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Health Aff (Millwood). 2011 Oct;30(10):1872-9. doi: 10.1377/hlthaff.2011.0668.

Higher risk of death in rural blacks and whites than urbanites is related to lower incomes, education, and health coverage.

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  • 1Department of Health Services Policy and Management in the Arnold School of Public Health, University of South Carolina, USA. JPROBST@mailbox.sc.edu

Abstract

Health outcomes among rural minority populations are seldom examined. Our research studied mortality among urban and rural white, black, and Hispanic adults ages 45-64, comparing outcomes for each group. We found the mortality risk to be higher among both rural white and rural minority populations compared to urban whites; rural blacks were at higher risk of death than urban blacks. When personal characteristics and circumstances of these populations-such as level of education, presence of health insurance, and income above or below the poverty line-were held statistically equal, disparities were reduced or eliminated. Our study suggests that policies directed toward reducing differences related to education, poverty, and health insurance would go a long way toward eliminating the disparities in health status between urban and rural populations.

PMID:
21976329
DOI:
10.1377/hlthaff.2011.0668
[PubMed - indexed for MEDLINE]
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