Observational studyJournal of general internal medicine2017
The Association Between Neighborhood Environment and Mortality: Results from a National Study of Veterans.
Observational study in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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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.
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.
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Who cites it
33 citing papers in PubMed.
- Automated Reminders Enhance Mailed Fecal Immunochemical Test Completion Among Veterans: a Randomized Controlled Trial.Journal of general internal medicine · 2024Trial
- A Postcard Primer Prior to Mailed Fecal Immunochemical Test Among Veterans: a Randomized Controlled Trial.Journal of general internal medicine · 2023Trial
- Cardiac Rehabilitation Utilization Among Veterans: A Sex-Based Analysis.JACC. Advances · 2026Article
- Primary Care by Telehealth and Care Quality in the Veterans Health Administration.JAMA network open · 2026Article
- Population-Level Health Intervention and Primary Care Quality for Veterans.JAMA network open · 2025Article
- Extreme Heat, Social Factors, and Mortality Among California Veterans With Cardiometabolic Disease.JAMA network open · 2025Article
- High Users of Primary Care Secure Messaging in the Veterans Health Administration.Annals of family medicine · 2025Article
- Impact of Home Telehealth Expansion on High-Cost Utilization Among Veterans Health Administration Patients with Diabetes.Journal of general internal medicine · 2025Article
- National Telehealth Contingency Staffing Program and Primary Care Quality in the VHA.JAMA network open · 2025Article
- Inhaled Corticosteroids Attenuate the Association of Fine Particulate Matter and Acute Asthma Events.American journal of respiratory and critical care medicine · 2024Article
- Identifying Patterns of Primary Care In-Person and Telemedicine Use in the Veterans Health Administration: A Latent Class Analysis.Journal of general internal medicine · 2024Article
- Piloting a Clinical Decision Support Tool to Identify Patients With Social Needs and Provide Navigation Services and Referral to Community-Based Organizations: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Factors Associated With Use of the Preventive Health Inventory in US Veterans.JAMA network open · 2024Article
- Association of Neighborhood Disadvantage and Anticoagulation for Patients with Atrial Fibrillation in the Veterans Health Administration: the REACH-AF Study.Journal of general internal medicine · 2023Article
- Neighborhood Disadvantage, Patterns of Unhealthy Alcohol Use, and Differential Associations by Gender, Race/Ethnicity, and Rurality: A Study of Veterans Health Administration Patients.Journal of studies on alcohol and drugs · 2022Article
- Home Telehealth in the Veterans Health Administration: Trends and Correlates of Length of Enrollment from 2010 to 2017.Journal of general internal medicine · 2022Observational
- Association of Disability Compensation With Mortality and Hospitalizations Among Vietnam-Era Veterans With Diabetes.JAMA internal medicine · 2022Article
- Geospatial Social Determinants of Health Correlate with Disparities in Syphilis and Congenital Syphilis Cases in California.Pathogens (Basel, Switzerland) · 2022Article
- A vulnerable residential environment is associated with higher risk of mortality and early transition to permanent residential aged care for community dwelling older South Australians.Age and ageing · 2022Article
- Factors Associated With Low-Value Cancer Screenings in the Veterans Health Administration.JAMA network open · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the largest integrated US health system, the Veterans Health Administration (VHA) provides unique national data to expand knowledge about the association between neighborhood socioeconomic status (NSES) and health. Although living in areas of lower NSES has been associated with higher mortality, previous studies have been limited to higher-income, less diverse populations than those who receive VHA care.
objectiveTo describe the association between NSES and all-cause mortality in a national sample of veterans enrolled in VHA primary care.
designOne-year observational cohort of veterans who were alive on December 31, 2011. Data on individual veterans (vital status, and clinical and demographic characteristics) were abstracted from the VHA Corporate Data Warehouse. Census tract information was obtained from the US Census Bureau American Community Survey. Logistic regression was used to model the association between NSES deciles and all-cause mortality during 2012, adjusting for individual-level income and demographics, and accounting for spatial autocorrelation.
participantsVeterans who had vital status, demographic, and NSES data, and who were both assigned a primary care physician and alive on December 31, 2011 (n = 4,814,631). MAIN MEASURES: Census tracts were used as proxies for neighborhoods. A summary score based on census tract data characterized NSES. Veteran addresses were geocoded and linked to census tract NSES scores. Census tracts were divided into NSES deciles. KEY
resultsIn adjusted analysis, veterans living in the lowest-decile NSES tract were 10 % (OR 1.10, 95 % CI 1.07, 1.14) more likely to die than those living in the highest-decile NSES tract.
conclusionsLower neighborhood SES is associated with all-cause mortality among veterans after adjusting for individual-level socioeconomic characteristics. NSES should be considered in risk adjustment models for veteran mortality, and may need to be incorporated into strategies aimed at improving veteran health.
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