County community health associations of net voting shift in the 2016 U.S. presidential election.

ABSTRACT:

Importance

In the U.S. presidential election of 2016, substantial shift in voting patterns occurred relative to previous elections. Although this shift has been associated with both education and race, the extent to which this shift was related to public health status is unclear.

Objective

To determine the extent to which county community health was associated with changes in voting between the presidential elections of 2016 and 2012.

Design

Ecological study with principal component analysis (PCA) using principal axis method to extract the components, then generalized linear regression.

Setting

General community.

Participants

All counties in the United States.

Exposures

Physically unhealthy days, mentally unhealthy days, percent food insecure, tee

SUBMITTER: Wasfy JH 

PROVIDER: S-EPMC5624580 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature