Sociology Commons^™

Mortality In Medicine, Maren Dougherty

Honors Projects

Practitioners in the medical field attend to health issues across one’s lifespan from birth to death and everything in between. A common conflict in today’s practice of medicine is establishing the true function of medicine. The complete reliance on medicine to ward off death proliferates the biomedicalization of natural life processes, like death. Biomedicalization is the process in which medical authority and its accompanying technology begin to control other aspects of daily life. With medicine’s ultimate goal being to cure disease and fight death, it interferes with the inevitability of human mortality. End-of-life treatment can be taken too far without …

County Characteristics And Opioid Mortality Rates In The United States, Baksun Sung

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Opioid overdose deaths are not equally distributed across the United States. While some areas have a less severe problem with opioid abuse, others face serious challenges, which are affected by various social factors. To address that question, in Chapter 1, I investigate how opioid mortality trends differ according to opioid types, race, and region to identify susceptible populations and areas. In Chapter 1, I contend that synthetic opioid is a main trigger for the current opioid epidemic and that the epidemic is concentrated among blacks and in the Eastern United States. Next, the following studies examine how varying social vulnerabilities …

County-Level Social Determinants Of Health And Covid-19 Health Outcomes, Bret R. Lyman

Theses and Dissertations

Social determinants of health are associated with a variety of negative health outcomes, including COVID-19 morbidity and mortality. However, most research evaluating this relationship have been case studies, retrospective cohort studies, and case series studies and/or have used use analytic techniques, such as linear regression, that can struggle to adequately model the social determinants' complex nature. This study used United States county-level social determinants of health data and March 2020-December 2020 COVID-19 morbidity and mortality data. Structural equation modeling was used to develop a latent measurement model for the social determinants of health. Substantial cross-loadings among the social determinants of …

Sex And Race Disparities In Mortality And Years Of Potential Life Lost Among People With Hiv: A 21-Year Observational Cohort Study, Rachael A Pellegrino, Peter F Rebeiro, Megan Turner, Amber Davidson, Noelle Best, Chandler Shaffernocker, Asghar Kheshti, Sean Kelly, Stephen Raffanti, Timothy R Sterling, Jessica L Castilho

Journal Articles

BACKGROUND: Since the availability of antiretroviral therapy, mortality rates among people with HIV (PWH) have decreased; however, this does not quantify premature deaths among PWH, and disparities persist.

METHODS: We examined all-cause and premature mortality among PWH receiving care at the Vanderbilt Comprehensive Care Clinic from January 1998 to December 2018. Mortality rates were compared by demographic and clinical factors, and adjusted incidence rate ratios (aIRRs) were calculated using multivariable Poisson regression. For individuals who died, age-adjusted years of potential life lost (aYPLL) per total person-years living with HIV were calculated from US sex-specific life tables, and sex and race …

Aging Bison Teeth With A Gis: A New Tooth Age Prediction Methodology And Its Archaeological And Ecological Implications, Andrew Edward Owens

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Archaeologists use teeth to estimate the age an animal died based on tooth eruption, growth, and wear. Animal age estimations then inform archaeologists about when and why archaeological sites were occupied. However, to date, no concise and repeatable practice exists to age estimate teeth. Therefore, we propose a new tooth age estimation methodology, in this case using bison teeth. The new tooth aging method uses GIS mapping software to draw tooth surfaces and then calculate tooth surface areas of known-age bison teeth. Then, this known-age tooth sample is used to derive algebraic equations that can estimate the age of prehistoric …

The Chances Of Dying Young Differ Dramatically Across U.S. States, Nader Mehri, Jennifer Karas Montez

Population Health Research Brief Series

The chances of dying young differ dramatically across U.S. states. This data slice shows state-level differences in rates of death by ages 30, 50, and 65. Individuals living in Minnesota, California, New York, and Massachusetts have the lowest rates of death by age 65, whereas those living in Southern states, including West Virginia, Mississippi, Alabama, Kentucky, Tennessee, Louisiana, Arkansas, and Oklahoma have the highest rates of premature death. If current conditions remain constant in these states, more than 1 in 5 people born in them will not survive to age 65.

