Ssm-Population Health最新文献

{"title":"Indicators of inequity: Exploring the complexities of operationalizing area-level structural racism","authors":"Joëlle Atere-Roberts , Paul L. Delamater , Whitney R. Robinson , Allison E. Aiello , Taylor W. Hargrove , Chantel L. Martin","doi":"10.1016/j.ssmph.2024.101701","DOIUrl":"10.1016/j.ssmph.2024.101701","url":null,"abstract":"","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101701"},"PeriodicalIF":3.6,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324001022/pdfft?md5=78bb574238067681d6e77453da3cf8a8&pid=1-s2.0-S2352827324001022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the long-term effects of income assistance for material hardship among families with children","authors":"Molly Grant ,&nbsp;Kane Meissel ,&nbsp;Dan Exeter ,&nbsp;Susan M.B. Morton","doi":"10.1016/j.ssmph.2024.101700","DOIUrl":"10.1016/j.ssmph.2024.101700","url":null,"abstract":"<div><h3>Background</h3><p>As a key aspect of poverty, material hardship describes day-to-day struggles in affording necessities. In explorations of policy initiatives that mitigate material hardship, evidence suggests direct income support can be effective in alleviating hardship. However, research investigating the long-term effects of income supports is limited, and it remains uncertain as to how benefit receipt may mitigate material hardship for families with children across time.</p></div><div><h3>Methods</h3><p>To explore the associations between income assistance and material hardship longitudinally, we utilised data from four waves of the <em>Growing Up in New Zealand</em> birth-cohort study (<em>n</em> = 5964), where family experiences were tracked between birth and adolescence. The variables of interest included mother-reported receipt of income benefits and material hardship from when the children were aged 9-months, 54-months, 8-years, and 12-years. Multilevel logistic regression analysis was employed to examine the associations between benefit receipt and material hardship in the short- and long-term. Interaction terms between benefit receipt and time were incorporated in the modelling to determine whether receiving benefits corresponded with significant changes in the likelihood of experiencing material hardship at specific time points.</p></div><div><h3>Results</h3><p>The key results suggest that benefit receipt in early childhood reduced the likelihood of experiencing material hardship at subsequent time points at least until adolescence, when controlling for key sociodemographic characteristics.</p></div><div><h3>Conclusion</h3><p>These findings provide insight into the associations between early childhood income supports and reductions in the likelihood of experiencing material hardship in the long-term, to emphasise the potential for such interventions to have longstanding effects. By elucidating the associations between benefit receipt and subsequent material hardship, this research gives direction for policy interventions and timely support for families.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101700"},"PeriodicalIF":3.6,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324001010/pdfft?md5=d37ec2a2c4eb0dd65861d138014d14c3&pid=1-s2.0-S2352827324001010-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aging in isolation: Sexual orientation differences in navigating cognitive decline","authors":"Nathaniel M. Tran ,&nbsp;Tara McKay ,&nbsp;Gilbert Gonzales ,&nbsp;Stacie B. Dusetzina ,&nbsp;Carrie Fry","doi":"10.1016/j.ssmph.2024.101699","DOIUrl":"10.1016/j.ssmph.2024.101699","url":null,"abstract":"<div><h3>Introduction</h3><p>Subjective cognitive decline is a self-reported measure of worsening memory and day-to-day decision making. Cognitive decline may impair an individual's ability to complete instrumental activities of daily living (IADL) such as preparing meals or taking medication, ultimately limiting one's ability to live independently. People with IADL impairments typically rely on informal care from spouses or children. Interpersonal and structural discrimination towards sexual minority (SM, including lesbian, gay, bisexual, and other queer identified) populations may contribute to disparities in cognitive decline and informal care outcomes.</p></div><div><h3>Objective</h3><p>Estimate differences in prevalence, severity, and receipt of social support for subjective cognitive decline stratified by sex and <span>SM</span> status.</p></div><div><h3>Methods</h3><p>Cross-sectional study design using a probability sample (n = 172,047) from the Behavioral Risk Factor Surveillance System 2015–2019. Prevalence estimates and multivariable Poisson regression models were used to compare outcomes by sex and sexual identity.</p></div><div><h3>Results</h3><p>Compared to heterosexual peers, SM men and women were more likely to experience cognitive decline (15% of SM men, 11% of heterosexual men, 17% of SM women, 11% of heterosexual women). In adjusted models, <span>SM</span> women were 22% more likely (95%CI:3%–44%, p &lt; .05) to report IADL impairments due to cognitive decline but were 17% less likely (95%CI:1%–31%, p &lt; .05) to receive any social support with IADL impairments compared to heterosexual women. In adjusted models, <span>SM</span> men were 25% more likely (95%CI: 0%–56%, p &lt; .05) to report IADL impairments due to cognitive decline but reported no significant difference in receiving social support with IADL impairments compared to heterosexual men.</p></div><div><h3>Discussion</h3><p>We identified significant unmet need for social supports for IADL impairments, with highest unmet need among <span>SM</span> women. Comprehensive strategies such as LGBTQ + affirming assisted living and home and community-based services are needed to ensure equity in receipt of long-term supports and services for <span>SM</span> populations.