Evidence map›Paper›PMID 25563741›Full record

ArticleJournal of epidemiology and community health2015

Dynamics of health behaviours and socioeconomic differences in mortality in the USA.

Neil K Mehta, James S House, Michael R Elliott

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

16 citing papers in PubMed.

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  16. Obesity Among U.S.- and Foreign-Born Blacks by Region of Birth.American journal of preventive medicine · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Neil K MehtaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
James S HouseSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Michael R ElliottSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA Biostatistics Department, University of Michigan, Ann Arbor, Michigan, USA.

Funding

UNDERSTANDING SOCIAL DISPARITIES IN HEALTH AND AGINGR01AG018418 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURGARD, SARAH A. · 2000 to 2015
$6.3M
The Contribution of Obesity to International Differences in LongevityR01AG040212 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PRESTON, SAMUEL H · 2011 to 2015
$1.7M
AGED MUSCLE METABOLIC ADAPTATIONS TO RESISTANCE EXERCISEK01AG000551 · NIA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI HOPP, JANE F · 1992 to 1994
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NIA NIH HHS P01 AG0551NIA NIH HHS R01 AG018418NIA NIH HHS R01 AG040212NIMHD NIH HHS 1L60MD006408NIMHD NIH HHS L60 MD006408
6 · The paper itself

Abstract

backgroundTo measure the explanatory role of behavioural factors to educational and income disparities in mortality among US adults (ages 25+).

methodsData were from four waves of the American Changing Lives Study (N=3617). There were 1832 deaths between 1986 and 2011. Smoking, physical activity, alcohol and body mass index were examined.

resultsThose with 0-11 years of schooling had an 88% (95% CI 48% to 139%) increased risk of dying compared to those with 16+years of schooling. Behavioural factors explained 41% (95% CI 26% to 55%) and 50% (95% CI 30% to 70%) of this excess in models that treated behavioural factors as fixed (single point in time) and time varying (repeated), respectively. The lowest income group (bottom 20th centile) had a 209% (95% CI 172% to 256%) increased risk of dying relative to the highest income group (top 40th centile). Behavioural factors explained 24% (fixed, 95% CI 13% to 35%) and 39% (repeated, 95% CI 22% to 56%) of this difference. Analyses of deaths by causes indicated that behavioural factors were more consequential to disparities in cardiovascular mortality, explaining up to 83% of educational differences, compared to cancer and other death causes.

conclusionsBehavioural factors are one of a number of factors which explain socioeconomic mortality disparities, but their estimated explanatory role depends on a number of parameters including the socioeconomic status measure examined, the cause of death and age. In this nationally representative sample, findings based on repeated measures did not warrant a re-evaluation of earlier estimates.

Indexed as

Health BehaviorHealth Status DisparitiesSocial ClassAdultAgedAged, 80 and overAlcohol DrinkingBody Mass IndexCause of DeathDeath CertificatesEducational StatusFemaleHumansIncomeLongitudinal StudiesMaleEDUCATIONHEALTH BEHAVIOURMORTALITY

Identifiers

PMID25563741
PMCPMC4451600

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Registered trials

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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.