Rural-Urban And Within-Rural Differences In Covid-19 Mortality Rates, Yue Sun, Kent Jason G. Cheng, Shannon M. Monnat

Journal of Rural Social Sciences

Since late-2020, COVID-19 mortality rates have been higher in rural than in urban America, but there has also been substantial within-rural heterogeneity. Using CDC data, we compare COVID-19 mortality rates across the rural-urban continuum as well as within rural counties across different types of labor markets and by metropolitan adjacency. As of October 1, 2021, the cumulative COVID-19 mortality rate was 247.0 per 100,000 population in rural counties compared to 200.7 in urban counties. Higher COVID-19 mortality rates in rural counties are explained by lower average educational attainment and lower median household income. Within rural counties, mortality rates have been …

(In) Visible In The Field And In The Data: Uncertain, Hidden, And Homeless. Essays On The Conceptualization Of Homelessness, Elements Of Social Exclusion, And Integrity Of Social Relationships, Places, And Resources, Richard Neil Greene

Sociology ETDs

This dissertation includes three empirical chapters framed by an overarching introduction and conclusion. Together, they comprise a mixed methods and community engaged study on homelessness, mortality, and systems related to homelessness. This study uniquely speaks to the social construction of homelessness and construction of knowledge about homelessness from a sociological perspective. Data come from: 1) qualitative interviews (N=20) with field deputy medical investigators (FDMI) in New Mexico about conceptualizing homelessness and housing instability as a contributing cause of death; 2) quantitative death records comparing people affected by homelessness who were identified as having been engaged with services or were not …

Deaths Of Despair In The United States, Amin Etemadifar

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Life expectancy is one of the most important indicators of public health and is an indication of overall health status in a population. Thanks to public health and medical advancements over recent decades, the life expectancy of all nations has significantly increased, and that is more true for developed nations like the United States. However, the most recent data shows the longevity of Americans has become stagnant since 2010. So the first question that comes to mind is why that is happening, and the main goal of this dissertation is to answer that question.

In order to address that question, …

Assessing The Contribution Of Different Causes Of Death To Life Expectancy Disparities In The United States, Max Tyler Roberts

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Life expectancy is not the same for all people in the United States. While some enjoy life expectancies of more than 80 years, others are at risk of dying much sooner. The following studies investigate how different causes of death such as homicide, diabetes, heart disease, and drug poisoning contribute across the life span to: 1) life expectancy gaps across different sex, racial, ethnic, and education groups, and 2) life expectancy change over time for different sex, racial, ethnic, and education groups. Each study focuses on a different area of the U.S., with Chapter 2 focusing on the national-level, Chapter …

Introducing The Intellectual And Developmental Disability (Idd) Age-At-Death Data Tracker, Scott Landes, Nader Mehri, Janet Wilmoth

Population Health Research Brief Series

Adults with intellectual and developmental disabilities (IDD) die younger than those without such disabilities in the U.S. This data slice introduces a new data tracking tool that shows age-at-death trends for adults with intellectual disability, Down syndrome, cerebral palsy, and other rare developmental disabilities, as well as those without IDD. The website, which will be updated annually, allows users to compare age-at-death patterns for each IDD group by U.S. state, year, biological sex, and race-ethnicity.

More Uncertainty Leads To Less Accuracy On Death Certificates For Adults With Intellectual Disability, Erin Bisesti, Scott D. Landes

Population Health Research Brief Series

Causes of death are often inaccurately reported on death certificates for individuals with intellectual disability. This research brief examines whether uncertainty surrounding the death is associated with the inaccurate reporting of intellectual disability as the underlying cause of death. Results show that increased uncertainty surrounding deaths, especially in instances of choking related deaths, increases the probability that intellectual disability is inaccurately reported as the underlying cause of death.

Mortalidad Por Infarto Agudo De Miocardio En Guatemala 2018: Patrones E Inequidades, Alejandro Cerón, Gila Goldstein

Anthropology: Faculty Scholarship

El presente estudio busca analizar la mortalidad por infarto agudo de miocardio (IAM) en Guatemala con el propósito de identificar posibles criterios epidemiológicos que orienten la priorización de acciones de salud pública. El riesgo de morir de IAM en Guatemala muestra marcadas desigualdades por departamento, las que son aún más marcadas al comparar por municipio. El riesgo de morir es también más alto en personas mestizas o ladinas, en niveles educativos bajos, y en personas que se dedican a ocupaciones elementales. Deberían implementarse medidas de salud pública orientadas a los municipios y grupos en mayor riesgo de morir de IAM. …

Mortalidad Por Diabetes En Guatemala 2018: Patrones E Inequidades, Alejandro Cerón, Gila Goldstein

Anthropology: Faculty Scholarship

El presente estudio busca analizar la mortalidad por diabetes en Guatemala con el propósito de identificar posibles criterios epidemiológicos que orienten la priorización de acciones de salud pública. El riesgo de morir de diabetes en Guatemala muestra marcadas desigualdades por departamento, las que son aún más marcadas al comparar por municipio. El riesgo de morir es también más alto en mujeres, en personas mestizas o ladinas, en niveles educativos bajos, y en personas que se dedican a ocupaciones elementales. Deberían implementarse medidas de salud pública orientadas a los municipios y grupos en mayor riesgo de morir de diabetes. Este estudio …

Progress In Closing The Age-At-Death Disparity For Adults With Intellectual And Developmental Disabilities, Scott D. Landes

Population Health Research Brief Series

Intellectual and/or developmental disabilities (IDD) directly impact the course of an individual’s life, including the age at which they die.

