Mortality research, placement, and risk of death: basic research, the media and public policy

By: Borthwick-Duffy, Sharin.
Contributor(s): Widamen, Keith F | Grossman, Herbert J.
Series: Mental Retardation 36 (5) 1998: 416-422.Publisher: 1998Content type: text Media type: unmediated Carrier type: volume Subject(s): HEALTH | MORTALITY | RESEARCH | STATISTICS | UNITED STATES OF AMERICA | MEDIA | POLICYSummary: In order to say that a particular type of living enviroment is at least partially responsible for someone's death, one must be able to show that the person would not have died had he or she lived somewhere else (e.g. institution). Because a person cannot live in two places at the same time, however, we are restricted to other methodological alternatives, such as comparing different groups of people with differing characteristics who live in different places or monitoring death rates after people have changed residences. To do the former, when comparing mortality rates across settings, one must be able to say that the people in both setting types were equally at risk of dying. The data that we (and Strauss) have used to examine influences on mortality are not sufficiently detailed in terms of health status or health care to tell us whether this is the case. [AJ].
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In order to say that a particular type of living enviroment is at least partially responsible for someone's death, one must be able to show that the person would not have died had he or she lived somewhere else (e.g. institution). Because a person cannot live in two places at the same time, however, we are restricted to other methodological alternatives, such as comparing different groups of people with differing characteristics who live in different places or monitoring death rates after people have changed residences. To do the former, when comparing mortality rates across settings, one must be able to say that the people in both setting types were equally at risk of dying. The data that we (and Strauss) have used to examine influences on mortality are not sufficiently detailed in terms of health status or health care to tell us whether this is the case. [AJ].

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