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Am J Public Health. 2005 Apr;95(4):674-80.

Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990.

Author information

1
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 406, Baltimore, MD 21205, USA. lshi@jhsph.edu

Abstract

OBJECTIVES:

We tested the association between the availability of primary care and income inequality on several categories of mortality in US counties.

METHODS:

We used cross-sectional analysis of data from counties (n=3081) in 1990, including analysis of variance and multivariate ordinary least squares regression. Independent variables included primary care resources, income inequality, and sociodemographics.

RESULTS:

Counties with higher availability of primary care resources experienced between 2% and 3% lower mortality than counties with less primary care. Counties with high income inequality experienced between 11% and 13% higher mortality than counties with less inequality.

CONCLUSIONS:

Primary care resources may partially moderate the effects of income inequality on health outcomes at the county level.

PMID:
15798129
PMCID:
PMC1449240
DOI:
10.2105/AJPH.2003.031716
[Indexed for MEDLINE]
Free PMC Article

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