Evidence map›Paper›PMID 30970576›Full record

ArticleInternational journal of environmental research and public health2019

No Man is an Island: The Impact of Neighborhood Disadvantage on Mortality.

Darrell J Gaskin, Eric T Roberts, Kitty S Chan, Rachael McCleary, Christine Buttorff, Benjo A Delarmente

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Perceived neighborhood disadvantage and poor chronic health in Israel.Israel journal of health policy research · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Racial and Ethnic Disparities in Stroke Reperfusion Therapy in the USA.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Geographical Variability in Mortality in Urban Areas: A Joint Analysis of 16 Causes of Death.International journal of environmental research and public health · 2021
    Article
  16. Racial Disparities in Post-Acute Home Health Care Referral and Utilization among Older Adults with Diabetes.International journal of environmental research and public health · 2021
    Article
  17. Article
  18. Article
  19. Intervention and Public Policy Pathways to Achieve Health Care Equity.International journal of environmental research and public health · 2019
    Article
  20. 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

6 authors.

Darrell J GaskinDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. dgaskin1@jhu.edu.
Eric T RobertsDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health; Pittsburgh, PA 15261, USA. eric.roberts@pitt.edu.
Kitty S ChanHopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. Kitty.S.Chan@medstar.net.ORCID 0000-0003-2903-9841
Rachael McClearyDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. rmcclear@jhu.edu.
Christine ButtorffRAND Corporation, Arlington, VA 22202, USA. buttorff@rand.org.
Benjo A DelarmenteDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. bdelarmente@jhu.edu.ORCID 0000-0003-2903-9841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study's purpose is to determine if neighborhood disadvantage, air quality, economic distress, and violent crime are associated with mortality among term life insurance policyholders, after adjusting for individual demographics, health, and socioeconomic characteristics. We used a sample of approximately 38,000 term life policyholders, from a large national life insurance company, who purchased a policy from 2002 to 2010. We linked this data to area-level data on neighborhood disadvantage, economic distress, violent crime, and air pollution. The hazard of dying for policyholders increased by 9.8% (CI: 6.0–13.7%) as neighborhood disadvantage increased by one standard deviation. Area-level poverty and mortgage delinquency were important predictors of mortality, even after controlling for individual personal income and occupational status. County level pollution and violent crime rates were positively, but not statistically significantly, associated with the hazard of dying. Our study provides evidence that neighborhood disadvantage and economic stress impact individual mortality independently from individual socioeconomic characteristics. Future studies should investigate pathways by which these area-level factors influence mortality. Public policies that reduce poverty rates and address economic distress can benefit everyone's health.

Indexed as

MortalityPoverty AreasSocioeconomic FactorsAdultAgedAged, 80 and overAir PollutionCrime VictimsFemaleHumansMaleMiddle AgedPovertyResidence CharacteristicsRisk FactorsUnited Stateshealthmortalityneighborhood disadvantagesocial determinantssocioeconomic status

Identifiers

PMID30970576
PMCPMC6479700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.