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Economic Cynicism, COVID-19 and Deaths of Despair in Rural Ohio Counties.

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Τίτλος: Economic Cynicism, COVID-19 and Deaths of Despair in Rural Ohio Counties.
Συγγραφείς: Browning CR; Department of Sociology, The Ohio State University, Columbus, Ohio, USA.; Institute for Population Research, The Ohio State University, Columbus, Ohio, USA., Boettner B; Institute for Population Research, The Ohio State University, Columbus, Ohio, USA., Calder CA; Department of Statistics and Data Sciences, The University of Texas at Austin, Austin, Texas, USA., Root E; Institute for Disease Modeling, Gates Foundation, Seattle, Washington, USA.
Πηγή: Sociology of health & illness [Sociol Health Illn] 2026 Jul; Vol. 48 (6), pp. e70227.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Blackwell Publishing Country of Publication: England NLM ID: 8205036 Publication Model: Print Cited Medium: Internet ISSN: 1467-9566 (Electronic) Linking ISSN: 01419889 NLM ISO Abbreviation: Sociol Health Illn Subsets: MEDLINE
Imprint Name(s): Publication: <2003->: Oxford ; Malden, MA : Blackwell Publishing
Original Publication: Henley-on-Thames ; Boston, Mass. : Routledge & Kegan Paul
Ιατρικοί όροι (MeSH): COVID-19*/epidemiology , COVID-19*/psychology , Rural Population*/statistics & numerical data , Drug Overdose*/mortality , Suicide*/statistics & numerical data, Ohio/epidemiology ; Humans ; Socioeconomic Disparities in Health ; Female ; Male ; Socioeconomic Factors ; Adult ; Middle Aged
Περίληψη: Research on urban community effects on health has considered a range of collective social processes as potential links between economic disadvantage and health. We extend this focus to deaths of despair (DoD; drug overdose mortality and suicide) in rural counties by examining the association between a novel indicator of economic cynicism (perceptions that local communities have been 'left behind' economically) and DoD. We also consider a range of other aspects of social climate potentially relevant to health, including social network ties, collective efficacy and social and physical disorder. We draw on data from the 2018 Ohio Community Resilience Study to estimate county-level social process measures. Multilevel models of 2018-2022 age-adjusted DoD rates in 39 rural Ohio counties indicate that economic cynicism is associated with prepandemic rates of DoD and COVID-19 pandemic-associated increases in drug overdose mortality. Generalised structural equation models indicate that economic cynicism attenuates the association between economic disadvantage and drug overdose mortality by roughly 27% and the association with suicide by 50%. We discuss the importance of community-level social processes as factors in understanding rural area vulnerability to DoD.
(© 2026 The Author(s). Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)
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Grant Information: P2CHD058484 Eunice Kennedy Shriver National Institute of Child Health and Human Development
Entry Date(s): Date Created: 20260708 Date Completed: 20260708 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13343394
DOI: 10.1111/1467-9566.70227
PMID: 42417169
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1467-9566
DOI:10.1111/1467-9566.70227