Inequality in men's mortality: The socioeconomic status gradient and geographic context
Inequality in men's mortality: The socioeconomic status gradient and geographic context
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DOI：
10.2307/2955428
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发表时间：
1997-12-01
影响因子：
5
通讯作者：
McLaughlin, DK
中科院分区：
文献类型：
--
作者：
Hayward, MD;Pienta, AM;McLaughlin, DK
与城市居民相比，美国农村老年人的死亡率较低，这与医疗保健服务和居民社会经济资源的城乡差异背道而驰。这一悖论使人们对社区条件影响死亡率的方式以及个人社会经济地位与健康之间关系的背景提出了质疑。根据24年的全国老年男性纵向调查数据，我们观察到，即使在控制了社会阶层和生活方式因素的居住差异后，农村老年男性的预期寿命仍有优势。我们的研究结果还表明，农村在死亡率方面的优势与社会各阶层之间更公平的生活机会分配相吻合。社会阶层与死亡率之间的关联在城市男子中最为强烈，这是由整个生命周期的社会经济条件造成的。
Lower mortality for older rural Americans, compared to ur ban residents, runs counter To rural-urban disparities in health care services and residents' socioeconomic resources. This paradox calls into question the ways in which community conditions influence mortality and contextualize the relationship between individuals' socioeconomic status and health. Drawing on 24 years of data from the National Longitudinal Survey of Older Men, we observe that rural older men's life expectancy advantages occur even after controlling for residential differences in social class and lifestyle factors. Our results also show that rural advantages irt mortality coincide with a more equitable distribution of life chances across the social classes. The association between social class and mortality is strongest among urban men, arising from socioeconomic conditions throughout the life cycle.