Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland
<b>Background</b>: Geographic disparities in mortality have been analyzed by place in myriad ways. Although the people who live in a place continuously change, the health characteristics of those places tend to stay the same; they are persistent. Our work analyzes persistence of mortalit...
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| Format: | Article |
| Language: | English |
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Max Planck Institute for Demographic Research
2018-10-01
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| Series: | Demographic Research |
| Subjects: | |
| Online Access: | https://www.demographic-research.org/volumes/vol39/33/ |
| _version_ | 1818520082163171328 |
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| author | Wesley James Jeralynn Cossman Julia Wolf |
| author_facet | Wesley James Jeralynn Cossman Julia Wolf |
| author_sort | Wesley James |
| collection | DOAJ |
| description | <b>Background</b>: Geographic disparities in mortality have been analyzed by place in myriad ways. Although the people who live in a place continuously change, the health characteristics of those places tend to stay the same; they are persistent. Our work analyzes persistence of mortality across various geographic designations and uncovers the wide-ranging disparities in death across the United States. <b>Methods</b>: Using 48 years of county-level mortality data, we analyze trends over time and disparities across places using rural-urban distinctions and census-based region and division classifications. Trends in death rates, excess deaths, and rates of mortality improvement are provided. <b>Results</b>: Findings support the hypothesis that persistently high mortality places are disproportionately concentrated in the rural South, particularly the East South Central division of Kentucky, Tennessee, Mississippi, and Alabama. The disparity between this division and urban America is wide and getting wider, and the disparity between this area of the South and the Midwest is alarming. <b>Contribution</b>: Our research moves forward the literature on place-based mortality disparities in two important areas by testing the notion of persistence of poor health in place, and by identifying geographic disparities based on classifications not previously tested. |
| first_indexed | 2024-12-11T01:32:37Z |
| format | Article |
| id | doaj.art-8a1684f382ba4efd85195126faf4ba8e |
| institution | Directory Open Access Journal |
| issn | 1435-9871 |
| language | English |
| last_indexed | 2024-12-11T01:32:37Z |
| publishDate | 2018-10-01 |
| publisher | Max Planck Institute for Demographic Research |
| record_format | Article |
| series | Demographic Research |
| spelling | doaj.art-8a1684f382ba4efd85195126faf4ba8e2022-12-22T01:25:19ZengMax Planck Institute for Demographic ResearchDemographic Research1435-98712018-10-01393310.4054/DemRes.2018.39.333979Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and DixielandWesley James0Jeralynn Cossman1Julia Wolf2University of MemphisWest Virginia UniversityWest Virginia University<b>Background</b>: Geographic disparities in mortality have been analyzed by place in myriad ways. Although the people who live in a place continuously change, the health characteristics of those places tend to stay the same; they are persistent. Our work analyzes persistence of mortality across various geographic designations and uncovers the wide-ranging disparities in death across the United States. <b>Methods</b>: Using 48 years of county-level mortality data, we analyze trends over time and disparities across places using rural-urban distinctions and census-based region and division classifications. Trends in death rates, excess deaths, and rates of mortality improvement are provided. <b>Results</b>: Findings support the hypothesis that persistently high mortality places are disproportionately concentrated in the rural South, particularly the East South Central division of Kentucky, Tennessee, Mississippi, and Alabama. The disparity between this division and urban America is wide and getting wider, and the disparity between this area of the South and the Midwest is alarming. <b>Contribution</b>: Our research moves forward the literature on place-based mortality disparities in two important areas by testing the notion of persistence of poor health in place, and by identifying geographic disparities based on classifications not previously tested.https://www.demographic-research.org/volumes/vol39/33/mortalitypersistencerural areasUnited States |
| spellingShingle | Wesley James Jeralynn Cossman Julia Wolf Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland Demographic Research mortality persistence rural areas United States |
| title | Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland |
| title_full | Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland |
| title_fullStr | Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland |
| title_full_unstemmed | Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland |
| title_short | Persistence of death in the United States: The remarkably different mortality patterns between America's Heartland and Dixieland |
| title_sort | persistence of death in the united states the remarkably different mortality patterns between america s heartland and dixieland |
| topic | mortality persistence rural areas United States |
| url | https://www.demographic-research.org/volumes/vol39/33/ |
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