There Are Large Disparities Between U.S. States In Cardiovascular Mortality Among Adults Aged 55 And Older, Nader Mehri

Population Health Research Brief Series

Over the past 20 years, declines in cardiovascular disease mortality rates have been much smaller in some U.S. states than others. Rates have also started to increase in some states in recent years.

The Disproportionate Impact Of Covid-19 On Older Latino Mortality: The Rapidly Diminishing Latino Paradox, Rogelio Sáenz, Marc A. Garcia

Department of Sociology: Faculty Publications

Objectives: This brief report aims to highlight stark mortality disparities among older Latinos that result from the novel coronavirus disease (COVID-19) pandemic.

Methods: We use recent data from the Centers for Disease Control and Prevention to compute age-specific death rates (ASDRs) for three causes of death: deaths from COVID-19, residual deaths, and total deaths for four age-groups (55-64, 65-74, 75-84, and 85 and older) to assess the impact of COVID-19 on older Latino mortality relative to non-Latino Whites and non-Latino Blacks and also in comparison to residual deaths. Additionally, we obtain ASDRs for all causes of deaths from 1999 to …

The Color Of Covid-19: Structural Racism And The Pandemic’S Disproportionate Impact On Older Racial And Ethnic Minorities, Marc A. Garcia, Patricia A. Homan, Catherine Garcia, Tyson H. Brown

Department of Sociology: Faculty Publications

Objectives: The aim of this evidence-based theoretically informed essay is to provide an overview of how and why the COVID-19 outbreak is particularly detrimental for the health of older Black and Latinx adults.

Methods: We draw upon current events, academic literature, and numerous data sources to illustrate how biopsychosocial factors place older adults at higher risk for COVID-19 relative to younger adults, and how structural racism magnifies these risks for older Black and Latinx adults.

Results: We identify three proximate mechanisms through which structural racism operates as a fundamental cause of racial/ethnic inequalities in COVID-19 burden among older adults: (1) …

High Covid-19 Mortality Risk In Pennsylvania’S Rural Counties, Raeven Faye Chandler, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

COVID-19 cases in Pennsylvania have been concentrated in eastern urban counties this far. However, the 14-day incident rate has recently begun increasing in several rural counties that have high prevalence of several chronic health conditions that increase risk of severe complications and death from COVID-19.

New York State’S Rural Counties Have Higher Covid-19 Mortality Risk, Shannon M. Monnat, Yue Sun

Population Health Research Brief Series

As New York’s regions move through their various phases of reopening businesses and recreations activities, policymakers and residents should be mindful of the underlying health vulnerabilities and the higher COVID-19 mortality risk in several of NY’s rural counties. Is your county at high risk?

Accidental Drownings Are Predictable And Preventable, Mary E. Helander, Margaret K. Formica, Alexandra Punch

Population Health Research Brief Series

Drowning is the 3rd leading cause of unintentional injury-related death in the world for all age groups, with one third of fatal and nonfatal drownings occurring with the hours of 4pm and 8pm. This data slice gives helpful advice on how to stay safe while cooling off.

Accounting For Biases In Survey-Based Estimates Of Population Attributable Fractions, Ryan Masters, Eric N. Reither

Sociology, Social Work and Anthropology Faculty Publications

Background: This paper discusses best practices for estimating fractions of mortality attributable to health exposures in survey data that are biased by observed confounders and unobserved endogenous selection. Extant research has shown that estimates of population attributable fractions (PAF) from the formula using the proportion of deceased that is exposed (PAF_pd) can attend to confounders, whereas the formula using the proportion of the entire sample exposed (PAF_pe) is biased by confounders. Research has not explored how PAF_pd and PAF_pe equations perform when both confounding and selection bias are present.

Methods: We review equations for …

People With Developmental Disabilities Have Much More Life To Live, Dalton Stevens

Population Health Research Brief Series

On average, adults with any type of developmental disability die 23.5 years before those without a developmental disability. Despite this disadvantage, health care providers, policymakers, and scholars have done little to address or understand the significantly shorter lifespans of people with developmental disabilities. This research brief discusses age-at-death mortality patterns for adults with various types of developmental disabilities.