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101699"},"PeriodicalIF":3.6,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324001009/pdfft?md5=f244ebceda56989f0b6e972be2f29657&pid=1-s2.0-S2352827324001009-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The power of the family in times of pandemic: Cross-country evidence from 93 countries","authors":"Ming Gu","doi":"10.1016/j.ssmph.2024.101698","DOIUrl":"10.1016/j.ssmph.2024.101698","url":null,"abstract":"<div><p>The majority of the hospitalizations and deaths associated with COVID-19 occurred in people over the age of 65. In addition, previous studies have shown that intergenerational contacts played a key role in COVID-19-related infection and fatality. This paper utilized two large-scale multinational surveys to uncover the important role of family ties in infection prevention across 93 countries. Using the World Values Survey, we measured country-level family ties emphasizing respondents’ view of their parents. We elicited individual willingness to uptake infection prevention measures from a panel study conducted each month in the early phase of the COVID-19 pandemic between March 2020 and July 2021. We find that in countries with stronger family ties, people show more support for non-pharmaceutical interventions and higher vaccine acceptance; moreover, young people are more supportive of mandatory vaccination. The association between strength of family ties and compliance with infection prevention measures was salient before COVID-19 vaccines became available and was persistent before the global vaccination coverage reached 25%.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101698"},"PeriodicalIF":3.6,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000995/pdfft?md5=2fab93425be0d222630b515ff36f7750&pid=1-s2.0-S2352827324000995-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in mental health and smoking disparities between sexual minority and heterosexual adults in Canada, 2003–2020","authors":"Travis Salway ,&nbsp;Jorge Andrés Delgado-Ron ,&nbsp;Ashleigh J. Rich ,&nbsp;Christoffer Dharma ,&nbsp;Laura Baams ,&nbsp;Jessica Fish","doi":"10.1016/j.ssmph.2024.101697","DOIUrl":"10.1016/j.ssmph.2024.101697","url":null,"abstract":"<div><p>Sexual minority populations experience a higher burden of mental health and substance use/misuse conditions than heterosexual comparators—a health inequality that has predominantly been attributed to forms of minority stress experienced by the former group. Sexual minority-affirming legislative and policy advances, as well as improvements in social attitudes toward sexual minorities in recent decades, should presumably reduce experiences of minority stress, thereby attenuating these disparities. We conducted temporal trend analyses of annual prevalence of anxiety, depression, poor self-rated mental health, and cigarette smoking, stratified by sexual orientation and gender/sex subgroups using the Canadian Community Health Survey, 2003–2020. Descriptive analyses were used to display temporal trends; joinpoint regression was used to identify significant changes in prevalence data during 2003–2020; and prevalence ratios were estimated by year to detect any reduction in disparities. The prevalence of self-rated mental health and mood and anxiety disorders increased, whereas the prevalence of smoking decreased, between 2003 and 2020, among both sexual minority and heterosexual people in Canada. We observed a significant inflection point in 2009 in the self-rated mental health trend among bisexual women, where rates of poor mental health initially decreased from 2003 but then increased drastically from 2009 to 2020. Significant inflection points in current smoking trends were observed in 2012 among bisexual and heterosexual women and in 2013 among heterosexual men; in all three groups, both segments demonstrated decreasing trends, however, the slope of the trend became more pronounced in the latter period. Consistent with other North American studies, we found that relative differences between sexual minority and heterosexual groups for all four outcomes remained the same or increased during this 18-year period. Findings highlight the need to better understand mechanisms bolstering sexual orientation health disparities.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101697"},"PeriodicalIF":3.6,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000983/pdfft?md5=c516a350869da767d75398930d524ce4&pid=1-s2.0-S2352827324000983-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141570759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Familial transmission of mental health help-seeking: Does it “run in the family”?","authors":"Melissa J. DuPont-Reyes ,&nbsp;Alice P. Villatoro ,&nbsp;Jo C. Phelan ,&nbsp;Kris Painter ,&nbsp;Bruce G. Link","doi":"10.1016/j.ssmph.2024.101695","DOIUrl":"10.1016/j.ssmph.2024.101695","url":null,"abstract":"<div><p>Familial transmission of mental illnesses and health behaviors is well established. However, little research has examined familial transmission of mental health help-seeking behaviors despite social science theoretical traditions that support its occurrence including social learning theory and the network episode model. Among parent-adolescent dyads, extant literature supports consideration of adolescent-autonomy versus parent-gatekeeping according to whether or not parents recognize a mental health problem in their adolescent. Given this, we examined familial transmission of self-reported mental health help-seeking among