Evidence map›Paper›PMID 24228659›Full record

ArticleAmerican journal of public health2014

Trends in the educational gradient of mortality among US adults aged 45 to 84 years: bringing regional context into the explanation.

Jennifer Karas Montez, Lisa F Berkman

Abstract read
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Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Inequality in mortality between Black and White Americans by age, place, and cause and in comparison to Europe, 1990 to 2018.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  14. Rising Geographic Disparities in US Mortality.The journal of economic perspectives : a journal of the American Economic Association · 2021
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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jennifer Karas MontezAt the time of the study, Jennifer Karas Montez and Lisa F. Berkman were with the Harvard School of Public Health, Harvard University, Cambridge, MA.
Lisa F Berkman

Funding

Social protection, work and family strain: disadvantage effects in US and EuropeR01AG040248 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI BERKMAN, LISA F · 2011 to 2015
$1.5M
NIA NIH HHS 1 R01 AG040248-02NIA NIH HHS R01 AG040248
6 · The paper itself

Abstract

objectivesWe investigated trends in the educational gradient of US adult mortality, which has increased at the national level since the mid-1980s, within US regions.

methodsWe used data from the 1986-2006 National Health Interview Survey Linked Mortality File on non-Hispanic White and Black adults aged 45 to 84 years (n = 498,517). We examined trends in the gradient within 4 US regions by race-gender subgroup by using age-standardized death rates.

resultsTrends in the gradient exhibited a few subtle regional differences. Among women, the gradient was often narrowest in the Northeast. The region's distinction grew over time mainly because low-educated women in the Northeast did not experience a significant increase in mortality like their counterparts in other regions (particularly for White women). Among White men, the gradient narrowed to a small degree in the West.

conclusionsThe subtle regional differences indicate that geographic context can accentuate or suppress trends in the gradient. Studies of smaller areas may provide insights into the specific contextual characteristics (e.g., state tax policies) that have shaped the trends, and thus help explain and reverse the widening mortality disparities among US adults.

Indexed as

Educational StatusAgedAged, 80 and overBlack or African AmericanFemaleHealth SurveysHumansMaleMiddle AgedMortalityUnited StatesWhite People

Identifiers

PMID24228659
PMCPMC3865154

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.