The role of race in rural‐urban suicide disparities
The Journal of Rural Health Jun 19, 2021
Peltzman T, Gottlieb DJ, Levis M, et al. - This study was carried out to evaluate the role that race-ethnicity plays in modifying the observed rural-urban disparity in suicide among Veteran Health Administration (VHA) users. Between 2003 and 2017, researchers conducted a retrospective cohort study of 10,737,864 VHA users, using cross-linked VHA medical records and National Death Index mortality data to assess longitudinal race-stratified rural-urban differences in age- and sex-adjusted annual suicide rates. Poisson regression and generated incident rate ratios (IRRs) were used to formally evaluate the impact of race on the rural-urban suicide disparity. The findings suggest that race significantly modifies the correlation between rural residence and suicide risk. As per the findings, studies seeking to evaluate suicide disparity between rural and urban VHA user populations must include adjustment or stratification by race.
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