Evidence map›Paper›PMID 34528482›Full record

ReviewJournal of health and social behavior2021

Trends in U.S. Population Health: The Central Role of Policies, Politics, and Profits.

Jennifer Karas Montez, Mark D Hayward, Anna Zajacova

Abstract readReview
In one paragraph

Review in Journal of health and social behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

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  12. Evolution of the US nonmetropolitan mortality disadvantage by sex, state, and year, 1999-2019.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  13. The urban-rural gap in older Americans' healthy life expectancy.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  14. Article
  15. A Lack of Food for Thought: Midlife Food Insecurity and Its Association With Subsequent Cognitive Ability of Older Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  16. Article
  17. Article
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  19. Native American "deaths of despair" and economic conditions.Research in social stratification and mobility · 2024
    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

3 authors.

Jennifer Karas MontezSyracuse University, Syracuse, NY, USA.ORCID 0000-0001-9472-615X
Mark D HaywardUniversity of Texas at Austin, Austin, TX, USA.
Anna ZajacovaUniversity of Western Ontario, London, ON, USA.ORCID 0000-0002-3880-6187

Funding

Population Research CenterR24HD042849 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI HAYWARD, MARK D. · 2002 to 2016
$8.4M
Program Development and Pilot CoreP30AG066614 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI DEBRA J. UMBERSON · 2020 to 2026
$5.2M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
Network on Life Course Health Dynamics and Disparities in 21st Century America RenewalR24AG045061 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, Sarah A. Burgard · 2014 to 2026
$5.2M
Center for Aging and Policy Studies (CAPS) Core D: External Research Resources Support and Dissemination CoreP30AG066583 · NIA · SYRACUSE UNIVERSITY · PI WILMOTH, JANET M · 2020 to 2024
$2.1M
Educational Attainment, Geography, and U.S. Adult Mortality RiskR01AG055481 · NIA · SYRACUSE UNIVERSITY · PI MONTEZ, JENNIFER KARAS · 2017 to 2021
$1.7M
NIA NIH HHS P30 AG066583NIA NIH HHS P30 AG066614NIA NIH HHS R01 AG055481NIA NIH HHS R24 AG045061NICHD NIH HHS P2C HD042849NICHD NIH HHS R24 HD042849
6 · The paper itself

Abstract

Recent trends in U.S. health have been mixed, with improvements among some groups and geographic areas alongside declines among others. Medical sociologists have contributed to the understanding of those disparate trends, although important questions remain. In this article, we review trends since the 1980s in key indicators of U.S. health and weigh evidence from the last decade on their causes. To better understand contemporary trends in health, we propose that commonly used conceptual frameworks, such as social determinants of health, should be strengthened by prominently incorporating commercial, political-economic, and legal determinants. We illustrate how these structural determinants can provide new insights into health trends, using disparate health trajectories across U.S. states as an example. We conclude with suggestions for future research: focusing on structural causes of health trends and inequalities, expanding interdisciplinary perspectives, and integrating methods better equipped to handle the complexity of causal processes driving health trends and inequalities.

Indexed as

PoliticsPopulation HealthHealth PolicyHumansSocioeconomic Factorscommercialinequalitieslegalpoliticaltrends

Identifiers

PMID34528482
PMCPMC8454055

What OpenQuestion holds

Textmetadata
LicenceTDM
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.