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Journal article
Economic Insecurity and Deaths of Despair in US Counties
American journal of epidemiology, v 188(12), pp 2131-2139
01 Dec 2019
PMID: 31172197
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Recent research has implicated economic insecurity in increasing midlife death rates and "deaths of despair," including suicide, chronic liver disease, and drug and alcohol poisoning. In this ecological longitudinal study, we evaluated the association between changes in economic insecurity and increases in deaths of despair and midlife all-cause mortality in US counties during 2000-2015. We extended a previously developed measure of economic insecurity using indicators from the Census and Federal Reserve Bank in US counties for the years 2000 and 2010. Linear regression models were used to estimate the association of change in economic insecurity with change in death rates through 2015. Counties experiencing elevated economic insecurity in either 2000 or 2010 had higher rates of deaths of despair and all-cause midlife mortality at baseline but similar rates of increase in deaths of despair from 2001 to 2015 compared with counties with stable low economic insecurity. Counties in the highest tertile of economic insecurity in 2000 and 2010 had 41% (95% confidence interval: 1.36, 1.47) higher midlife mortality rates at baseline and a rate of increase of 2% more per 5-year period (95% confidence interval: 1.00, 1.03) than counties with stable low economic insecurity. Economic insecurity may represent a population-level driver of US death trends.
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Details
- Title
- Economic Insecurity and Deaths of Despair in US Counties
- Creators
- Emily A. Knapp - Johns Hopkins UniversityUsama Bilal - Drexel UniversityLorraine T. Dean - Johns Hopkins UniversityMariana Lazo - Johns Hopkins MedicineDavid D. Celentano - Johns Hopkins University
- Publication Details
- American journal of epidemiology, v 188(12), pp 2131-2139
- Publisher
- Oxford Univ Press
- Number of pages
- 9
- Grant note
- T32DK062707 / Clinical Research and Epidemiology in Diabetes and Endocrinology training grant DP5OD26429 / Office of the Director of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Deloitte from the Ministry of Public Health, State of Qatar P30AI094189 / Johns Hopkins University Center for AIDS Research DP5OD026429 / OFFICE OF THE DIRECTOR, NATIONAL INSTITUTES OF HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA R01DA012568 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission Johns Hopkins Center for a Livable Future-Lerner Fellowship K01CA184288 / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) P30CA006973 / Sidney Kimmel Cancer Center R25MH083620 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) P30AI094189; 5U10AA025286; 1U01DA036297; R01DA012568; R01DA0430898; 1U24OD023382; R012DA041034; 1U01DA040325 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA T32DK062707 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) P30CA006973 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) P30AI094189 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000518547500010
- Scopus ID
- 2-s2.0-85078492274
- Other Identifier
- 991019167668404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health