Population Well-Being Measures Help Explain Geographic Disparities In Life Expectancy At The County Level
Population Well-Being Measures Help Explain Geographic Disparities In Life Expectancy At The County Level
复制标题
DOI：
10.1377/hlthaff.2016.0715
复制
发表时间：
2016-11-01
期刊：
影响因子：
9.7
通讯作者：
Krumholz, Harlan M.
中科院分区：
文献类型：
--
作者：
Arora, Anita;Spatz, Erica;Krumholz, Harlan M.
预期寿命的地域差异很大，不能完全用种族和社会经济地位的差异来解释。为了制定解决这些不平等问题的政策，必须查明造成这种差异的其他因素。在这项研究中，我们调查了人口幸福感--一种综合衡量身体、精神和社会健康的指标--是否有助于解释预期寿命的地理差异。在县一级，我们发现，幸福指数每增加1个标准差（4.2分），女性的预期寿命就增加1.9年，男性增加2.6年。即使在种族、贫困和教育因素被控制之后，预期寿命和幸福感仍然呈正相关。此外，幸福感在一定程度上调节了种族、贫困和教育与预期寿命之间的联系。这些研究结果突出表明，福祉是衡量人口健康和寿命的一个重要指标，也是一个有希望的干预重点。
Geographic disparities in life expectancy are substantial and not fully explained by differences in race and socioeconomic status. To develop policies that address these inequalities, it is essential to identify other factors that account for this variation. In this study we investigated whether population well-being-a comprehensive measure of physical, mental, and social health-helps explain geographic variation in life expectancy. At the county level, we found that for every 1-standard-deviation (4.2-point) increase in the well-being score, life expectancy was 1.9 years higher for females and 2.6 years higher for males. Life expectancy and well-being remained positively associated, even after race, poverty, and education were controlled for. In addition, well-being partially mediated the established associations of race, poverty, and education with life expectancy. These findings highlight well-being as an important metric of a population's health and longevity and as a promising focus for intervention.