About this Research Topic
Although we know a great deal about how mortality rates vary across different geographic contexts, much less is known about the factors that have driven these trends over the last few decades. Specifically, what are the relative contributions of individual level, community level, and macro level factors to all-cause and cause-specific mortality trends at various geographic units of analysis (i.e., regions, states, counties, neighborhoods, the rural-urban continuum)? How do the factors contributing to these geographic trends vary by racial/ethnic group, gender, and educational level? For example, there is considerable rural-urban and within-rural heterogeneity in racial/ethnic, age, and educational composition; economic structure, conditions, and resources; and policies that impact health. Understanding the role of these factors in contemporary geographic mortality disparities is critical to identifying potentially modifiable mechanisms. Further investigations that shed light on factors that play a role in the deteriorating U.S. standing in mortality relative to other high income countries are also needed.
The Research Topic welcomes any submission that addresses geographic disparities in health and mortality, but we are especially interested in submissions that address the following areas:
• Clarify the macro-, meso- and individual-level factors that have contributed to the increasing geographic divergence in U.S. mortality over the last two decades.
• Identify the causes of death that have contributed most to the widening geographic divergence in mortality, at various units of analysis (e.g., states, counties, neighborhoods, rural-urban continuum).
• Examine intersections between place and sociodemographic characteristics (e.g., sex, race/ethnicity, nativity, educational attainment) in mortality trends and the underlying drivers of those trends.
• Examine the role of COVID-19 in exacerbating existing geographic disparities in mortality.
• Identify the factors that have contributed to deteriorating life expectancy in the United States relative to other high-income countries, including the recent role of COVID-19?
Keywords: geographic inequality, health and mortality, united states, race, ethnicity, life expectancy
Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.