ArticleInternational journal of epidemiology2014
50-year trends in US socioeconomic inequalities in health: US-born Black and White Americans, 1959-2008.
Article in International journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 60 citations in OpenAlex.
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- Social determinants of health correlations and resource usefulness at a Milwaukee free clinic for uninsured individuals: A cross-sectional study.Journal of clinical and translational science · 2024Article
- The role of social deprivation and depression in dementia risk: findings from the longitudinal survey of health, ageing and retirement in Europe.Epidemiology and psychiatric sciences · 2023Article
- Black:White Health Inequalities, Genes Versus Environment-A New Chapter?Ethnicity & disease · 2023Article
- How to Better Integrate Social Determinants of Health into Primary Healthcare: Various Stakeholders' Perspectives.International journal of environmental research and public health · 2022Article
- Association of Neighborhood Conditions and Resources for Children With Life Expectancy at Birth in the US.JAMA network open · 2022Article
- Income-related health inequality among rural residents in western China.Frontiers in public health · 2022Article
- Socioeconomic Inequality in Respiratory Health in the US From 1959 to 2018.JAMA internal medicine · 2021Article
- A Critical Analysis of the Drivers of Human Migration Patterns in the Presence of Climate Change: A New Conceptual Model.International journal of environmental research and public health · 2020Review
- Quantifying and explaining variation in life expectancy at census tract, county, and state levels in the United States.Proceedings of the National Academy of Sciences of the United States of America · 2020Article
- Article
- Perspectives on Precision Health Among Racial/Ethnic Minority Communities and the Physicians That Serve Them.Ethnicity & disease · 2020Article
- Decomposition of the US black/white inequality in premature mortality, 2010-2015: an observational study.BMJ open · 2019Observational
- An Adaptive, Contextual, Technology-Aided Support (ACTS) System for Chronic Illness Self-Management.The Milbank quarterly · 2019Article
- Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation.Implementation science : IS · 2019Article
- Proportion of U.S. Trends in Breast Cancer Incidence Attributable to Long-term Changes in Risk Factor Distributions.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Article
- Adoption of Social Determinants of Health EHR Tools by Community Health Centers.Annals of family medicine · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDebates exist over whether health inequities are bound to rise as population health improves, due to health improving more quickly among the better off, with most analyses focused on mortality data.
methodsWe analysed 50 years of socioeconomic inequities in measured health status among US-born Black and White Americans, using data from the National Health Examination Surveys (NHES) I-III (1959-70), National Health and Nutrition Examination Surveys (NHANES) I-III (1971-94) and NHANES 1999-2008.
resultsAbsolute US socioeconomic health inequities for income percentile and education variously decreased (serum cholesterol; childhood height), stagnated [systolic blood pressure (SBP)], widened [body mass index (BMI), waist circumference (WC)] and in some cases reversed (age at menarche), even as on-average values rose (BMI, WC), idled (childhood height) and fell (SBP, serum cholesterol, age at menarche), with patterns often varying by race/ethnicity and socioeconomic measure; similar results occurred for relative inequities. For example, for WC, the adverse 20th (low) vs 80th (high) income percentile gap increased only among Whites (NHES I: 0.71 cm [95% confidence interval (CI) -0.74, 2.16); NHANES 2005-08: 2.10 (95% CI 0.96, 3.62)]. By contrast, age at menarche for girls in the 20th vs 80th income percentile among Black girls remained consistently lower, by 0.34 years (95% CI 0.12, 0.55) whereas among White girls the initial null difference became inverse [NHANES 2005-08: -0.49 years (95% CI -0.86, -0.12; overall P = 0.0015)]. Adjusting for socioeconomic position only modestly altered Black/White health inequities.
conclusionsHealth inequities need not rise as population health improves.
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Registered trials
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.