Neighborhood Concentrated Disadvantage and Adult Mortality: Insights for Racial and Ethnic Differences

While racial and ethnic differences in mortality are pervasive and well documented, less is known about how mortality risk varies by neighborhood socioeconomic status across racial and ethnic identity. We conducted a prospective analysis on a sample of adults living at or below 300% poverty with 8 y...

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Bibliographic Details
Published in:Population research and policy review 2018-04, Vol.37 (2), p.301-321
Main Authors: Denney, Justin T., Onge, Jarron M. Saint, Dennis, Jeff A.
Format: Article
Language:English
Subjects:
Adults
Black people
Black white differences
Cultural differences
Death
Death & dying
Demography
Disadvantaged
Ethnic differences
Ethnic groups
Ethnic identity
Ethnicity
Health care policy
Health education
Health promotion
Health risks
Hispanic Americans
Hispanic people
Latin American cultural groups
Low income groups
Minority & ethnic groups
Mortality
Mortality risk
Neighborhoods
Population Economics
Poverty
Race
Racial differences
Racial identity
Racial/Ethnic
Regression analysis
Risk
Social Sciences
Socioeconomic factors
Socioeconomic status
Socioeconomics
Sociology
Statistical analysis
White people
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Summary:While racial and ethnic differences in mortality are pervasive and well documented, less is known about how mortality risk varies by neighborhood socioeconomic status across racial and ethnic identity. We conducted a prospective analysis on a sample of adults living at or below 300% poverty with 8 years of the National Health Interview Survey (N = 159,400) linked to 11,600 deaths to examine the association between neighborhood disadvantage and mortality for nonHispanic whites, non-Hispanic blacks, and U.S.- and foreign-born Hispanics. Using multilevel logistic regression, we find that the probability of death from any cause for lower-income adults is higher in more-disadvantaged neighborhoods, compared to less-disadvantaged neighborhoods, but only for whites. The adjusted likelihood of death for blacks and foreign-born Hispanics is not associated with neighborhood disadvantage, and the likelihood of death for U.S.-born Hispanics is lower in moredisadvantaged neighborhoods. While future research and policy should focus on improving health-promoting resources in all communities, care should be given to better understanding why race/ethnic groups have differential mortality returns with respect to area-specific socioeconomic conditions.
ISSN:0167-5923
1573-7829
DOI:10.1007/s11113-018-9461-9