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Open AccessArticle

Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011−2015

1
Elson S. Floyd College of Medicine, Washington State University, Spokane, WA 99202, USA
2
Department of Nutrition and Exercise Physiology, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA 99202, USA
3
Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA 99202, USA
4
Paul G. Allen School for Global Animal Health, Washington State University, Pullman, WA 99164, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(8), 2828; https://doi.org/10.3390/ijerph17082828
Received: 30 March 2020 / Revised: 11 April 2020 / Accepted: 12 April 2020 / Published: 20 April 2020
(This article belongs to the Special Issue Space, Place and Health Outcomes)
Objective: This study examined the association of several social and environmental factors on the likelihood of reaching centenarian age for older adults in Washington State. Methods: A survival analysis of reaching centenarian age for older adults aged 75 years and above was performed using Washington State mortality data from 2011−2015. Models were adjusted for sex, race, education, marital status, and neighborhood level social and environmental variables at the block group level. Geographic clusters of increased chance of becoming a centenarian were also mapped. Results: In the adjusted model, increased neighborhood walkability, lower education level, higher socioeconomic status, and a higher percent of working age population were positively associated with reaching centenarian age. Being widowed, divorced/separated, or never married were also positively correlated compared to being married. Additionally, being white or female were positively correlated with reaching centenarian status. Discussion: Several social and environmental factors are correlated with becoming a centenarian in Washington State. In this study, we explore findings that are consistent with previous research, as well as some that have not been previously explained. More research is needed to expand upon these findings in this rapidly growing field. View Full-Text
Keywords: centenarian; mortality; aging; Washington State; social determinants centenarian; mortality; aging; Washington State; social determinants
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Bhardwaj, R.; Amiri, S.; Buchwald, D.; Amram, O. Environmental Correlates of Reaching a Centenarian Age: Analysis of 144,665 Deaths in Washington State for 2011−2015. Int. J. Environ. Res. Public Health 2020, 17, 2828.

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