ArticleAmerican journal of epidemiology2025
Socioeconomic disparities in healthcare access and implications for all-cause mortality among US adults: a 2000-2019 record linkage study.
Article in American journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Healthcare utilization and chronic condition clusters in multimorbidity patients using weighted k-means: a register-based study in Denmark.Health information science and systems · 2026Article
- Trends and racial-geographic disparities in mortality among US older adults with peripheral artery disease, 1999 to 2020.Proceedings (Baylor University. Medical Center) · 2026Article
- Everyday and healthcare discrimination and polysubstance use among U.S. adults.Drug and alcohol dependence reports · 2026Article
- Identifying clinical and lifestyle factor mediators of the association between socioeconomic status and colorectal cancer mortality.SSM - population health · 2026Article
- Breast cancer mortality by age and race and/or ethnicity across counties in the United States, 2000-2019.Journal of the National Cancer Institute · 2026Article
- The persistent challenge of meningitis in the vaccine era: a three-decade longitudinal analysis of residual burden in the United States.Infection · 2026Article
- Sex-Specific Association Between Socioeconomic Status and Stroke Mortality.Journal of the American Heart Association · 2026Article
- Article
- The relationship between economic status, poverty, and health among Arabs in Israel.Israel journal of health policy research · 2026Article
- Fatal inflammation: understanding meningitis mortality in the United States (1999-2020).BMC neurology · 2026Observational
- Health insurance, healthcare access, and their roles in the association between blood lead levels and epigenetic aging in United States adults.GeroScience · 2026Article
- On the estimation of years of life lost in squamous cell carcinoma of the penis: limitations and future directions.World journal of urology · 2026Article
- Affordable care act and 4-year all-cause mortality among U.S. working-age adults with or without cancer: 2000-2015.American journal of translational research · 2026Article
- Divergent risk profiles for cause-specific mortality in MASLD and MetALD: a nationwide population-based study.Frontiers in medicine · 2026Article
- Future landscapes of women's hormone-sensitive cancers: unraveling global trends, age stratification, and regional inequities (1990-2035).Frontiers in endocrinology · 2026Article
- Explaining the Insights Obtained from the BRANDO Database.Arquivos de neuro-psiquiatria · 2025Article
- Trends in medically attended injuries among Czech adolescents between 2002 and 2022.Central European journal of public health · 2025Article
- Rising Deaths due to Malnutrition and Growing Disparities in the U.S.: A 24-Year Trend Analysis From 1999 and 2023.Food science & nutrition · 2025Article
- Perceptions of Rehabilitation Access After SARS-CoV-2 Infection in Romanian Patients with Chronic Diseases: A Mixed-Methods Exploratory Study.Healthcare (Basel, Switzerland) · 2025Article
- Disparities in Digital Health Care Use in 2022.JAMA network open · 2025Article
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5 authors.
Funding
Abstract
The United States (US) has witnessed a notable increase in socioeconomic disparities in all-cause mortality since 2000. While this period is marked by significant macroeconomic and health policy changes, the specific drivers of these mortality trends remain poorly understood. In this study, we assessed healthcare access variables and their association with socioeconomic status (SES)-related differences (exposure) in US all-cause mortality (outcome) since 2000. Our research drew upon cross-sectional data from the National Health Interview Survey (NHIS, 2000-2018), linked to death records from the National Death Index (NDI, 2000-2019; n = 486 257). The findings reveal that the odds of a lack of health insurance and unaffordability of needed medical care were over 2-fold higher among individuals with lower education compared to those with high education, following differential time trends. Moreover, elevated mortality risk was associated with lower education (up to 77%), uninsurance (17%), unaffordability (43%), and delayed care (12%). Uninsurance and unaffordability accounted for 4%-6% of the disparities in time to mortality between low- and high-education groups. These findings were corroborated by income-based sensitivity analyses, emphasizing that inadequate healthcare access partially contributed to socioeconomic disparities in mortality. Effective policies promoting equitable healthcare access are imperative to mitigate socioeconomic disparities in mortality.
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