Assessment of Mortality and Smoking Rates Before and After Reduction in Community-wide Prevention Programs in Rural Maine | Zendy

Daniel K. Onion | Zendy; Roderick E. Prior | Zendy; N. Burgess Record | Zendy; Sandra S. Record | Zendy; Gerald R. Cayer | Zendy; Christopher I. Amos | Zendy; Thomas Pearson | Zendy

Open Access

Assessment of Mortality and Smoking Rates Before and After Reduction in Community-wide Prevention Programs in Rural Maine

Author(s) -

Daniel K. Onion,

Roderick E. Prior,

N. Burgess Record,

Sandra S. Record,

Gerald R. Cayer,

Christopher I. Amos,

Thomas Pearson

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.5877

Subject(s) - psychological intervention , medicine , socioeconomic status , demography , environmental health , gerontology , mortality rate , population , surgery , psychiatry , sociology

Key Points Question Do improved healthy behaviors and mortality in a rural county persist after community-wide interventions to mitigate behavioral and medical mortality risk factors have been ended or reduced? Findings In this cross-sectional study of a rural Maine county, increasing mortality and smoking rates were observed within 5 to 10 years of program reductions. Also, mortality rates in Maine counties were more strongly associated with income in 2006 to 2015 than in previous decades. Meaning This study suggests that there is a need for ongoing community population health assessments and prevention program adjustments to maintain reduced risk and positive outcomes.

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