Iliya Gutin
Biographic Data
| ID | 100668 |
|---|---|
| NAME | Iliya Gutin |
| GIVEN NAMES | Iliya |
| FAMILY NAME | Gutin |
| SIGNATURE | GUTIN I |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| ORCID | 0000-0003-4216-8963 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 73 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Changes in the Education-Health Gradient Within U.S. States, 1993–2019
The association between educational attainment and health (i.e., the education-health gradient) among U.S. adults has strengthened in recent decades; however, explanations for this trend are incomplete. This study builds on recent work showing that the strength of the gradient differs across U.S. states. We asked, how and why has the gradient changed over time in each U.S. state? Using 27 years of cross-sectional data from the 1993–2019 Behaviora…
Body size, cardiometabolic risk, and educational disparities in mortality among U.S. adults, 1988-2019
Obesity remains a focal issue in population health, yet recent evidence finds many adults with obesity have favorable cardiometabolic health, sometimes better than their 'healthy' weight counterparts. While biomedical research frames this a function of random biological differences in the population, the co-occurrence of obesity with other morbidities is influenced by social factors, such as individuals' socioeconomic status and the many resource…
Changes in the association between county industrial composition and working-age mortality from 2000 to 2022
Rising working-age mortality in recent decades was partly due to declines in the manufacturing industry. Less is known about how working-age mortality was associated with concurrent changes in other industries and whether those associations fluctuated over time alongside exogenous shocks to labor markets. This study draws on the precarious work literature to assess temporally specific associations between industry composition and mortality, which…
The Role of Despair in Predicting Self-Destructive Behaviors
Working age (25-64) mortality in the US has been increasing for decades, driven in part by rising deaths due to drug overdose, as well as increases in suicide and alcohol-related mortality. These deaths have been hypothesized by some to be due to despair, but this has rarely been empirically tested. For despair to explain mortality due to alcohol-related liver disease, suicide, and drug overdose, it must first predict the behaviors that lead to s…
Research Note
The trend of increasing U.S. working-age (25–64) mortality is well-documented. Yet, our understanding of its causes is incomplete, and analyses are often limited to using population data with little information on individual behaviors and characteristics. One characterization of this trend centers on the role of despair as a catalyst for self-destructive behaviors that ultimately manifest in mortality from suicide and substance use. The role of d…
Elite class self‐interest, socioeconomic inequality and U.S. population health
Class‐based perspectives on the persistent social gradients in health within modern welfare states largely focus on the adverse consequences of unfettered neoliberalism and entrenched meritocratic socioeconomic selection. Namely, neoliberal‐driven economic inequality has fuelled resentment and stress among lower‐status groups, while these groups have become more homogeneous with regard to health behaviours and outcomes. We synthesise several soci…
Taking John Schulenberg's “long view” on successful transitions to adulthood
Can positive transitions into young adulthood at age 25 prevent problematic substance use at age 31, even in the context of childhood adverse family environments, conduct problems, and adolescent substance use? We lean on John Schulenberg's developmental framework to examine this question, focusing on the potential young adult milestones of high school and college graduation, employment, residential independence, romantic partnership, and parenth…
Diagnosing social ills
Medicine, as an institution and discipline, has embraced social determinants of health as a key influence on clinical practice and care. Beyond simply acknowledging their importance, most recent versions of the International Classification of Diseases explicitly codify social determinants as a viable diagnostic category. This diagnostic shift is noteworthy in the United States, where 'Z-codes' were introduced to facilitate the documentation of il…
Defining despair
Outside the Skin”
Research on Black–White disparities in mortality emphasizes the cumulative pathways through which racism gets “under the skin” to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology,…
Not 'putting a name to it
Debts of despair
Recent deaths of despair literature hypothesizes that financial losses are a key mechanism through which education is associated with higher risk for drug use, alcohol abuse, and suicidal ideation. However, few studies have empirically assessed the significance of this harmful pathway or compared it to other hypothesized explanations. Drawing on data from over 8000 respondents in the National Longitudinal Study of Adolescent to Adult Health, this…
Body mass index is just a number
Despite the ubiquity of the body mass index (BMI) in discourse on health, there is ambiguity in its use as a biomarker of current abnormality versus future risk. This distinction is consequential for knowledge of the relationship between body size and health, as well as for individuals deemed to have abnormal and ‘unhealthy’ bodies. Consequently, the purposes of this review are threefold. The first is to differentiate this ‘biomarker’ perspective…
Trajectories of Subjective Health
Self-rated health (SRH) is ubiquitous in population health research. It is one of the few consistent health measures in longitudinal studies. Yet, extant research offers little guidance on its longitudinal trajectory. The literature on SRH suggests several possibilities, including SRH as (1) a more fixed, longer-term view of past, present, and anticipated health; (2) a spontaneous assessment at the time of the survey; (3) a result of lagged effec…
