    14. Diane Coffey & Ashwini Deshpande & Jeffrey Hammer & Dean Spears, 2019. "Local Social Inequality, Economic Inequality, and Disparities in Child Height in India," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1427-1452, August.
    15. repec:rre:publsh:v:39:y:2009:i:2:p:149-69 is not listed on IDEAS
    16. Mitchell, Richard & Dujardin, Claire & Popham, Frank & Farfan Portet, Maria-Isabel & Thomas, Isabelle & Lorant, Vincent, 2011. "Using matched areas to explore international differences in population health," Social Science & Medicine, Elsevier, vol. 73(8), pages 1113-1122.
    17. Hanibuchi, Tomoya & Murata, Yohei & Ichida, Yukinobu & Hirai, Hiroshi & Kawachi, Ichiro & Kondo, Katsunori, 2012. "Place-specific constructs of social capital and their possible associations to health: A Japanese case study," Social Science & Medicine, Elsevier, vol. 75(1), pages 225-232.
    18. Spielman, Seth E. & Yoo, Eun-hye, 2009. "The spatial dimensions of neighborhood effects," Social Science & Medicine, Elsevier, vol. 68(6), pages 1098-1105, March.
    19. Vásquez-Vera, Hugo & Palència, Laia & Magna, Ingrid & Mena, Carlos & Neira, Jaime & Borrell, Carme, 2017. "The threat of home eviction and its effects on health through the equity lens: A systematic review," Social Science & Medicine, Elsevier, vol. 175(C), pages 199-208.
    20. Radney, Angelise & Lee, Joyce Y. & Xu, Amy & Steinke, Hannah R. & Mengo, Cecilia & Johnson-Motoyama, Michelle, 2024. "Racial and ethnic disparities in healthcare utilization among children in U.S. foster care: Recommendations to challenge the status quo based on a scoping review," Children and Youth Services Review, Elsevier, vol. 162(C).
    21. Garthwaite, Kayleigh & Bambra, Clare, 2017. "“How the other half live”: Lay perspectives on health inequalities in an age of austerity," Social Science & Medicine, Elsevier, vol. 187(C), pages 268-275.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:anname:v:672:y:2017:i:1:p:257-281. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.