Socioeconomic status, race, and mortality: a prospective cohort study

We evaluated the independent and joint effects of race, individual socioeconomic status (SES), and neighborhood SES on mortality risk. We conducted a prospective analysis involving 52 965 non-Hispanic Black and 23 592 non-Hispanic White adults taking part in the Southern Community Cohort Study. Cox...

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Published in:American journal of public health (1971) 2014-12, Vol.104 (12), p.e98-e107
Main Authors: Signorello, Lisa B, Cohen, Sarah S, Williams, David R, Munro, Heather M, Hargreaves, Margaret K, Blot, William J
Format: Article
Language:English
Subjects:
Adult
African Americans
African Americans/Blacks
Aged
Black or African American - statistics & numerical data
Censuses
Cohort analysis
Community colleges
Demography
Enrollments
Epidemiology
Ethnicity
Family income
Female
Health facilities
Health insurance
Health services
Hispanic people
Households
Humans
Insurance coverage
Low income groups
Male
Middle Aged
Mortality
Mortality - trends
Neighborhoods
Online Research and Practice
Other Race/Ethnicity
Population
Principal components analysis
Prospective Studies
Public health
Race
Risk Factors
Social Class
Social security
Socioeconomic Factors
Studies
United States - epidemiology
Variables
White people
White People - statistics & numerical data
Women
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cited_by cdi_FETCH-LOGICAL-c490t-fbe23fc90f995cdfb3e8491f95305ffd7c87994c3549a249327f0c4e479a5a43
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container_end_page e107
container_issue 12
container_start_page e98
container_title American journal of public health (1971)
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creator Signorello, Lisa B
Cohen, Sarah S
Williams, David R
Munro, Heather M
Hargreaves, Margaret K
Blot, William J
description We evaluated the independent and joint effects of race, individual socioeconomic status (SES), and neighborhood SES on mortality risk. We conducted a prospective analysis involving 52 965 non-Hispanic Black and 23 592 non-Hispanic White adults taking part in the Southern Community Cohort Study. Cox proportional hazards modeling was used to determine associations of race and SES with all-cause and cause-specific mortality. In our cohort, wherein Blacks and Whites had similar individual SES, Blacks were less likely than Whites to die during the follow-up period (hazard ratio [HR] = 0.78; 95% confidence interval [CI] = 0.73, 0.84). Low household income was a strong predictor of all-cause mortality among both Blacks and Whites (HR = 1.76; 95% CI = 1.45, 2.12). Being in the lowest (vs highest) category with respect to both individual and neighborhood SES was associated with a nearly 3-fold increase in all-cause mortality risk (HR = 2.76; 95% CI = 1.99, 3.84). There was no significant mortality-related interaction between individual SES and neighborhood SES among either Blacks or Whites. SES is a strong predictor of premature mortality, and the independent associations of individual SES and neighborhood SES with mortality risk are similar for Blacks and Whites.
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SES is a strong predictor of premature mortality, and the independent associations of individual SES and neighborhood SES with mortality risk are similar for Blacks and Whites.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>25322291</pmid><doi>10.2105/AJPH.2014.302156</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
African Americans
African Americans/Blacks
Aged
Black or African American - statistics & numerical data
Censuses
Cohort analysis
Community colleges
Demography
Enrollments
Epidemiology
Ethnicity
Family income
Female
Health facilities
Health insurance
Health services
Hispanic people
Households
Humans
Insurance coverage
Low income groups
Male
Middle Aged
Mortality
Mortality - trends
Neighborhoods
Online Research and Practice
Other Race/Ethnicity
Population
Principal components analysis
Prospective Studies
Public health
Race
Risk Factors
Social Class
Social security
Socioeconomic Factors
Studies
United States - epidemiology
Variables
White people
White People - statistics & numerical data
Women
title Socioeconomic status, race, and mortality: a prospective cohort study
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