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Friday, 1 December, 2000, 09:17 GMT
Cities 'as dangerous as smoking'
Inner city living can be bad for men's health
Inner city living can be bad for men's health
Living in a city is as bad for men as smoking, according to American researchers.

A study of more than 3,600 adults over seven years found men in urban areas were 62% more likely to die prematurely than those who lived in suburbs, small towns or rural areas.

Researchers said city-dwellers were at risk from many causes of death, but said the most significant causes were tumours and infections.

White men are at particularly high risk, while black men living in the suburbs had as great, or greater risk factor as if they lived in a city.

Poor support

James S House, lead author of the paper from the University of Michigan, said men living in cities may have fewer ways of coping with stress, such as social support networks.

"The excess mortality risk among men residing in cities rivals that of cigarette smoking, social isolation, low income and other psychosocial risk factors for mortality."


Men may spend more time outside of the house, and may spend that time in work or other environments that are risky to their health

James S House
Sociologist

Mr House, director of the Institute for Social Research at the university, said: "Living in cities also involves potentially stressful levels of noise, sensory stimulation and overload, interpersonal relations and conflict and vigilance against hazards ranging from crime to accidents.

"Men could have some greater exposure to whatever is hazardous in the urban environment," he suggested.

"Men may spend more time outside of the house, and may spend that time in work or other environments that are risky to their health.

"Or, it could be that women might have some social, psychological, or biological resources that buffer or protect them from the hazard of city life.

Cities

Sociologist Mr House and his team interviewed a nationally representative sample 3,600 adults over 25 for the first time in 1986. They then tracked them over the next seven and a half years.

Twenty-four per cent lived in cities, 47% lived in suburbs and 29% lived in small towns or rural areas.

Their age, sex, marital and economic status, and health status - including whether they smoked, drank or exercised was recorded.

By 1994, 542 had died. Researchers collated information on the cause of death, and looked at how that was linked with where the subjects lived, looking at men, women, blacks, non-blacks and under-65s.

Dr Ian Banks, chairman of the Men's Health Forum, said he was not surprised by the results. "It seems reasonable, based on what we already know. And it fits in with the difference between life expectancy between lower and higher income groups."

The research is published in the American Journal of Public Health.

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See also:

29 Feb 00 | Health
Men 'don't seek medical help'
15 May 00 | Health
Health - how men suffer
15 May 00 | Health
Men's health 'low priority'
16 Nov 00 | UK Politics
Prescott plans 'urban renaissance'
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