Evidence map›Paper›PMID 36912599›Full record

ArticleDemography2023

Understanding Geographic Disparities in Mortality.

Jason M Fletcher, Michal Engelman, Norman J Johnson, Jahn Hakes, Alberto Palloni

Abstract read
In one paragraph

Article in Demography, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Unraveling disparities in county-level dementia diagnosis prevalence across the United States.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. Spatial Trends in Mortality Convergence: The Cases of France, Italy, and Spain, 1975-2019.European journal of population = Revue europeenne de demographie · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Confronting health disparities: Lessons from the USA.Aging medicine (Milton (N.S.W)) · 2024
    Article
  12. Review
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

5 authors.

Jason M FletcherLa Follette School of Public Affairs, Department of Population Health Sciences, and Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0001-8843-0563
Michal EngelmanDepartment of Sociology and Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.
Norman J JohnsonU.S. Census Bureau, Washington, DC, USA.
Jahn HakesU.S. Census Bureau, Washington, DC, USA.
Alberto PalloniCenter for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.

Funding

Statistical Data Enclave CoreP30AG017266 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Michal Engelman · 1999 to 2026
$17.0M
The Importance of Place in Determining Health and Mortality at Older AgesR01AG060109 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI FLETCHER, JASON MICHAEL, PALLONI, ALBERTO B. · 2018 to 2022
$2.2M
NIA NIH HHS P30 AG017266NIA NIH HHS R01 AG060109
6 · The paper itself

Abstract

A rich literature shows that early-life conditions shape later-life outcomes, including health and migration events. However, analyses of geographic disparities in mortality outcomes focus almost exclusively on contemporaneously measured geographic place (e.g., state of residence at death), thereby potentially conflating the role of early-life conditions, migration patterns, and effects of destinations. We employ the newly available Mortality Disparities in American Communities data set, which links respondents in the 2008 American Community Survey to official death records, and estimate consequential differences based on the method of aggregation we use: the unweighted mean absolute deviation of the difference in life expectancy at age 50 measured by state of birth versus state of residence is 0.58 years for men and 0.40 years for women. These differences are also spatially clustered, and we show that regional inequality in life expectancy is higher based on life expectancies by state of birth, implying that interstate migration mitigates baseline geographic inequality in mortality outcomes. Finally, we assess how state-specific features of in-migration, out-migration, and nonmigration together shape measures of mortality disparities by state (of residence), further demonstrating the difficulty of clearly interpreting these widely used measures.

Indexed as

Life ExpectancyMortalityFemaleHumansMaleMiddle AgedNeighborhood CharacteristicsSocial Determinants of HealthSocioeconomic Disparities in HealthGeographic disparitiesMigrationMortalityPlace of birth

Identifiers

PMID36912599
PMCPMC10229145

What OpenQuestion holds

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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.