Evidence map›Paper›PMID 36344645›Full record

ArticleJournal of general internal medicine2023

Association of US County-Level Eviction Rates and All-Cause Mortality.

Shreya Rao, Utibe R Essien, Tiffany M Powell-Wiley, Bhumika Maddineni, Sandeep R Das, Ethan A Halm, Ambarish Pandey, Andrew Sumarsono

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

8 authors.

Shreya RaoDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Utibe R EssienDivision of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Tiffany M Powell-WileySocial Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Bhumika MaddineniDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Sandeep R DasDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Ethan A HalmDepartment of Medicine, Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Ambarish PandeyDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Andrew SumarsonoDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA. Andrew.Sumarsono@Utsouthwestern.edu.ORCID 0000-0002-5326-083X

Funding

Pilot Study for Geospatial Analysis of Neighborhood Environmental Stress in Relation to Biological Markers of Cardiovascular Health and Health Behaviors in WomenZIAHL006252 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI POWELL-WILEY, TIFFANY · 2020 to 2025
$5.7M
6 · The paper itself

Abstract

backgroundHousing instability is a key social determinant of health and has been linked to adverse short- and long-term health. Eviction reflects a severe form of housing instability and disproportionately affects minority and women residents in the USA; however, its relationship with mortality has not previously been described.

objectiveTo evaluate the independent association of county-level eviction rates with all-cause mortality in the USA after adjustment for county demographic, socioeconomic, and health-related characteristics.

designCross-sectional.

participantsSix hundred eighty-six US counties with available 2016 county-level eviction and mortality data. EXPOSURE: 2016 US county-level eviction rate. OUTCOME: 2016 US county-level age-adjusted all-cause mortality. KEY

resultsAmong 686 counties (66.1 million residents, 50.5% [49.7-51.2] women, 2% [0.5-11.1] Black race) with available eviction and mortality data in 2016, we observed a significant and graded relationship between county-level eviction rate and all-cause mortality. Counties in the highest eviction tertile demonstrated a greater proportion of residents of Black race and women and a higher prevalence of poverty and comorbid health conditions. After adjustment for county-level sociodemographic traits and prevalent comorbid health conditions, age-adjusted all-cause mortality was highest among counties in the highest eviction tertile (Tertile 3 vs 1 (per 100,000 people) 33.57: 95% CI: 10.5-56.6 p=.004). Consistent results were observed in continuous analysis of eviction, with all-cause mortality increasing by 9.32 deaths per 100,000 people (4.77, 13.89, p<.0001) for every 1% increase in eviction rates. Significant interaction in the relationship between eviction and all-cause mortality was observed by the proportion of Black and women residents.

conclusionsIn this cross-sectional analysis, county-level eviction rates were significantly associated with all-cause mortality with the strongest effects observed among counties with the highest proportion of Black and women residents. State and federal protections from evictions may help to reduce the health consequences of housing instability and address disparities in health outcomes.

Indexed as

HousingPovertyCross-Sectional StudiesFemaleHumansMortalityUnited States

Identifiers

PMID36344645
PMCPMC9640832

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