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The Unequal Burden of Death: Structural Contexts of Mortality Inequality in the United States
The Unequal Burden of Death: Structural Contexts of Mortality Inequality in the United Sta...
The Unequal Burden of Death: Structural Contexts of Mortality Inequality in the United States

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103059
ISBN  
9798280761032
DDC  
312
저자명  
Luck, Anneliese N.
서명/저자  
The Unequal Burden of Death: Structural Contexts of Mortality Inequality in the United States
발행사항  
[Sl] : University of Pennsylvania, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
170 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisor: Elo, Irma T.
학위논문주기  
Thesis (Ph.D.)--University of Pennsylvania, 2025.
초록/해제  
요약This dissertation makes three scientific contributions to our understandings of the structural drivers of mortality inequality in the United States, focused on disparities at the intersection of race and sex. The first chapter examines the evolution of age-specific mortality inequality across the COVID-19 pandemic among White, Black, Hispanic, and Asian populations. Findings document shifting age gradients in COVID-19 mortality, as well as narrowing racial/ethnic disparities in all-cause and COVID-19 mortality. This chapter discusses how structural risks, as well as changes in the nature of the virus and behavior shaped the pandemic's evolving impact. This second chapter examines how changes in the ideological orientation of state policy environments from 1990 to 2019 have shaped racialized and gendered disparities in mortality and life expectancy among Black and White Americans. Findings reveal a growing liberal state life expectancy advantage over the past several decades, with Black life expectancy in the most liberal contexts recently surpassing or equaling White life expectancy in several conservative contexts. Further, by showing that state-level conservative policy shifts disproportionately increase mortality among Black and female populations, particularly at younger ages and from select preventable causes of death, including HIV/AIDs and drug overdose mortality, this chapter highlights state political and policy environments as a key driver of health inequality. The third chapter examines the relationship between county jail incarceration and age-specific mortality for Black and White men and women. Findings show that jail incarceration positively associated with mortality, with more pronounced penalties for women and the steepest consequences for Black men in late life. This chapter points to the need to disentangle jail and prison incarceration to better capture the health consequences of America's carceral system. Together, these studies make substantive contributions to the study of mortality and longevity inequality in the United States, highlighting the structural forces that lead to the unequal distribution of health burdens across populations occupying varying positions within racial and gender hierarchies.
일반주제명  
Demography
일반주제명  
Sociology
일반주제명  
Public health
일반주제명  
Ethnic studies
키워드  
Inequality
키워드  
Intersectionality
키워드  
Mortality
키워드  
Population health
키워드  
Public policy
키워드  
Social demography
기타저자  
University of Pennsylvania Demography
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a312
■1001  ▼aLuck,  Anneliese  N.
■24510▼aThe  Unequal  Burden  of  Death:  Structural  Contexts  of  Mortality  Inequality  in  the  United  States
■260    ▼a[Sl]▼bUniversity  of  Pennsylvania▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a170  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisor:  Elo,  Irma  T.
■5021  ▼aThesis  (Ph.D.)--University  of  Pennsylvania,  2025.
■520    ▼aThis  dissertation  makes  three  scientific  contributions  to  our  understandings  of  the  structural  drivers  of  mortality  inequality  in  the  United  States,  focused  on  disparities  at  the  intersection  of  race  and  sex.  The  first  chapter  examines  the  evolution  of  age-specific  mortality  inequality  across  the  COVID-19  pandemic  among  White,  Black,  Hispanic,  and  Asian  populations.  Findings  document  shifting  age  gradients  in  COVID-19  mortality,  as  well  as  narrowing  racial/ethnic  disparities  in  all-cause  and  COVID-19  mortality.  This  chapter  discusses  how  structural  risks,  as  well  as  changes  in  the  nature  of  the  virus  and  behavior  shaped  the  pandemic's  evolving  impact.  This  second  chapter  examines  how  changes  in  the  ideological  orientation  of  state  policy  environments  from  1990  to  2019  have  shaped  racialized  and  gendered  disparities  in  mortality  and  life  expectancy  among  Black  and  White  Americans.  Findings  reveal  a  growing  liberal  state  life  expectancy  advantage  over  the  past  several  decades,  with  Black  life  expectancy  in  the  most  liberal  contexts  recently  surpassing  or  equaling  White  life  expectancy  in  several  conservative  contexts.  Further,  by  showing  that  state-level  conservative  policy  shifts  disproportionately  increase  mortality  among  Black  and  female  populations,  particularly  at  younger  ages  and  from  select  preventable  causes  of  death,  including  HIV/AIDs  and  drug  overdose  mortality,  this  chapter  highlights  state  political  and  policy  environments  as  a  key  driver  of  health  inequality.  The  third  chapter  examines  the  relationship  between  county  jail  incarceration  and  age-specific  mortality  for  Black  and  White  men  and  women.  Findings  show  that  jail  incarceration  positively  associated  with  mortality,  with  more  pronounced  penalties  for  women  and  the  steepest  consequences  for  Black  men  in  late  life.  This  chapter  points  to  the  need  to  disentangle  jail  and  prison  incarceration  to  better  capture  the  health  consequences  of  America's  carceral  system.  Together,  these  studies  make  substantive  contributions  to  the  study  of  mortality  and  longevity  inequality  in  the  United  States,  highlighting  the  structural  forces  that  lead  to  the  unequal  distribution  of  health  burdens  across  populations  occupying  varying  positions  within  racial  and  gender  hierarchies.
■590    ▼aSchool  code:  0175.
■650  4▼aDemography
■650  4▼aSociology
■650  4▼aPublic  health
■650  4▼aEthnic  studies
■653    ▼aInequality
■653    ▼aIntersectionality
■653    ▼aMortality
■653    ▼aPopulation  health
■653    ▼aPublic  policy
■653    ▼aSocial  demography
■690    ▼a0938
■690    ▼a0626
■690    ▼a0631
■690    ▼a0573
■71020▼aUniversity  of  Pennsylvania▼bDemography.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■790    ▼a0175
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356905▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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