Social Inequality and the Future of US Life Expectancy
Despite decades of progress, the future of life expectancy in the United States is uncertain due to widening socioeconomic disparities in mortality, continued disparities in mortality across racial/ethnic groups, and an increase in extrinsic causes of death. These trends prompt us to scrutinize life expectancy in a high-income but enormously unequal society like the United States, where social factors determine who is most able to maximize their …
Subjective health in adolescence
The persistent southern disadvantage in US early life mortality, 1965-2014
BACKGROUND: Recent studies of US adult mortality demonstrate a growing disadvantage among southern states. Few studies have examined long-term trends and geographic patterns in US early life (ages 1 to 24) mortality, ages at which key risk factors and causes of death are quite different than among adults. OBJECTIVE: This article examines trends and variations in early life mortality rates across US states and census divisions. We assess whether t…
Educational differences in mortality associated with central obesity
Essential(ist) medicine
Biomedical research has a long and complicated history as a tool of oppression, exemplary of the racial science used to legitimise and maintain racial hierarchies in the USA and abroad. While the explicit racism and racial inferiority supported by this research has dissipated and modern methods of inquiry have increased in sophistication and rigor, contemporary biomedical research continues to essentialise race by distilling racial differences an…
In BMI we trust
Family Experiences of Competition and Adolescent Performance
The authors examined how mothers' and fathers' feelings of competition at home and work affect their relationships with their daughters and sons using time-diary data from a national sample of 220 families. Multivariate analyses revealed 3 relationships between parents' feelings of competitiveness at work and home and feelings of competition experienced by their children at school and home: (a) parents' and adolescents' competitiveness varied acr…
Social Inequality and the Future of US Life Expectancy
Despite decades of progress, the future of life expectancy in the United States is uncertain due to widening socioeconomic disparities in mortality, continued disparities in mortality across racial/ethnic groups, and an increase in extrinsic causes of death. These trends prompt us to scrutinize life expectancy in a high-income but enormously unequal society like the United States, where social factors determine who is most able to maximize their …
In BMI we trust
Defining despair
Outside the Skin”
Research on Black–White disparities in mortality emphasizes the cumulative pathways through which racism gets “under the skin” to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology,…
Subjective health in adolescence
Body mass index is just a number
Despite the ubiquity of the body mass index (BMI) in discourse on health, there is ambiguity in its use as a biomarker of current abnormality versus future risk. This distinction is consequential for knowledge of the relationship between body size and health, as well as for individuals deemed to have abnormal and ‘unhealthy’ bodies. Consequently, the purposes of this review are threefold. The first is to differentiate this ‘biomarker’ perspective…
Trajectories of Subjective Health
Self-rated health (SRH) is ubiquitous in population health research. It is one of the few consistent health measures in longitudinal studies. Yet, extant research offers little guidance on its longitudinal trajectory. The literature on SRH suggests several possibilities, including SRH as (1) a more fixed, longer-term view of past, present, and anticipated health; (2) a spontaneous assessment at the time of the survey; (3) a result of lagged effec…
The persistent southern disadvantage in US early life mortality, 1965-2014
BACKGROUND: Recent studies of US adult mortality demonstrate a growing disadvantage among southern states. Few studies have examined long-term trends and geographic patterns in US early life (ages 1 to 24) mortality, ages at which key risk factors and causes of death are quite different than among adults. OBJECTIVE: This article examines trends and variations in early life mortality rates across US states and census divisions. We assess whether t…
Essential(ist) medicine
Biomedical research has a long and complicated history as a tool of oppression, exemplary of the racial science used to legitimise and maintain racial hierarchies in the USA and abroad. While the explicit racism and racial inferiority supported by this research has dissipated and modern methods of inquiry have increased in sophistication and rigor, contemporary biomedical research continues to essentialise race by distilling racial differences an…
Research Note
The trend of increasing U.S. working-age (25–64) mortality is well-documented. Yet, our understanding of its causes is incomplete, and analyses are often limited to using population data with little information on individual behaviors and characteristics. One characterization of this trend centers on the role of despair as a catalyst for self-destructive behaviors that ultimately manifest in mortality from suicide and substance use. The role of d…
Taking John Schulenberg's “long view” on successful transitions to adulthood
Can positive transitions into young adulthood at age 25 prevent problematic substance use at age 31, even in the context of childhood adverse family environments, conduct problems, and adolescent substance use? We lean on John Schulenberg's developmental framework to examine this question, focusing on the potential young adult milestones of high school and college graduation, employment, residential independence, romantic partnership, and parenth…
