The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Higher US Rural Mortality Rates Linked To Socioeconomic Status, Physician Shortages, And Lack Of Health Insurance
Abstract
All-cause mortality rates in rural areas have exceeded those in urban areas of the US since the 1980s, and the gap continues to widen. Yet no definitive causes of this difference are known, and within-state differences that might be amenable to state-level policy have not been explored. An analysis of 2016 state-level data indicated that rural mortality exceeded urban mortality in all but three states, with substantial variability in both rates across states. Overall, higher rural mortality at the state level can be mainly explained by three factors: socioeconomic deprivation, physician shortages, and lack of health insurance. To a certain degree, these factors reflect a state's health policies, such as expansion of eligibility for Medicaid, health infrastructure, and socioeconomic conditions. Our findings suggest that state and federal policy efforts to address rural-urban disparities in these areas could alleviate the higher rates of all-cause mortality faced by rural US residents.
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Cites
Social conditions as fundamental causes of disease.
Link, B. G., & Phelan, J. (1995) · Journal of Health and Social Behavior · doi:10.2307/2626958 · Cited by 5,722
Cunningham, T. J., Croft, J. B., Liu, Y., Lu, H., Eke, P. I., & Giles, W. H. (2017) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6617e1 · Cited by 394
Trends and Patterns of Geographic Variation in Cardiovascular Mortality Among US Counties, 1980-2014
Roth, G. A., Dwyer-Lindgren, L., Bertozzi-Villa, A., Stubbs, R. W., Morozoff, C., Naghavi, M., Mokdad, A. H., & Murray, C. J. L. (2017) · JAMA · doi:10.1001/jama.2017.4150 · Cited by 270
Cited by
Closing the Rural Cancer Care Gap: Three Institutional Approaches
Levit, L. A., Byatt, L., Lyss, A. P., Paskett, E. D., Levit, K., Kirkwood, K., Schenkel, C., & Schilsky, R. L. (2020) · JCO Oncology Practice · doi:10.1200/op.20.00174 · Cited by 331
(2019) · PubMed · Cited by 99
Brennan, M. B., Powell, W. R., Kaiksow, F., Kramer, J., Liu, Y., Kind, A. J. H., & Bartels, C. M. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.8399 · Cited by 87
nature of the rural-urban mortality gap
Thomas, K. L., Dobis, E. A., McGranahan, D. A., & United States. Department of Agriculture. Economic Research Service (2024) · doi:10.32747/2024/8321813.ers · Cited by 7
Lock, L. J., Channa, R., Brennan, M. B., Cao, Y., & Liu, Y. (2022) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2022-003174 · Cited by 4
Metadata
- Authors
- Gong, G., Phillips, S. G., Hudson, C., Curti, D., & Philips, B. U.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2019-12-01
- Volume
- 38
- Issue
- 12
- Pages
- 2003-2010
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2993016318
- Cited by
- 220
- References
- 3
- FWCI
- 17.89
- Type
- journal article
- Language
- en
- Open access
- closed
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- Gong, G., Phillips, S. G., Hudson, C., Curti, D., & Philips, B. U. (2019). Higher US Rural Mortality Rates Linked To Socioeconomic Status, Physician Shortages, And Lack Of Health Insurance. Health Affairs. https://doi.org/10.1377/hlthaff.2019.00722
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