Examining The Mechanisms Of Religious Ecology On Population Health And Material Well-Being, Joseph Andrew Clark

LSU Doctoral Dissertations

A growing body of research has addressed the relationship between community-level religious environments and important aspects of well-being, such as mortality, crime, and social mobility. This research argues that the prevalence of specific religious traditions shapes these important outcomes through a variety of mechanisms. While there is no shortage of mechanisms proposed by authors - such as local attitudes towards public institutions, gender norms, and social networks - these mechanisms remain themselves untested. A notable critique of this literature suggests that without evidence supporting the existence of these mechanisms as described, scholars involved in this research run the risk of …

Investigating The Impact Of The Diseases Of Despair In Appalachia, Michael Meit, Megan Heffernan, Erin Tanenbaum

Journal of Appalachian Health

Introduction: Appalachia is one of the regions most significantly impacted by the opioid crisis. This study investigated mortality due to diseases of despair within the Appalachian Region, with an additional focus on deaths attributable to opioid overdose.

Methods: Diseases of despair include: alcohol, prescription drug and illegal drug overdose, suicide, and alcoholic liver disease/cirrhosis of the liver. Mortality data from the National Center for Health Statistics (NCHS) National Vital Statistics System (NVSS) Multiple Cause of Death database were analyzed for this study, focusing on individuals aged 15–64.

Results: Over the past two decades, the mortality rate due to diseases of …

Physical Performance Trajectories And Mortality Among Older Mexican Americans, Miriam Mutambudzi, Nai-Wei Chen, Bret Howrey, Marc A. Garcia, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background: We sought to identify distinct trajectory classes of physical performance in Mexican Americans aged 75 years and older and to examine whether these trajectories predict mortality.

Methods: We used four waves of Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) data for adults 75 years and older from 2004–2005 to 2013. Latent growth curve analysis was used to identify distinct trajectory classes. Multinomial logistic regression analysis was used to examine the association between baseline characteristics and the newly constructed trajectories. Cox proportional hazards regression models examined the hazard of mortality as a function of Short Physical Performance …

Gender And Age Of Migration Differences In Mortality Among Older Mexican Americans, Adriana M. Reyes, Marc A. Garcia

Department of Sociology: Faculty Publications

Objectives: Using a gendered life course perspective, we examine whether the relationship between age of migration and mortality is moderated by gender among a cohort of older Mexican-Americans.

Methods: Data from the Hispanic Established Populations for the Epidemiological Study of the Elderly and recently matched mortality data are used to estimate Cox proportional hazard models.

Results: Our findings indicate the relationship between age of migration and mortality is moderated by gender suggesting a more nuanced perspective of the immigrant mortality paradox. Among men, midlife migrants exhibit an 18 percent lower risk of mortality compared to their U.S.-born …

Good Reasons Or Bad Conscience: A Postscript, Stephen P. Hugh-Jones

Tipití: Journal of the Society for the Anthropology of Lowland South America

Published in French in 1996, the original article for which this comprises a post-script set indigenous Amazonians’ attitudes to meat alongside those of Euro-Americans. With the accelerating deforestation of Amazonia linked with the cultivation of soya used to feed animals for meat, and with calls to reduce or abandon meat consumption as one way of averting catastrophic climate change, it is topical once again. In this postscript, I reply to two contrasting critiques of the article, the first wary of an excess of ontology, the second distrustful of a deficit of it. Does a focus on ritual and shamanism obscure …

The Influence Of Multimorbidity On Leading Causes Of Death In Older Adults With Cognitive Impairment, Nicholas K. Schiltz, David F. Warner, Jiayang Sun, Kathleen A. Smyth, Stefan Gravenstein, Kurt C. Stange, Siran M. Koroukian

Department of Sociology: Faculty Publications

Objective: The aim of this study is to evaluate the relationship of leading causes of death with gradients of cognitive impairment and multimorbidity. Method: This is a population-based study using data from the linked 1992- 2010 Health and Retirement Study and National Death Index (n = 9,691). Multimorbidity is defined as a combination of chronic conditions, functional limitations, and geriatric syndromes. Regression trees and Random Forest identified which combinations of multimorbidity associated with causes of death. Results: Multimorbidity is common in the study population. Heart disease is the leading cause in all groups, but with a larger percentage of deaths …

Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh

Electronic Theses and Dissertations

Over the last hundred years, the Appalachian region has been dominated by the coal industry. It has also been and currently is one of the unhealthiest regions in the United States. Recent scholarship has examined the relationship between coal mining and health and mortality rates in the Appalachian region. The first study incorporates air quality and pollution data to examine if coal mining counties have higher levels of pollution and if this pollution contributes to mortality disadvantage. In the second study, I construct a population-based coal-exposure measure to better evaluate the relationship between coal mining and health I find that …