In PLoS, so the whole article is freely available:

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.00155
38

Neighborhood Socioeconomic Deprivation and Mortality: NIH-AARP Diet and
Health Study

Abstract 

Purpose

Residing in deprived areas may increase risk of mortality beyond that
explained by a person's own SES-related factors and lifestyle. The aim
of this study was to examine the relation between neighborhood
socioeconomic deprivation and all-cause, cancer- and cardiovascular
disease (CVD)-specific mortality for men and women after accounting for
education and other important person-level risk factors.

Methods

In the longitudinal NIH-AARP Study, we analyzed data from healthy
participants, ages 50-71 years at study baseline (1995-1996). Deaths (n
= 33831) were identified through December 2005. Information on census
tracts was obtained from the 2000 US Census. Cox models estimated hazard
ratios (HRs) and 95% confidence intervals (CIs) for quintiles of
neighborhood deprivation.

Results

Participants in the highest quintile of deprivation had elevated risks
for overall mortality (HRmen = 1.17, 95% CI: 1.10, 1.24; HRwomen = 1.13,
95% CI: 1.05, 1.22) and marginally increased risk for cancer deaths
(HRmen = 1.09, 95% CI: 1.00, 1.20; HRwomen = 1.09, 95% CI: 0.99, 1.22).
CVD mortality associations appeared stronger in men (HR = 1.33, 95% CI:
1.19, 1.49) than women (HR = 1.18, 95% CI: 1.01, 1.38). There was no
evidence of an effect modification by education.

Conclusion

Higher neighborhood deprivation was associated with modest increases in
all-cause, cancer- and CVD-mortality after accounting for many
established risk factors.



Robyn Kalda
Health Promotion Information Specialist
Health Nexus 
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