Rural-Urban Disparities In All-Cause Mortality Among Low-Income Medicare Beneficiaries, 2004-17.
Rural-Urban Disparities In All-Cause Mortality Among Low-Income Medicare Beneficiaries, 2004-17.
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DOI：
10.1377/hlthaff.2020.00420
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Wadhera RK
中科院分区：
文献类型：
--
作者：
Loccoh E;Joynt Maddox KE;Xu J;Shen C;Figueroa JF;Kazi DS;Yeh RW;Wadhera RK
人们越来越关注居住在农村地区的美国老年人的健康，但与城市居民相比，居住在农村地区的低收入医疗保险受益人的死亡率如何随着时间的推移而变化却知之甚少。我们评估了农村和城市低收入医疗保险受益人双重参加医疗补助计划的全因死亡率是否发生变化，并研究了这些群体之间的差异。研究队列包括11，737，006名独特的双重登记的医疗保险受益人。从2004年到2017年，每千名农村受益人的全因死亡率从96.6下降到92.7（相对百分比变化：-4.0%）。在城市受益人中，死亡率下降更为明显（从每1 000名受益人86.9人下降到72.8人，相对百分比变化为-16.2%）。随着时间的推移，农村和城市受益人之间死亡率的差距越来越大。在研究期间，东北中部各州的农村死亡率最高，西北中部各州的死亡率略有上升。迫切需要公共卫生和政策努力，以改善生活在农村地区的低收入老年人的健康。
There is growing concern about the health of older US adults who live in rural areas, but little is known about how mortality has changed over time for low-income Medicare beneficiaries residing in rural areas compared with their urban counterparts. We evaluated whether all-cause mortality rates changed for rural and urban low-income Medicare beneficiaries dually enrolled in Medicaid, and we studied disparities between these groups. The study cohort included 11,737,006 unique dually enrolled Medicare beneficiaries. Between 2004 and 2017 all-cause mortality declined from 96.6 to 92.7 per 1,000 rural beneficiaries (relative percentage change: −4.0 percent). Among urban beneficiaries, declines in mortality were more pronounced (from 86.9 to 72.8 per 1,000 beneficiaries, a relative percentage change of −16.2 percent). The gap in mortality between rural and urban beneficiaries increased over time. Rural mortality rates were highest in East North central states and increased modestly in West North central states during the study period. Public health and policy efforts are urgently needed to improve the health of low-income older adults living in rural areas.
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在“中风地理和种族差异的原因”研究中，低收入参与者的感知压力与冠心病和全因死亡率相关，但高收入参与者则不然。
影响因子：
5.4
作者：
Redmond N;Richman J;Gamboa CM;Albert MA;Sims M;Durant RW;Glasser SP;Safford MM
通讯作者：
Safford MM
影响因子：
9.7
作者：
Probst, Janice;Eberth, Jan Marie;Crouch, Elizabeth
通讯作者：
Crouch, Elizabeth
影响因子：
12.7
作者：
Cosby, Arthur G.;McDoom-Echebiri, M. Maya;Hanna, Heather L.
通讯作者：
Hanna, Heather L.
影响因子：
9.7
作者：
Johnston, Kenton J.;Wen, Hefei;Maddox, Karen E. Joynt
通讯作者：
Maddox, Karen E. Joynt
DOI：
10.15585/mmwr.ss6601a1
发表时间：
2017-01-13
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Moy E;Garcia MC;Bastian B;Rossen LM;Ingram DD;Faul M;Massetti GM;Thomas CC;Hong Y;Yoon PW;Iademarco MF
通讯作者：
Iademarco MF