96 lines
3.2 KiB
YAML
96 lines
3.2 KiB
YAML
abstract: 'This paper examines the association between US county occupational
|
|
|
|
structure, services availability, prevalence of risk factors, and
|
|
|
|
coronary mortality rates by sex and race, for 1984 1998. The 3137 US
|
|
|
|
counties were classified into five occupational structure categories;
|
|
|
|
counties with the lowest percentages of the labor force in managerial,
|
|
|
|
professional, and technical occupations were classified in category I
|
|
|
|
(5-16\%), counties with the highest percentages were in category V
|
|
|
|
(32-59\%). Directly age-adjusted coronary heart disease (CHD) mortality
|
|
|
|
rates, for aged 35-64 years, (from vital statistics and Census data),
|
|
|
|
per-capita services (County Business Patterns), and the prevalence of
|
|
|
|
CHD risk factors (Behavioral Risk Factor Surveillance Surveys data) were
|
|
|
|
calculated for each occupational structure category. CHD mortality rates
|
|
|
|
and the prevalence of risk factors were inversely monotonically
|
|
|
|
associated with occupational structure categories for white men and
|
|
|
|
women but not among black men and women. Numbers of producer services
|
|
|
|
for banking, business credit, overall business services and
|
|
|
|
personnel/employment services were 2-12 times greater in category V
|
|
|
|
versus I counties. Consumer services such as fruit/vegetable markets,
|
|
|
|
fitness facilities, doctor offices and social services were 1.6-3 times
|
|
|
|
greater in category V versus I counties. Residential racial segregation
|
|
|
|
scores remained high in most areas despite declines during 1980-1990;
|
|
|
|
occupational segregation by race and gender were shown indicating
|
|
|
|
continued institutional racism. An ecological model for conceptualizing
|
|
|
|
communities and health and the overall influence of state and national
|
|
|
|
occupational structure is discussed; intervention strategies such as
|
|
|
|
decreased wage disparities and `living wage'' standards and development
|
|
|
|
is discussed. (C) 2003 Elsevier Ltd. All rights reserved.'
|
|
affiliation: 'Armstrong, DL (Corresponding Author), SUNY Albany, Dept Epidemiol, 1
|
|
Univ Pl, Rensselaer, NY 12144 USA.
|
|
|
|
SUNY Albany, Dept Epidemiol, Rensselaer, NY 12144 USA.'
|
|
author: Armstrong, DL and Strogatz, D and Wang, R
|
|
author-email: dla02@health.state.ny.us
|
|
author_list:
|
|
- family: Armstrong
|
|
given: DL
|
|
- family: Strogatz
|
|
given: D
|
|
- family: Wang
|
|
given: R
|
|
da: '2023-09-28'
|
|
doi: 10.1016/j.socscimed.2003.08.030
|
|
files: []
|
|
issn: 0277-9536
|
|
journal: SOCIAL SCIENCE \& MEDICINE
|
|
keywords: coronary heart disease; community health; social class; US counties
|
|
keywords-plus: 'ISCHEMIC-HEART-DISEASE; INSTITUTIONAL-RACISM; SOCIAL-CLASS;
|
|
|
|
MYOCARDIAL-INFARCTION; SELF-EFFICACY; RISK-FACTORS; NEW-YORK; HEALTH;
|
|
|
|
DECLINE; WORKPLACE'
|
|
language: English
|
|
month: JUN
|
|
number: '11'
|
|
number-of-cited-references: '64'
|
|
pages: 2349-2361
|
|
papis_id: c7400df4416895439e8af40b51ecae46
|
|
ref: Armstrong2004unitedstates
|
|
times-cited: '12'
|
|
title: United States coronary mortality trends and community services associated with
|
|
occupational structure, among blacks and whites, 1984-1998
|
|
type: article
|
|
unique-id: WOS:000220786100022
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '2'
|
|
volume: '58'
|
|
web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
|
|
|
|
Biomedical'
|
|
year: '2004'
|