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Urban Neighborhood Context and Mortality in Late Life

Overview
Journal J Aging Health
Publisher Sage Publications
Specialty Geriatrics
Date 2010 Jan 9
PMID 20056813
Citations 10
Authors
Affiliations
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Abstract

Objective: To examine the contextual effects of urban neighborhood characteristics on mortality among older adults.

Method: Data are from the Study of Assets and Health Dynamics Among the Oldest Old (AHEAD). Death is assessed between the baseline assessment (1993) and the first follow-up interview (1995). Neighborhood data are from the 1990 Census.

Results: The log odds of dying between the two time points are higher in high proportion Hispanic neighborhoods, net of individual-level sociodemographic variables, but this effect is partly mediated by individual-level health. The log odds of dying are significantly (p < .05) lower in affluent neighborhoods, controlling for all individual-level variables and neighborhood proportion Hispanic.

Discussion: There are survival-related benefits of living in an affluent urban neighborhood, which we posit may be manifested through the diffusion of innovations in health care and health-promotion activities.

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