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American Journal of Epidemiology Vol. 99, No. 4: 258-264
Copyright © 1974 by The Johns Hopkins University School of Hygiene and Public Health

other

COUNTIES WITH EXTREME DEATH RATES AND ASSOCIATED FACTORS

HERBERT I. SAUER and DARREL W. PARKE1

1 Environmental Health Surveillance Center, University of Missouri Columbia, Missouri 65201

The counties in the United States with the lowest death rates for middle-aged white males, for the three-year period, 1959–1961, are generally found in the Great Plains, while most of the counties with very high rates are near the East Coast. Random error, systematic error, and real but temporary agents make somewhat more difficult the identification of the counties with these extremes in the risk of death. However, by giving appropriate attention to statistical significance of the difference in rates, and to the degree of persistence of extreme rates through time and space, and in different age-sex groups, such identification is possible. Men in low-rate counties tend to be more closely associated with agriculture, live at higher elevations, and are also older and probably healthier than their counterparts in the high-rate counties.

demography; ecology; environmental health; epidemiological methods; middle-age; mortality; socioeconomic factors


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