We have located links that may give you full text access.
Increased Mortality and Health Risk Behaviors of Midlife White North Carolinians: A Marked Contrast to Nonwhites.
North Carolina Medical Journal 2017 November
BACKGROUND Death rates for white, middle-aged Americans are increasing after decades of steady decline. In this paper, mortality and health behavior trends are examined for midlife North Carolinians. METHODS Mortality rates were calculated for midlife whites from 2000 to 2013 for the state as a whole and in counties grouped by level of economic distress. Trend lines were used to estimate future death rates, and comparisons were made to rates for nonwhites. Current and past health risk behaviors were also analyzed. RESULTS The all-cause mortality rate for midlife whites in North Carolina was higher than the 2000 base in 11 of 13 years; white midlife mortality increased by 5.9%. In contrast, nonwhite mortality decreased by 30.6%. By 2020, midlife mortality for whites is predicted to increase by 9.1%; for nonwhites, there is a predicted decrease of 47.2%. Midlife white mortality increased most in economically distressed counties. Major contributors were suicide and liver disease. Risk factors that increased were drinking, obesity, and lack of health insurance. LIMITATIONS Mortality and risk factor data could not be analayzed by ethnicity. Deaths due to drug and alcohol poisoning were not included. CONCLUSIONS The statewide mortality rate for midlife whites in North Carolina is increasing and is in marked contrast to the decreasing rate for nonwhites. The racial disparity in this metric is likely to be eliminated by 2020, perhaps even reversed. Midlife white mortality increased most dramatically in the state's poorest counties. Policymakers should consider links between economic issues and health behaviors involved in midlife mortality and why they may affect whites and nonwhites differently.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app