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Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: II. Black men.
Am J Public Health 1996; 86(4):497-504AJ

Abstract

OBJECTIVES

This study examined socioeconomic differentials in risk of death from a number of causes in a large cohort of Black men in the United States.

METHODS

For 20 224 Black men screened for the Multiple Risk Factor Intervention Trial between 1973 and 1975, data were collected on median family income of Black households in zip code of residence, age, cigarette smoking, blood pressure, serum cholesterol, previous heart attack, and drug treatment for diabetes. The 2937 deaths that occurred over the 16-year follow-up period were grouped into specific causes and related to median Black family income.

RESULTS

There was an inverse association between age-adjusted all-cause mortality and median family income. There was no attenuation of this association over the follow-up period, and the association was similar for the 22 clinical centers carrying out the screening. The gradient was seen for most of the specific causes of death, although the strength of the association varied. Median income was markedly lower for the Black men screened than for the White men, but the relationship between income and all-cause mortality was similar.

CONCLUSIONS

Socioeconomic position is an important determinant of mortality risk for Black men. Even though Blacks lived in areas with substantially lower median family income than Whites, the association of income with mortality was similar for Blacks and Whites.

Authors+Show Affiliations

Department of Social Medicine, University of Bristol, Bristol, England.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8604779

Citation

Smith, G D., et al. "Socioeconomic Differentials in Mortality Risk Among Men Screened for the Multiple Risk Factor Intervention Trial: II. Black Men." American Journal of Public Health, vol. 86, no. 4, 1996, pp. 497-504.
Smith GD, Wentworth D, Neaton JD, et al. Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: II. Black men. Am J Public Health. 1996;86(4):497-504.
Smith, G. D., Wentworth, D., Neaton, J. D., Stamler, R., & Stamler, J. (1996). Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: II. Black men. American Journal of Public Health, 86(4), pp. 497-504.
Smith GD, et al. Socioeconomic Differentials in Mortality Risk Among Men Screened for the Multiple Risk Factor Intervention Trial: II. Black Men. Am J Public Health. 1996;86(4):497-504. PubMed PMID: 8604779.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Socioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: II. Black men. AU - Smith,G D, AU - Wentworth,D, AU - Neaton,J D, AU - Stamler,R, AU - Stamler,J, PY - 1996/4/1/pubmed PY - 1996/4/1/medline PY - 1996/4/1/entrez KW - Age Specific Death Rate KW - Americas KW - Biology KW - Blacks KW - Causes Of Death KW - Cultural Background KW - Death Rate KW - Demographic Factors KW - Developed Countries KW - Differential Mortality KW - Economic Factors KW - Ethnic Groups KW - Income KW - Mortality KW - North America KW - Northern America KW - Population KW - Population Characteristics KW - Population Dynamics KW - Risk Factors KW - Socioeconomic Factors KW - United States SP - 497 EP - 504 JF - American journal of public health JO - Am J Public Health VL - 86 IS - 4 N2 - OBJECTIVES: This study examined socioeconomic differentials in risk of death from a number of causes in a large cohort of Black men in the United States. METHODS: For 20 224 Black men screened for the Multiple Risk Factor Intervention Trial between 1973 and 1975, data were collected on median family income of Black households in zip code of residence, age, cigarette smoking, blood pressure, serum cholesterol, previous heart attack, and drug treatment for diabetes. The 2937 deaths that occurred over the 16-year follow-up period were grouped into specific causes and related to median Black family income. RESULTS: There was an inverse association between age-adjusted all-cause mortality and median family income. There was no attenuation of this association over the follow-up period, and the association was similar for the 22 clinical centers carrying out the screening. The gradient was seen for most of the specific causes of death, although the strength of the association varied. Median income was markedly lower for the Black men screened than for the White men, but the relationship between income and all-cause mortality was similar. CONCLUSIONS: Socioeconomic position is an important determinant of mortality risk for Black men. Even though Blacks lived in areas with substantially lower median family income than Whites, the association of income with mortality was similar for Blacks and Whites. SN - 0090-0036 UR - https://www.unboundmedicine.com/medline/citation/8604779/Socioeconomic_differentials_in_mortality_risk_among_men_screened_for_the_Multiple_Risk_Factor_Intervention_Trial:_II__Black_men_ L2 - http://www.ajph.org/doi/full/10.2105/ajph.86.4.497?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -