Rural Counties with Majority Black or Indigenous Populations Suffer the Highest Rates of Premature Death in the US

Details

• Personal Author:
  Hardeman RR ; Henning-Smith CE ; Hernandez AM ; Kozhimannil KB ; Ramirez MR
• Description:
  Despite well-documented health disparities by rurality and race/ethnicity, research investigating racial/ethnic health differences among US rural residents is limited. We used county-level data to measure and compare premature death rates in rural counties by each county's majority racial/ethnic group. Premature death rates were significantly higher in rural counties with a majority of non-Hispanic black or American Indian/Alaska Native (AI/AN) residents than in rural counties with a majority of non-Hispanic white residents. After we adjusted for community-level covariates, differences in premature death remained significant in counties with a majority of AI/AN residents but not those with a majority of non-Hispanic black residents. This study highlights the particular vulnerability of non-Hispanic black and AI/AN rural communities to high rates of premature mortality. Policies to improve rural health should focus on these racially diverse communities, addressing economic vitality and current and historical political context to mitigate health inequities and the harmful health effects of neglecting social determinants of health. [Description provided by NIOSH]
• Subjects:
  Demography Healthcare Disparities Minority Health Mortality Occupational Health Race Factors Safety
• Keywords:
  Demographic Characteristics Health Disparities Minority Health Mortality Rates Mortality Studies Racial Factors SDOH Social Determinants Of Health
• ISSN:
  0278-2715
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  38
• Issue:
  12
• NIOSHTIC Number:
  nn:20064485
• Citation:
  Health Aff 2019 Dec; 38(12):2019-2026
• Email:
  henn0329@umn.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Health Affairs
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:cbd45a4b7e97cb48f280fb04f01e77ddd7ac58e5ee910d34acc169a9fd5a4a837c5f9b2601be33ef2c14339420045f4b30eedd2b973bf592fb3c78a1750a1685
• Download URL:
  https://stacks.cdc.gov/view/cdc/222937/cdc_222937_DS1.pdf
• File Type:
  [PDF - 2.76 MB ]