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Deborah A. Cohen, MD, MPH, Karen Mason, MPH, Ariane Bedimo, PhD, MPH, Richard Scribner, MD, MPH, Victoria Basolo, PhD and Thomas A. Farley, MD, MPH

Deborah A. Cohen is with RAND Corporation, Santa Monica, Calif, and the Louisiana State University Health Sciences Center, New Orleans. Karen Mason, Ariane Bedimo, and Richard Scribner are also with the Louisiana State University Health Sciences Center. Victoria Basolo is with the University of California at Irvine. Thomas A. Farley is with the Tulane University School of Public Health and Tropical Medicine, New Orleans.

Correspondence: Requests for reprints should be sent to Deborah Cohen, MD, MPH, RAND Corporation, 1700 Main St, Santa Monica, CA 90405 (e-mail: dcohen{at}rand.org).

Objectives. We explored the relationship between boarded-up housing and rates of gonorrhea and premature mortality.

Methods. In this ecological study of 107 US cities, we developed several models predicting rates of gonorrhea and premature death before age 65 from all causes and from specific causes. We controlled for race, poverty, education, population change, and health insurance coverage.

Results. Boarded-up housing remained a predictor of gonorrhea rates, all-cause premature mortality, and premature mortality due to malignant neoplasms, diabetes, homicide, and suicide after control for sociodemographic factors.

Conclusions. Boarded-up housing may be related to mortality risk because of its potential adverse impact on social relationships and opportunities to engage in healthful behaviors. Neighborhood physical conditions deserve further consideration as a potential global factor influencing health and well-being.

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