Disparities in Social Vulnerability and Premature Mortality among Decedents with Hepatitis B, United States, 2010-2019.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-04-01 Epub Date: 2024-03-12 DOI:10.1007/s40615-024-01968-4

Kathleen N Ly, Shaoman Yin, Philip R Spradling

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引用次数: 0

Abstract

Background: Current US hepatitis B mortality rates remain three times higher than the national target. Mortality reduction will depend on addressing hepatitis B disparities influenced by social determinants of health.

Objectives: This study aims to describe characteristics of hepatitis B-listed decedents, which included US birthplace status and county social vulnerability attributes and quantify premature mortality.

Methods: We conducted a cross-sectional analysis of 17,483 hepatitis B-listed decedents using the 2010-2019 US Multiple-Cause-of-Death data merged with the county-level Social Vulnerability Index (SVI). Outcomes included the distribution of decedents according to US birthplace status and residence in higher versus lower death burden counties by sociodemographic characteristics, years of potential life lost (YPLL), and SVI quartiles.

Results: Most hepatitis B-listed decedents were US-born, male, and born during 1945-1965. Median YPLL was 17.2; 90.0% died prematurely. US-born decedents were more frequently White, non-college graduates, unmarried, and had resided in a county with < 500,000 people; non-US-born decedents were more frequently Asian/Pacific Islander, college graduates, married, and had resided in a county with ≥ 1 million people. Higher death burden (≥ 20) counties were principally located in coastal states. US-born decedents more frequently resided in counties in the highest SVI quartile for "Household Characteristics" and "Uninsured," whereas non-US-born decedents more frequently resided in counties in the highest SVI quartile for "Racial/Ethnic Minority Status" and "Housing Type/Transportation."

Conclusion: This analysis found substantial premature hepatitis B mortality and residence in counties ranked high in social vulnerability. Successful interventions should be tailored to disproportionately affected populations and the social vulnerability features of their geographic areas.

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2010-2019 年美国乙型肝炎死者的社会脆弱性和过早死亡率差异。

背景：目前美国的乙型肝炎死亡率仍比国家目标高出三倍。降低死亡率将取决于消除受健康社会决定因素影响的乙型肝炎差异：本研究旨在描述列入乙型肝炎名单的死者的特征，包括美国出生地状况和县的社会脆弱性属性，并量化过早死亡率：我们使用 2010-2019 年美国多因死亡数据与县级社会脆弱性指数 (SVI) 合并，对 17,483 名乙肝病死者进行了横断面分析。结果包括：根据社会人口特征、潜在生命损失年数（YPLL）和 SVI 四分位数，按美国出生地身份和居住在死亡负担较高与较低的县分列的死者分布情况：大多数乙型肝炎病死者在美国出生，男性，生于 1945-1965 年。潜在寿命损失（YPLL）中位数为 17.2；90.0% 过早死亡。在美国出生的死者多为白人、非大学毕业生、未婚、居住在有结论的县：这项分析发现，乙型肝炎患者过早死亡与居住在社会弱势程度高的县有关。成功的干预措施应针对受影响人群过多及其所在地区的社会脆弱性特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.