parent-adolescent dyads over an 18-month period from a school-based study (N = 422; Texas, USA). Generalized estimating equations tested the effect of multiple forms of parent help-seeking on similar forms of adolescent help-seeking, controlling for personal/family characteristics. We also examined interaction by parent recognition of a mental health problem in their adolescent to discern unique intergenerational processes across these subgroups of parent-adolescent dyads. Owing to effect modification by parent problem recognition (p&lt;0.01), two unique familial transmission of help-seeking pathways emerged. When parent problem recognition was present, parent self help-seeking history reduced adolescent help-seeking net of controls. In contrast, when parent problem recognition was absent, parent self help-seeking history increased adolescent help-seeking net of controls. Our findings provide evidence of familial transmission of mental health help-seeking behaviors, but the direction of influence fundamentally depends on parent recognition of a mental health problem in their adolescent in order to reveal intergenerationally transmitted processes. The findings support our hypotheses that familial transmission of help-seeking starts early in adolescence and is likely influenced by parent modeling and gatekeeping, though explanations for the patterns observed, such as short- and long-term positive and negative mixed impacts of past help-seeking experiences of parents, require further study to ascertain.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101695"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400096X/pdfft?md5=f1562636dd893aed2a70819cd839c94c&pid=1-s2.0-S235282732400096X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective household poverty as a moderator for the association between employment precariousness and mental health across five european welfare state types","authors":"Ceciel Pauls ,&nbsp;Maria Fleischmann ,&nbsp;Michel Klein ,&nbsp;Stef Bouwhuis ,&nbsp;Judith E. Bosmans","doi":"10.1016/j.ssmph.2024.101696","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101696","url":null,"abstract":"<div><h3>Objectives</h3><p>To create better understanding of the mechanisms underlying the association between employment precariousness (EP) and mental health by considering household poverty as a moderator while stratifying for gender across welfare state types (WSTs): Scandinavian, South European, Central- and East European, Bismarckian and Anglo-Saxon.</p></div><div><h3>Methods</h3><p>Data from the sixth wave of the European Working Conditions Survey (N = 18,725) was used. The Employment Precariousness Scale was used to assess EP on a continuous scale. Mental health was measured using the WHO-5 Well-Being Index. A binary variable for subjective household poverty was created. We estimated gender-stratified, multi-level models with a random intercept at country-level for the association between EP and mental health, with an interaction term between EP and subjective household poverty, for each WST separately. Models were adjusted for age, education, having a partner and having children under age 18 in the household.</p></div><div><h3>Results</h3><p>In all WSTs, among men as well as women, we found a negative relation between EP and mental health. Among women, this relation was not moderated by household poverty. Among men in the Anglo-Saxon WST, the negative relation between EP and mental health was stronger among employees that reported household poverty compared to those who did not report household poverty.</p></div><div><h3>Conclusions</h3><p>Evidence of a moderating effect of household poverty on the association between EP and mental health was only found amongst men in the Anglo-Saxon WSTs and the combined full sample. Other factors that might affect the association between EP and mental health should be investigated.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101696"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000971/pdfft?md5=cf494f93af2ed98c7e7d00810ce3dbba&pid=1-s2.0-S2352827324000971-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns in health care use and intensity for diagnosed and undiagnosed cognitive impairment in the older australian community: Implications for primary care management","authors":"Anam Bilgrami ,&nbsp;Mona Aghdaee ,&nbsp;Yuanyuan Gu ,&nbsp;Henry Cutler ,&nbsp;Katya Numbers ,&nbsp;Nicole A. Kochan ,&nbsp;Perminder S. Sachdev ,&nbsp;Henry Brodaty","doi":"10.1016/j.ssmph.2024.101693","DOIUrl":"10.1016/j.ssmph.2024.101693","url":null,"abstract":"<div><h3>Objectives</h3><p>While the economic burden imposed by dementia is well-documented, findings are mixed on health care use for those with mild cognitive impairment (MCI). Our objective was to analyse annual, non-hospital medical and pharmaceutical use patterns for older people with undiagnosed MCI and diagnosed dementia, living in the Australian community.</p></div><div><h3>Methods</h3><p>We analysed panel data from a community sample, the Sydney Memory and Ageing Study (Australia), linked to administrative data on health care use, using two-part models to estimate the probability of using health care and the annual costs incurred by study participants.</p></div><div><h3>Results</h3><p>People with MCI, unaware of their diagnoses, were significantly less likely to incur annual pathology and diagnostic imaging costs relative to cognitively normal individuals. This effect was concentrated in individuals with MCI who had non-amnestic symptoms, lived alone, or had limited carer support. Compared to cognitively normal individuals, people with MCI were predicted to have slightly lower annual costs for broad medical care categories related to the management and diagnosis of cognitive impairment, and people with dementia, substantially higher professional attendances, and pharmaceutical costs. These findings were consistent across estimation models adjusting for attrition over the study.