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April 2002, Vol 92, No. 4 | American Journal of Public Health 640-645
© 2002 American Public Health Association


RESEARCH AND PRACTICE

Early Adult Characteristics and Mortality Among Inner-City African American Women

Nan Marie Astone, PhD, Margaret Ensminger, PhD and Hee Soon Juon, PhD

The authors are with the Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Nan Marie Astone is with the Department of Population and Family Health Sciences. Margaret Ensminger and Hee Soon Juon are with the Department of Health Policy and Management.

Correspondence: Requests for reprints should be sent to Nan Marie Astone, PhD, Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205
(e-mail: nastone{at}jhsph.edu).

Objectives. This study examined predictors of longevity in a cohort of inner-city African American women.

Methods. Data were derived from a cohort study of inner-city African American mothers whose median age in 1966 was 31 years. Analyses involved single-decrement life tables and pooled logistic regression.

Results. Giving birth for the first time before age 25 and having at least a high school education predicted longevity in this sample. Effects of later age at first delivery in terms of mortality risk were stronger after 55 years and, especially, after 70 years.

Conclusions. The findings offer support for Geronimus's weathering hypothesis. Predictors of longevity among African Americans may be distinct from predictors for the population as a whole.




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