Evidence map›Paper›PMID 36288322›Full record

ArticlePloS one2022

U.S. state policy contexts and mortality of working-age adults.

Jennifer Karas Montez, Nader Mehri, Shannon M Monnat, Jason Beckfield, Derek Chapman, Jacob M Grumbach, Mark D Hayward, Steven H Woolf, Anna Zajacova

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
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

28 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  6. Impact of oil and gas boom and busts on working-age mortality in the U.S.Environmental epidemiology (Philadelphia, Pa.) · 2025
    Article
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  11. 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
  12. Article
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  14. 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
  15. Political polarization and health.Nature medicine · 2024
    Review
  16. Article
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  19. Article
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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 at 5 institutions in 1 country.

Jennifer Karas MontezDepartment of Sociology, Syracuse University, Syracuse, NY, United States of America.ORCID 0000-0001-9472-615X
Nader MehriAging Studies Institute, Syracuse University, Syracuse, NY, United States of America.
Shannon M MonnatDepartment of Sociology, Syracuse University, Syracuse, NY, United States of America.
Jason BeckfieldDepartment of Sociology, Harvard University, Cambridge, MA, United States of America.
Derek ChapmanDivision of Epidemiology, Virginia Commonwealth University, Richmond, VA, United States of America.
Jacob M GrumbachDepartment of Political Science, University of Washington, Seattle, WA, United States of America.
Mark D HaywardDepartment of Sociology, University of Texas at Austin, Austin, TX, United States of America.ORCID 0000-0002-4702-1461
Steven H WoolfDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States of America.
Anna ZajacovaDepartment of Sociology, University of Western Ontario, Ontario, CA, United States of America.
Syracuse University · USVirginia Commonwealth University · USHarvard University Press · USThe University of Texas at Austin · USUniversity of Washington · US

Funding

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
Interdisciplinary Network on Rural Population Health and AgingR24AG065159 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JENSEN, LEIF · 2019 to 2023
$1.9M
Educational Attainment, Geography, and U.S. Adult Mortality RiskR01AG055481 · NIA · SYRACUSE UNIVERSITY · PI MONTEZ, JENNIFER KARAS · 2017 to 2021
$1.7M
NIA NIH HHS R01 AG055481NIA NIH HHS R24 AG045061NIA NIH HHS R24 AG065159
6 · The paper itself

Abstract

The rise in working-age mortality rates in the United States in recent decades largely reflects stalled declines in cardiovascular disease (CVD) mortality alongside rising mortality from alcohol-induced causes, suicide, and drug poisoning; and it has been especially severe in some U.S. states. Building on recent work, this study examined whether U.S. state policy contexts may be a central explanation. We modeled the associations between working-age mortality rates and state policies during 1999 to 2019. We used annual data from the 1999-2019 National Vital Statistics System to calculate state-level age-adjusted mortality rates for deaths from all causes and from CVD, alcohol-induced causes, suicide, and drug poisoning among adults ages 25-64 years. We merged that data with annual state-level data on eight policy domains, such as labor and taxes, where each domain was scored on a 0-1 conservative-to-liberal continuum. Results show that the policy domains were associated with working-age mortality. More conservative marijuana policies and more liberal policies on the environment, gun safety, labor, economic taxes, and tobacco taxes in a state were associated with lower mortality in that state. Especially strong associations were observed between certain domains and specific causes of death: between the gun safety domain and suicide mortality among men, between the labor domain and alcohol-induced mortality, and between both the economic tax and tobacco tax domains and CVD mortality. Simulations indicate that changing all policy domains in all states to a fully liberal orientation might have saved 171,030 lives in 2019, while changing them to a fully conservative orientation might have cost 217,635 lives.

Indexed as

Cardiovascular DiseasesTobacco ProductsAdultHumansMaleMiddle AgedPolicyTaxesUnited States

Identifiers

PMID36288322
PMCPMC9604945
OpenAlexW4307348203

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.