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Prospective effect of community distress and subcultural orientation on mortality following life-threatening diseases in later life
Author(s)Ming Wen, Nicholas A Christakis
Journal titleSociology of Health & Illness, vol 28, no 5, July 2006
Pagespp 558-582
Sourcehttp://www.blackwellpublishing.com
KeywordsStress ; Terminal illness ; Death ; Economic status [elderly] ; Neighbourhoods, communities etc ; United States of America.
AnnotationAn American prospective and contextual study examined the effects of community socio-economic physical distress and sub-cultural orientation on mortality following onset of 13 life-threatening diseases in later life. The authors also examined the interrelationship between the effects of community, social, economic and physical distress (i.e. poverty, physical disorder and low collective efficacy) and sub-cultural orientation (i.e. amounts and tolerance of risk behaviour) on the survival chances of seriously ill older patients. Three data sources were combined to construct the working sample: 1990 Census data; the 1994-95 Project on Human Development in Chicago Neighborhoods - Community Survey (PHDCN-CS), and the Care after the Onset of Serious Illness (COSI) data. 51 ZIP code areas in Chicago and 12672 older patients were studied. Community distress and anomie (a sense of isolation) are found to be significantly and positively associated with greater risk of death. Moreover, community anomie contributes to the effect of community distress on mortality after hospital admission. The social, economic physical and cultural environment in which people live appear to exert a significant impact on whether older people facing life-threatening illness live or die. (RH).
Accession NumberCPA-060922211 A
ClassmarkQNH: CV: CW: F:W: RH: 7T

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