Dataset Information

Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011-2015.

ABSTRACT: Objective: This study examined the association of several social and environmental factors on the likelihood of reaching centenarian age for older adults in Washington State. Methods: A survival analysis of reaching centenarian age for older adults aged 75 years and above was performed using Washington State mortality data from 2011-2015. Models were adjusted for sex, race, education, marital status, and neighborhood level social and environmental variables at the block group level. Geographic clusters of increased chance of becoming a centenarian were also mapped. Results: In the adjusted model, increased neighborhood walkability, lower education level, higher socioeconomic status, and a higher percent of working age population were positively associated with reaching centenarian age. Being widowed, divorced/separated, or never married were also positively correlated compared to being married. Additionally, being white or female were positively correlated with reaching centenarian status. Discussion: Several social and environmental factors are correlated with becoming a centenarian in Washington State. In this study, we explore findings that are consistent with previous research, as well as some that have not been previously explained. More research is needed to expand upon these findings in this rapidly growing field.

SUBMITTER: Bhardwaj R

PROVIDER: S-EPMC7215466 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011-2015.

Bhardwaj Rajan R Amiri Solmaz S Buchwald Dedra D Amram Ofer O

International journal of environmental research and public health 20200420 8

<i>Objective:</i> This study examined the association of several social and environmental factors on the likelihood of reaching centenarian age for older adults in Washington State. <i>Methods:</i> A survival analysis of reaching centenarian age for older adults aged 75 years and above was performed using Washington State mortality data from 2011-2015. Models were adjusted for sex, race, education, marital status, and neighborhood level social and environmental variables at the block group level ...[more]

PMID: 32325978

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Project description:ImportanceDomestic violence (DV; including intimate partner and family violence) is associated with heightened lethality risks, yet limited research has comprehensively assessed the connection between DV and fatal violence considering both homicides and suicides. Understanding the fatal consequences of DV can point to missed opportunities to support individuals and their families.ObjectiveTo assess the proportion of violent deaths that were connected to DV and describe contacts with the legal system or social services prior to each DV-related fatality.Design, setting, and participantsThis cross-sectional study used quantitative and qualitative data from the National Violent Death Reporting System (NVDRS) for all individuals who died by homicide or suicide in Washington from January 1, 2015, to December 31, 2020. Analyses were conducted from August 1, 2022, to September 30, 2023.Main outcomes and measuresA multipronged approach was used to assess DV history using existing NVDRS variables, leveraging data from prior review of NVDRS death narratives, applying a validated natural language processing tool, and linking related deaths. Domestic violence was recorded as yes or no, but the decedent's role in the abusive relationship (ie, experiencing or enacting DV) could not be differentiated. To describe system involvement prior to each death, keyword searching and hand review of NVDRS death narratives were used.ResultsA total of 7352 intentional violent deaths (1192 homicides [16.2%]; 6160 suicides [83.8%]) with known circumstances were recorded in Washington during the study period. Of these, 948 deaths (12.9%) were connected to DV (624 [65.8%] among males; mean [SD] age at death, 45.3 [19.2] years), including 588 suicides (62.0%) and 360 homicides (38.0%). For 420 DV-related deaths (44.3%), there was evidence to suggest that the person who died or their intimate partner(s), family, or cohabitants had prior contacts with the legal system or social services. Specifically, 318 records (33.5%) mentioned prior contacts with law enforcement or the criminal legal system (eg, prior 9-1-1 calls, criminal convictions), and 225 (23.7%) described engagement with social services or the civil legal system (eg, civil protection order, divorce, or child custody problems).Conclusions and relevanceIn this cross-sectional study, 12.9% of violent deaths in Washington were connected to DV. The findings suggest that more resources are needed to support law enforcement, court professionals, and social services specialists to proactively identify and refer families to wraparound supports before the situation can escalate to a fatality.

Dataset Information

Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011-2015.

Publications

Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011-2015.

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