Introduction: Mortality among working-age adults has been rising, but the underlying reasons are not fully known. Given the relationship between higher levels of public spending and better health outcomes, it is possible that differences in public spending may explain some of this trend. This study examined the association between county government spending and overall and race-specific mortality among working-age adults over time.
Methods: Hybrid random effects models, which specified separate within- and between-county effects, were used to assess the relationship between per capita county spending and overall and race-specific mortality rates from 1980 to 2019. All models controlled for median age, percentage of the population with at least a bachelor's degree, unemployment rate, and poverty rate.
Results: In the overall population, counties with higher k-12 education, library, and police spending were significantly associated with higher mortality rates. Among Black adults, counties with lower corrections spending, lower waste management spending, and higher highway spending had significantly higher Black mortality. Among White adults, counties with lower natural resource spending and higher police spending had higher White mortality.
Conclusions: This study showed that differences in public spending may explain the geographic and racial differences in mortality among working-age adults. Local governments should consider public spending as a tool to improve overall population health and address racial health inequalities in their jurisdictions.
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http://dx.doi.org/10.1016/j.focus.2023.100085 | DOI Listing |
J Transl Med
January 2025
Department of Ophthalmology, Renmin Hospital of Wuhan University, Jiefang Road, Wuhan, Hubei, 430060, China.
Diabetic retinopathy is a major ocular complication of diabetes, characterized by progressive retinal microvascular damage and significant visual impairment in working-age adults. Traditional bulk RNA sequencing offers overall gene expression profiles but does not account for cellular heterogeneity. Single-cell RNA sequencing overcomes this limitation by providing transcriptomic data at the individual cell level and distinguishing novel cell subtypes, developmental trajectories, and intercellular communications.
View Article and Find Full Text PDFInt J Environ Res Public Health
November 2024
Department of Laboratory Medicine and Pathology, Walter Sisulu University, Private Bag X5117, Mthatha 5099, South Africa.
This study investigated the characteristics and outcomes of drug-resistant tuberculosis patients in selected rural healthcare facilities in the Eastern Cape, South Africa. A retrospective review of clinical records from 456 patients, covering the period from January 2018 to December 2020, revealed a statistically significant relationship between DR-TB types and age groups (Chi-square statistic: 30.74, -value: 0.
View Article and Find Full Text PDFInt J Environ Res Public Health
November 2024
Dipartimento di Elettronica, Informazione e Bioingegneria (DEIB), Politecnico di Milano, Via Ponzio 34/5, 20133 Milan, Italy.
Work-related musculoskeletal disorders (WRMSDs) are a leading cause of chronic conditions among working-age adults. Preventing these disorders is crucial to reducing their impact, and quantitative analysis through sensors can help identify their causes and guide ergonomic solutions. This systematic review aims to compile research from 2000 to 2023 published in English and sourced from Web of Science, Scopus, or PubMed that examines workers' movements during tasks using wearable sensor systems that are applicable in workplace settings.
View Article and Find Full Text PDFBMC Public Health
January 2025
Department of Urology I, The First Hospital of Jilin University, Changchun, Jilin Province, 130021, China.
Background: Cardiovascular diseases (CVD) remain a significant global health burden, particularly in China, where kidney dysfunction (KD) is a key risk factor. This study analyzed trends in the burden of KD-induced CVD and subtypes among the working-age population (25-64 years) in China over the past 30 years and explored its association with age, period, and birth cohort.
Methods: This study extracted data from the Global Burden of Disease (GBD) 2021, focusing on deaths and disability-adjusted life years (DALYs) caused by KD-induced CVD and subtypes, including ischemic heart disease (IHD), stroke, and lower extremity peripheral artery disease (LEPAD) among 25-64 years globally and in China from 1992 to 2021.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi
December 2024
Laboratory of Occupational Protection and Ergonomics, National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
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