Relationship of neighborhood social determinants of health on racial/ethnic mortality disparities in US veterans-Mediation and moderating effects.
Michelle S WongW Neil SteersKatherine J HoggattBoback ZiaeianDonna L WashingtonPublished in: Health services research (2020)
Neighborhood characteristics, particularly black and AI/AN residential segregation, may contribute to AI/AN mortality disparities among VHA-users, particularly in communities that were rural, had greater black segregation, or were located on or near AI/AN reservations. This suggests the importance of neighborhood social determinants of health on racial/ethnic mortality disparities. Living near reservations may allow AI/AN VHA-users to maintain cultural and tribal ties, while also providing them with access to economic and other resources. Future research should explore the experiences of AI/ANs living in black communities and underlying mechanisms to identify targets for intervention.
Keyphrases
- artificial intelligence
- cardiovascular events
- healthcare
- mental health
- public health
- physical activity
- risk factors
- machine learning
- randomized controlled trial
- affordable care act
- social support
- deep learning
- health information
- coronary artery disease
- air pollution
- current status
- south africa
- health promotion
- depressive symptoms
- health insurance
- climate change