Next Article in Journal
The Differential Heritability of Social Adjustment by Sex
Next Article in Special Issue
The Future of Food: Understanding Public Preferences for the Management of Agricultural Resources
Previous Article in Journal
Correlation between Isotherms and Isodoses in Breast Cancer Radiotherapy—First Study
Previous Article in Special Issue
The Impact of Efficacy, Values, and Knowledge on Public Preferences Concerning Food–Water–Energy Policy Tradeoffs
Article

Exploring the Nexus of Energy Burden, Social Capital, and Environmental Quality in Shaping Health in US Counties

1
School for Environment & Sustainability, University of Michigan, 440 Church St., Ann Arbor, MI 48109, USA
2
School of Public Affairs & Administration and Environmental Studies Program, University of Kansas, Lawrence, KS 66045, USA
3
School of Public Affairs & Administration, University of Kansas, Lawrence, KS 66045, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 620; https://doi.org/10.3390/ijerph18020620
Received: 7 November 2020 / Revised: 10 January 2021 / Accepted: 11 January 2021 / Published: 13 January 2021
The United States spends more on health care than any other OECD country, yet the nation’s health is declining. Recent research has identified multiple sources for this decline, including one’s position in social and economic structures, environmental quality, and individual and collective social capital. This paper assesses the primary hypotheses that the health effects of household energy burden, social capital and environmental quality on aggregated community health levels remain while controlling for other determinants. The analysis moves beyond prior research by integrating multiple secondary data sources to assess those effects across US counties. Three indicators of public health are analyzed (premature mortality, self-reported health, and life expectancy). The county-level energy burden is measured by the percent of household income spent on housing energy bills for low- and moderate-income households. In addition to energy burden, social capital, environmental quality and other determinants are included in the analysis. The results produced by multivariate regression models support the primary hypotheses, even while a number of control variables also have a significant effect on health. The paper concludes that public health is associated with a complex nexus of factors, including environmental quality and social capital, and that energy burden needs to be among the considerations. View Full-Text
Keywords: energy burden; social capital; environmental quality; public health; social determinants of health energy burden; social capital; environmental quality; public health; social determinants of health
Show Figures

Figure 1

MDPI and ACS Style

Reames, T.G.; Daley, D.M.; Pierce, J.C. Exploring the Nexus of Energy Burden, Social Capital, and Environmental Quality in Shaping Health in US Counties. Int. J. Environ. Res. Public Health 2021, 18, 620. https://doi.org/10.3390/ijerph18020620

AMA Style

Reames TG, Daley DM, Pierce JC. Exploring the Nexus of Energy Burden, Social Capital, and Environmental Quality in Shaping Health in US Counties. International Journal of Environmental Research and Public Health. 2021; 18(2):620. https://doi.org/10.3390/ijerph18020620

Chicago/Turabian Style

Reames, Tony G., Dorothy M. Daley, and John C. Pierce. 2021. "Exploring the Nexus of Energy Burden, Social Capital, and Environmental Quality in Shaping Health in US Counties" International Journal of Environmental Research and Public Health 18, no. 2: 620. https://doi.org/10.3390/ijerph18020620

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop