Socioeconomic factors, health behaviors, and mortality : Results from a nationally representative prospective study of US adults.
Context. - A prominent hypothesis regarding social inequalities in mortality is that the elevated risk among the socioeconomically disadvantaged is largely due to the higher prevalence of health risk behaviors among those with lower levels of education and income.
- To investigate the degree to which 4 behavioral risk factors (cigarette smoking, alcohol drinking, sedentary lifestyle, and relative body weight) explain the observed association between socioeconomic characteristics and all-cause mortality.
- Longitudinal survey study investigating the impact of education, income, and health behaviors on the risk of dying within the next 7.5 years.
- A nationally representative sample of 3617 adult women and men participating in the Americans'Changing Lives survey.
Main Outcome Measure
- All-cause mortality verified through the National Death Index and death certificate reviews.
- Educational differences in mortality were explained in full by the strong association between education and income.
Controlling for age, sex, race, urbanicity, and education, the hazard rate ratio of mortality was 3.22 (95% confidence interval [Cl], 2.01-5.16) for those in the lowest-income group and 2.34 (95% Cl, 1.49-3.67) for those in the middle-income group.
When health risk behaviors were considered, the risk of dying was still significantly elevated for the lowest-income group (hazard rate ratio, 2.77 ; 95% Cl, 1.74-4. (...)
Mots-clés Pascal : Santé et environnement, Prospective, Prévalence, Enquête socioéconomique, Education santé, Facteur risque, Mortalité, Evaluation, Etats Unis, Amérique du Nord, Amérique, Homme, Organisation santé
Mots-clés Pascal anglais : Health and environment, Prospective, Prevalence, Socioeconomical inquiry, Health education, Risk factor, Mortality, Evaluation, United States, North America, America, Human, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0290777
Code Inist : 002B30A03B. Création : 27/11/1998.