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Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region

INTRODUCTION: The objective of this observational study was to examine the key contributors to health outcomes and to better understand the health disparities between Delta and non-Delta counties in 8 states in the Mississippi River Delta Region. We hypothesized that a unique set of contributors to...

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Autores principales: Gennuso, Keith P., Jovaag, Amanda, Catlin, Bridget B., Rodock, Matthew, Park, Hyojun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778371/
https://www.ncbi.nlm.nih.gov/pubmed/26940300
http://dx.doi.org/10.5888/pcd13.150440
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author Gennuso, Keith P.
Jovaag, Amanda
Catlin, Bridget B.
Rodock, Matthew
Park, Hyojun
author_facet Gennuso, Keith P.
Jovaag, Amanda
Catlin, Bridget B.
Rodock, Matthew
Park, Hyojun
author_sort Gennuso, Keith P.
collection PubMed
description INTRODUCTION: The objective of this observational study was to examine the key contributors to health outcomes and to better understand the health disparities between Delta and non-Delta counties in 8 states in the Mississippi River Delta Region. We hypothesized that a unique set of contributors to health outcomes in the Delta counties could explain the disparities between Delta and non-Delta counties. METHODS: Data were from the 2014 County Health Rankings for counties in 8 states (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee). We used the Delta Regional Authority definition to identify the 252 Delta counties and 468 non-Delta counties or county equivalents. Information on health factors (eg, health behaviors, clinical care) and outcomes (eg, mortality) were derived from 38 measures from the 2014 County Health Rankings. The contributions of health factors to health outcomes in Delta and non-Delta counties were examined using path analysis. RESULTS: We found similarities between Delta counties and non-Delta counties in the health factors (eg, tobacco use, diet and exercise) that significantly predicted the health outcomes of self-rated health and low birthweight. The most variation was seen in predictors of mortality; however, Delta counties shared 2 of the 3 significant predictors (ie, community safety and income) of mortality with non-Delta counties. On average across all measures, values in the Delta were 16% worse than in the non-Delta and 22% worse than in the rest of the United States. CONCLUSION: The health status of Delta counties is poorer than that of non-Delta counties because the health factors that contribute to health outcomes in the entire region are worse in the Delta counties, not because of a unique set of health predictors.
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spelling pubmed-47783712016-03-07 Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region Gennuso, Keith P. Jovaag, Amanda Catlin, Bridget B. Rodock, Matthew Park, Hyojun Prev Chronic Dis Original Research INTRODUCTION: The objective of this observational study was to examine the key contributors to health outcomes and to better understand the health disparities between Delta and non-Delta counties in 8 states in the Mississippi River Delta Region. We hypothesized that a unique set of contributors to health outcomes in the Delta counties could explain the disparities between Delta and non-Delta counties. METHODS: Data were from the 2014 County Health Rankings for counties in 8 states (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee). We used the Delta Regional Authority definition to identify the 252 Delta counties and 468 non-Delta counties or county equivalents. Information on health factors (eg, health behaviors, clinical care) and outcomes (eg, mortality) were derived from 38 measures from the 2014 County Health Rankings. The contributions of health factors to health outcomes in Delta and non-Delta counties were examined using path analysis. RESULTS: We found similarities between Delta counties and non-Delta counties in the health factors (eg, tobacco use, diet and exercise) that significantly predicted the health outcomes of self-rated health and low birthweight. The most variation was seen in predictors of mortality; however, Delta counties shared 2 of the 3 significant predictors (ie, community safety and income) of mortality with non-Delta counties. On average across all measures, values in the Delta were 16% worse than in the non-Delta and 22% worse than in the rest of the United States. CONCLUSION: The health status of Delta counties is poorer than that of non-Delta counties because the health factors that contribute to health outcomes in the entire region are worse in the Delta counties, not because of a unique set of health predictors. Centers for Disease Control and Prevention 2016-03-03 /pmc/articles/PMC4778371/ /pubmed/26940300 http://dx.doi.org/10.5888/pcd13.150440 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Gennuso, Keith P.
Jovaag, Amanda
Catlin, Bridget B.
Rodock, Matthew
Park, Hyojun
Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region
title Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region
title_full Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region
title_fullStr Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region
title_full_unstemmed Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region
title_short Assessment of Factors Contributing to Health Outcomes in the Eight States of the Mississippi Delta Region
title_sort assessment of factors contributing to health outcomes in the eight states of the mississippi delta region
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778371/
https://www.ncbi.nlm.nih.gov/pubmed/26940300
http://dx.doi.org/10.5888/pcd13.150440
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