The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
The Effect of Known Risk Factors on the Excess Mortality of Black Adults in the United States
Abstract
We compared the mortality rate ratios, before and after adjustment for different risk factors, of black vs white adults in the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. For persons 35 to 54 years old, the rate ratio of mortality for blacks vs whites decreased from 2.3 (unadjusted) to 1.9 when adjusted simultaneously for six well-established risk factors (smoking, systolic blood pressure, cholesterol level, body-mass index, alcohol intake, and diabetes) and decreased from 1.9 to 1.4 when adjusted for the six risk factors plus family income. Thus, approximately 31% of the excess mortality can be accounted for by six well-established risk factors and a further 38% by family income. This leaves 31% unexplained. Broader social and health system changes and research targeted at the causes of the mortality gap, coupled with increased efforts aimed at modifiable risk factors, may all be needed for egalitarian goals in health to be realized.
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Cites
Harris, M. I., Hadden, W. C., Knowler, W. C., & Bennett, P. H. (1987) · Diabetes · doi:10.2337/diab.36.4.523 · Cited by 1,096
Leon, A. S. (1987) · JAMA · doi:10.1001/jama.258.17.2388 · Cited by 842
Pekkanen, J., Nissinen, A., Marti, B., Tuomilehto, J., Punsar, S., & Karvonen, M. (1987) · The Lancet · doi:10.1016/s0140-6736(87)92218-5 · Cited by 182
Cited by
Actual causes of death in the United States
McGinnis, J. M. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03510180077038 · Cited by 5,480
US Socioeconomic and Racial Differences in Health: Patterns and Explanations
Williams, D. R., & Collins, C. (1995) · Annual Review of Sociology · doi:10.1146/annurev.so.21.080195.002025 · Cited by 1,718
Pappas, G., Queen, S., Hadden, W., & Fisher, G. (1993) · New England Journal of Medicine · doi:10.1056/nejm199307083290207 · Cited by 1,524
Core indicators of nutritional state for difficult-to-sample populations
Anderson, S. A. (1990) · The Journal of Nutrition · doi:10.1093/jn/120.suppl_11.1555 · Cited by 1,220
Socioeconomic Inequalities in Health: No Easy Solution
Adler, N. E. (1993) · JAMA · doi:10.1001/jama.1993.03500240084031 · Cited by 1,070
Metadata
- Authors
- Otten, M. W.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1990-02-09
- Volume
- 263
- Issue
- 6
- Pages
- 845
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1963895441
- Cited by
- 331
- References
- 3
- FWCI
- 33.44
- Type
- journal article
- Language
- en
- Open access
- closed
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- Otten, M. W. (1990). The Effect of Known Risk Factors on the Excess Mortality of Black Adults in the United States. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1990.03440060091038
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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