Evidence map›Paper›PMID 27834249›Full record

ArticleHealth affairs (Project Hope)2016

Population Well-Being Measures Help Explain Geographic Disparities In Life Expectancy At The County Level.

Anita Arora, Erica Spatz, Jeph Herrin, Carley Riley, Brita Roy, Kenneth Kell, Carter Coberley, Elizabeth Rula, Harlan M Krumholz

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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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

9 authors.

Anita AroraAnita Arora (Anita.Arora@yale.edu) is a Robert Wood Johnson Foundation Clinical Scholar at Yale School of Medicine, in New Haven, Connecticut.
Erica SpatzErica Spatz is an assistant professor in the Department of Cardiovascular Medicine, Yale School of Medicine.
Jeph HerrinJeph Herrin is an assistant professor in the Department of Cardiovascular Medicine, Yale School of Medicine.
Carley RileyCarley Riley is an assistant professor at Cincinnati Children's Hospital Medical Center, in Ohio.
Brita RoyBrita Roy is an assistant professor of medicine, Yale School of Medicine.
Kenneth KellKenneth Kell is senior health outcomes researcher at Healthways, in Franklin, Tennessee.
Carter CoberleyCarter Coberley was vice president of health research and outcomes at Healthways when this work was conducted and now works as an independent consultant.
Elizabeth RulaElizabeth Rula is executive director and principal investigator at Healthways, in Franklin, Tennessee.
Harlan M KrumholzHarlan M. Krumholz is the Harold H. Hines, Jr. Professor of Medicine at Yale School of Medicine and director of the Yale Center for Outcomes Research and Evaluation (CORE).

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Yale-CORE Career Development Program in Patient-Centered Outcomes ResearchK12HS023000 · AHRQ · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2014 to 2018
$3.4M
AHRQ HHS K12 HS023000NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Geographic disparities in life expectancy are substantial and not fully explained by differences in race and socioeconomic status. To develop policies that address these inequalities, it is essential to identify other factors that account for this variation. In this study we investigated whether population well-being-a comprehensive measure of physical, mental, and social health-helps explain geographic variation in life expectancy. At the county level, we found that for every 1-standard-deviation (4.2-point) increase in the well-being score, life expectancy was 1.9 years higher for females and 2.6 years higher for males. Life expectancy and well-being remained positively associated, even after race, poverty, and education were controlled for. In addition, well-being partially mediated the established associations of race, poverty, and education with life expectancy. These findings highlight well-being as an important metric of a population's health and longevity and as a promising focus for intervention.

Indexed as

Health Status DisparitiesFemaleGeographyHumansLife ExpectancyLocal GovernmentMalePopulation HealthPovertySocial Classlife expectancypopulation healthwell-being

Identifiers

PMID27834249
PMCPMC5150263

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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.