</p></div><div><h3>Policy implications</h3><p>Diagnosis and symptom management in primary care may enable individuals with MCI to improve their quality of life and prevent more costly future health care use. However, our study found potential gaps in medical service use for people with undiagnosed <span>MCI</span> in the community, especially when they had less support or did not have memory symptoms. Primary care services may need to better diagnose and target these individuals.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101693"},"PeriodicalIF":3.6,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000946/pdfft?md5=509f90dd0181b55eec336770524cfb8a&pid=1-s2.0-S2352827324000946-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141624063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational care and rural childhood obesity in the digital era: Based on screen exposure perspective","authors":"Xueying Wang,&nbsp;Yun Zhang","doi":"10.1016/j.ssmph.2024.101694","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101694","url":null,"abstract":"<div><h3>Background</h3><p>Rural Chinese children are experiencing increasing obesity rates, yet studies often neglect the impact of IT and screen media growth on obesity risks in the context of intergenerational care, leading to incomplete strategies for the digital era.</p></div><div><h3>Methods</h3><p>By comprehensively utilizing the data on rural children aged 6–17 from the China Family Panel Studies (CFPS) and the China Health and Nutrition Survey (CHNS), this study aims to test the logical chain and specific mechanisms regarding “intergenerational care - screen exposure - rural childhood obesity”. We employ the Propensity Score Matching (PSM) and Generalized Propensity Score Matching (GPSM) methods to respectively address the self-selection biases associated with inter-generational care and children's screen exposure behaviors.</p></div><div><h3>Results</h3><p>1) Intergenerational care significantly increases screen exposure among rural children. 2) Gender bias increases the risk of screen exposure for rural boys under intergenerational care. 3) Children with higher screen exposure levels are more affected by intergenerational care, which further undermines parental supervision. 4) Children's screen exposure leads to increased sedentary time and higher probability of purchasing unhealthy foods, thereby exacerbating obesity. This process is facilitated by enhancing preferences for snacks, fast food, and beverages, and weakening preferences for physical activity. 5) GPSM analysis indicates that children's screen exposure has an inverted “U\"-shaped impact on unhealthy dietary preferences and a “U\"-shaped impact on activity preferences. It results in a nonlinear positive impact of screen exposure on obesity. This study reveals a positive association between screen exposure and obesity, offering new insights into how intergenerational care in the digital era may elevate obesity prevalence through excessive screen time for rural children.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101694"},"PeriodicalIF":3.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000958/pdfft?md5=1aab681f81af6a8f5b9a76f8944f7246&pid=1-s2.0-S2352827324000958-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Racial mortality inversion”: Black-white disparities in mortality among people experiencing homelessness in the United States","authors":"Matthew Fowle ,&nbsp;Jamie Chang ,&nbsp;Katherine Saxton","doi":"10.1016/j.ssmph.2024.101688","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101688","url":null,"abstract":"<div><p>Disparities in mortality between Black and White people have long been observed. These disparities persist at all income levels. However, similar patterns in racial mortality disparities are not observed among people experiencing homelessness. Instead, studies in a handful of cities show a reversal in the Black-White mortality disparity in the United States: Black people experiencing homelessness are less likely to die compared to White people experiencing homelessness. We propose a theory of “racial mortality inversion” and test whether inverted Black-White mortality patterns are observable in homeless populations throughout the United States. Using a novel dataset of 18,618 homeless decedents in 20 localities across 10 states and the District of Columbia, we find consistent evidence for “racial mortality inversion” across time and place. Between 2015 and 2020, the aggregate White homeless mortality rate was 67.8%–138.4% higher than the rate for the Black homeless population. Inverted racial mortality rates were observed in all 20 localities and in nearly every year. Across the entire sample, higher average ages of death were also observed for Black people compared to White people experiencing homelessness in 5 of 6 years, though racial inversion in age was not consistent across localities. These findings offer novel insight into racial health disparities among people experiencing homelessness and may inform policies and programs that seek to prevent homelessness and homeless mortality across racial groups.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"27 ","pages":"Article 101688"},"PeriodicalIF":3.6,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000892/pdfft?md5=2e36be8e008ff40876b525c2bb5f1f98&pid=1-s2.0-S2352827324000892-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}