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dc.contributor.authorChan, Melissa P.L.
dc.contributor.authorWeinhold, Robert S.
dc.contributor.authorThomas, Reuben
dc.contributor.authorGohlke, Julia M.
dc.contributor.authorPortier, Christopher J.
dc.date.accessioned2019-06-07T20:58:09Z
dc.date.available2019-06-07T20:58:09Z
dc.date.issued2015-12-02
dc.identifier.urihttp://hdl.handle.net/10919/89899
dc.description.abstractA growing body of evidence has found that mortality rates are positively correlated with social inequalities, air pollution, elevated ambient temperature, availability of medical care and other factors. This study develops a model to predict the mortality rates for different diseases by county across the US. The model is applied to predict changes in mortality caused by changing environmental factors. A total of 3,110 counties in the US, excluding Alaska and Hawaii, were studied. A subset of 519 counties from the 3,110 counties was chosen by using systematic random sampling and these samples were used to validate the model. Step-wise and linear regression analyses were used to estimate the ability of environmental pollutants, socio-economic factors and other factors to explain variations in county-specific mortality rates for cardiovascular diseases, cancers, chronic obstructive pulmonary disease (COPD), all causes combined and lifespan across five population density groups. The estimated models fit adequately for all mortality outcomes for all population density groups and, adequately predicted risks for the 519 validation counties. This study suggests that, at local county levels, average ozone (0.07 ppm) is the most important environmental predictor of mortality. The analysis also illustrates the complex inter-relationships of multiple factors that influence mortality and lifespan, and suggests the need for a better understanding of the pathways through which these factors, mortality, and lifespan are related at the community level.en_US
dc.language.isoen_USen_US
dc.publisherPLOSen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.titleEnvironmental Predictors of US County Mortality Patterns on a National Basisen_US
dc.typeArticleen_US
dc.title.serialPLOS Oneen_US
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0137832
dc.identifier.volume10en_US
dc.identifier.issue12en_US


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Attribution 3.0 United States
License: Attribution 3.0 United States