ArticleAmerican journal of preventive medicine2023
Urban-Rural Disparities in Deaths of Despair: A County-Level Analysis 2004-2016 in the U.S.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed.
- Economic Cynicism, COVID-19 and Deaths of Despair in Rural Ohio Counties.Sociology of health & illness · 2026Article
- Longer residence in disadvantaged neighborhoods predicts both a syndrome of despair and deaths of despair: Complementary evidence from nationwide register and birth-cohort studies.Clinical psychological science : a journal of the Association for Psychological Science · 2026Article
- Causes of Excess Deaths in the US Compared With Other High-Income Countries.JAMA network open · 2026Article
- Forecasting alcohol lapse risk up to two weeks in advance using time-lagged machine learning models.PloS one · 2026Article
- Community-based Suicide Interventions in Rural United States: A Scoping Review.Community mental health journal · 2025Article
- Spatially Continuous Maps of Disease Risk: An Analysis of Mortality Disparities in the United States.AJPM focus · 2025Article
- Rural reticence to inform physicians of cannabis use.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- 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 · 2025Article
- Article
- The loss of rural vital places: A case study using the social determinants of health framework.Wellbeing, space and society · 2024Article
- Trends and structural factors affecting health equity in the United States at the local level, 1990-2019.SSM - population health · 2024Article
- Geographically specific associations between county-level socioeconomic and household distress and mortality from drug poisoning, suicide, alcohol, and homicide among working-age adults in the United States.SSM - population health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Introduction: The purpose of this study is to examine nationwide disparities in drug, alcohol, and suicide mortality; evaluate the association between county-level characteristics and these mortality rates; and illustrate spatial patterns of mortality risk to identify areas with elevated risk. Methods: The authors applied a Bayesian spatial regression technique to investigate the association between U.S. county-level characteristics and drug, alcohol, and suicide mortality rates for 2004-2016, accounting for spatial correlation that occurs among counties. Results: Mortality risks from drug, alcohol, and suicide were positively associated with the degree of rurality, the proportion of vacant housing units, the population with a disability, the unemployed population, the population with low access to grocery stores, and the population with no health insurance. Conversely, risks were negatively associated with Hispanic population, non-Hispanic Black population, and population with a bachelor's degree or higher. Conclusions: Spatial disparities in drug, alcohol, and suicide mortality exist at the county level across the U.S. social determinants of health; educational attainment, degree of rurality, ethnicity, disability, unemployment, and health insurance status are important factors associated with these mortality rates. A comprehensive strategy that includes downstream interventions providing equitable access to healthcare services and upstream efforts in addressing socioeconomic conditions is warranted to effectively reduce these mortality burdens.
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