Md. Hayward et al., INEQUALITY IN MENS MORTALITY - THE SOCIOECONOMIC-STATUS GRADIENT AND GEOGRAPHIC CONTEXT, Journal of health and social behavior, 38(4), 1997, pp. 313-330
Lower mortality for older rural Americans, compared to ur ban resident
s, runs counter To rural-urban disparities in health care services and
residents' socioeconomic resources. This paradox calls into question
the ways in which community conditions influence mortality and context
ualize the relationship between individuals' socioeconomic status and
health. Drawing on 24 years of data from the National Longitudinal Sur
vey of Older Men, we observe that rural older men's life expectancy ad
vantages occur even after controlling for residential differences in s
ocial class and lifestyle factors. Our results also show that rural ad
vantages irt mortality coincide with a more equitable distribution of
life chances across the social classes. The association between social
class and mortality is strongest among urban men, arising from socioe
conomic conditions throughout the life cycle.