Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Smock cited in story on how low marriage rates may exacerbate marriage-status economic inequality

Shapiro says Americans' seemingly volatile spending pattern linked to 'sensible cash management'

Work of Cigolle, Ofstedal et al. cited in Forbes story on frailty risk among the elderly

Highlights

Sarah Burgard and former PSC trainee Jennifer Ailshire win ASA award for paper

James Jackson to be appointed to NSF's National Science Board

ISR's program in Society, Population, and Environment (SPE) focuses on social change and social issues worldwide.

McEniry and Schoeni host Conference on Long-run Impacts of Early Life Events

Next Brown Bag


PSC Brown Bags will return in the fall

Arline T. Geronimus photo

Urban-Rural Differences in Excess Mortality among High-Poverty Populations: Evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health

Publication Abstract

Geronimus, Arline T., Cynthia Colen, Tara P. Shochet, Lori Barer Ingber, and Sherman James. 2006. "Urban-Rural Differences in Excess Mortality among High-Poverty Populations: Evidence from the Harlem Household Survey and the Pitt County, North Carolina Study of African American Health." Journal of Health Care for the Poor and Underserved, 17(3): 532-558.

Black youth residing in high-poverty areas have dramatically lower probabilities of surviving to age 65 if they are urban than if they are rural. Chronic disease deaths contribute heavily. We begin to probe the reasons using the Harlem Household Survey (HHS) and the Pitt County, North Carolina Study of African American Health (PCS). We compare HHS and PCS respondents on chronic disease rates, health behaviors, social support, employment, indicators of health care access, and health insurance. Chronic disease profiles do not favor Pitt County. Smoking uptake is similar across samples, but PCS respondents are more likely to quit. Indicators of access to health care and private health insurance are more favorable in Pitt County. Findings suggest rural mortality is averted through secondary or tertiary prevention, not primary. Macroeconomic and health system changes of the past 20 years may have left poor urban Blacks as medically underserved as poor rural Blacks.

Browse | Search : All Pubs | Next