Structural pluralism and all-cause mortality

Frank W. Young · Thomas A. Lyson

31 citations0/0 files storedAmerican Journal of Public Health

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Health disparities and outcomes Healthcare Policy and Management Public Health and Social Inequalities

Abstract

OBJECTIVES: This study tested the hypothesis that "structural pluralism" reduces age-standardized mortality rates. Structural pluralism is defined as the potential for political competition in communities. METHODS: US counties were the units of analysis. Multiple regression techniques were used to test the hypothesis. RESULTS: Structural pluralism is a stronger determinant of lower mortality than any of the other variables examined--specifically, income, education, and medical facilities. CONCLUSIONS: These findings support the case for a new structural variable, pluralism, as a possible cause of lower mortality, and they indirectly support the significance of comparable ecologic dimensions, such as social trust.

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References

1994Making Democracy Work 1997Social capital, income inequality, and mortality.2016Handbook of Aging and the Social Sciences 1950Southern Politics in State and Nation, by V. O. Key, Jr., Alexander Heard 1996Social ties and health: The benefits of social integration 1996Social factors and illness.

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