Search Results
Author: Pienta, Amy M.
Resulting in 2 citations.
| 1. |
Hayward, Mark D. McLaughlin, Diane K. Pienta, Amy M. |
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Does Money Always Buy Health? The SES Gradient Across Geographic Context Presented: New Orleans, LA, Population Association of America, May 1996 Cohort(s): Older Men Publisher: Population Association of America Keyword(s): Education; Geographical Variation; Health/Health Status/SF-12 Scale; Income; Modeling, Hazard/Event History/Survival/Duration; Mortality; Rural/Urban Differences; Socioeconomic Status (SES); Wealth Permission to reprint the abstract has not been received from the publisher. This analysis assesses geographic differences in older men's mortality. Two issues are considered. First, to what extent do SES differences across urban and rural contexts account for the geographic gap in morality'? Second is the SES gradient equally pervasive across geographic contexts'? In examining these issues, measures of SES are created to evaluate both proximal and distal effects as well as the multifaceted effects arising from education, income, and wealth. Lifestyle mechanisms are also considered. Employing the National Longitudinal Survey of Older Men, hazard models are estimated of both overall and cause-specific mortality. Our findings document a persistent contextual gap in mortality with rural men having lower mortality. The gap is exacerbated, not diminished, when SES characteristics are controlled. The SES gradient across rural/urban contexts is highly sensitive to whether proximal or distal measures of SES are modeled. |
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Bibliography Citation
Hayward, Mark D., Diane K. McLaughlin and Amy M. Pienta. "Does Money Always Buy Health? The SES Gradient Across Geographic Context." Presented: New Orleans, LA, Population Association of America, May 1996. |
| 2. |
Hayward, Mark D. Pienta, Amy M. McLaughlin, Diane K. |
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Inequality in Men's Mortality: The Socioeconomic Status Gradient and Geographic Context Journal of Health and Social Behavior 38,4 (December 1997): 313-330. Also: http://www.jstor.org/stable/2955428 Cohort(s): Older Men Publisher: American Sociological Association Keyword(s): Age and Ageing; Epidemiology; Health Care; Life Cycle Research; Modeling, Hazard/Event History/Survival/Duration; Mortality; Rural Areas; Rural/Urban Differences; Socioeconomic Status (SES) Permission to reprint the abstract has not been received from the publisher. Lower mortality for older rural Americans, compared to urban residents, runs counter to rural-urban disparities in health care services and residents' socioeconomic resources. This paradox calls into question the ways in which community conditions influence mortality and contextualized the relationship between individuals' socioeconomic status and health. Drawing on 24 years of data from the National Longitudinal Survey of Older Men, we observe that rural older men's life expectancy advantages occur even after controlling for residential differences in social class and lifestyle factors. Our results also show that rural advantages in mortality coincide with a more equitable distribution of life chances across the social classes. The association between social class and mortality is strongest among urban men, arising from socioeconomic conditions throughout the life cycle. |
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Bibliography Citation
Hayward, Mark D., Amy M. Pienta and Diane K. McLaughlin. "Inequality in Men's Mortality: The Socioeconomic Status Gradient and Geographic Context." Journal of Health and Social Behavior 38,4 (December 1997): 313-330.
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