Diagnosing social ills
Medicine, as an institution and discipline, has embraced social determinants of health as a key influence on clinical practice and care. Beyond simply acknowledging their importance, most recent versions of the International Classification of Diseases explicitly codify social determinants as a viable diagnostic category. This diagnostic shift is noteworthy in the United States, where 'Z-codes' were introduced to facilitate the documentation of il…
Not 'putting a name to it
Family Experiences of Competition and Adolescent Performance
The authors examined how mothers' and fathers' feelings of competition at home and work affect their relationships with their daughters and sons using time-diary data from a national sample of 220 families. Multivariate analyses revealed 3 relationships between parents' feelings of competitiveness at work and home and feelings of competition experienced by their children at school and home: (a) parents' and adolescents' competitiveness varied acr…
Family Experiences of Competition and Adolescent Performance
The authors examined how mothers' and fathers' feelings of competition at home and work affect their relationships with their daughters and sons using time-diary data from a national sample of 220 families. Multivariate analyses revealed 3 relationships between parents' feelings of competitiveness at work and home and feelings of competition experienced by their children at school and home: (a) parents' and adolescents' competitiveness varied acr…
In BMI we trust
Essential(ist) medicine
Biomedical research has a long and complicated history as a tool of oppression, exemplary of the racial science used to legitimise and maintain racial hierarchies in the USA and abroad. While the explicit racism and racial inferiority supported by this research has dissipated and modern methods of inquiry have increased in sophistication and rigor, contemporary biomedical research continues to essentialise race by distilling racial differences an…
The persistent southern disadvantage in US early life mortality, 1965-2014
BACKGROUND: Recent studies of US adult mortality demonstrate a growing disadvantage among southern states. Few studies have examined long-term trends and geographic patterns in US early life (ages 1 to 24) mortality, ages at which key risk factors and causes of death are quite different than among adults. OBJECTIVE: This article examines trends and variations in early life mortality rates across US states and census divisions. We assess whether t…
Educational differences in mortality associated with central obesity
Debts of despair
Recent deaths of despair literature hypothesizes that financial losses are a key mechanism through which education is associated with higher risk for drug use, alcohol abuse, and suicidal ideation. However, few studies have empirically assessed the significance of this harmful pathway or compared it to other hypothesized explanations. Drawing on data from over 8000 respondents in the National Longitudinal Study of Adolescent to Adult Health, this…
Body mass index is just a number
Despite the ubiquity of the body mass index (BMI) in discourse on health, there is ambiguity in its use as a biomarker of current abnormality versus future risk. This distinction is consequential for knowledge of the relationship between body size and health, as well as for individuals deemed to have abnormal and ‘unhealthy’ bodies. Consequently, the purposes of this review are threefold. The first is to differentiate this ‘biomarker’ perspective…
Trajectories of Subjective Health
Self-rated health (SRH) is ubiquitous in population health research. It is one of the few consistent health measures in longitudinal studies. Yet, extant research offers little guidance on its longitudinal trajectory. The literature on SRH suggests several possibilities, including SRH as (1) a more fixed, longer-term view of past, present, and anticipated health; (2) a spontaneous assessment at the time of the survey; (3) a result of lagged effec…
Social Inequality and the Future of US Life Expectancy
Despite decades of progress, the future of life expectancy in the United States is uncertain due to widening socioeconomic disparities in mortality, continued disparities in mortality across racial/ethnic groups, and an increase in extrinsic causes of death. These trends prompt us to scrutinize life expectancy in a high-income but enormously unequal society like the United States, where social factors determine who is most able to maximize their …
Subjective health in adolescence
Outside the Skin”
Research on Black–White disparities in mortality emphasizes the cumulative pathways through which racism gets “under the skin” to affect health. Yet this framing is less applicable in early life, when death is primarily attributable to external causes rather than cumulative, biological processes. We use mortality data from the National Vital Statistics System Multiple Cause of Death files and population counts from the Surveillance, Epidemiology,…
Not 'putting a name to it
Defining despair
Elite class self‐interest, socioeconomic inequality and U.S. population health
Class‐based perspectives on the persistent social gradients in health within modern welfare states largely focus on the adverse consequences of unfettered neoliberalism and entrenched meritocratic socioeconomic selection. Namely, neoliberal‐driven economic inequality has fuelled resentment and stress among lower‐status groups, while these groups have become more homogeneous with regard to health behaviours and outcomes. We synthesise several soci…
Taking John Schulenberg's “long view” on successful transitions to adulthood
Can positive transitions into young adulthood at age 25 prevent problematic substance use at age 31, even in the context of childhood adverse family environments, conduct problems, and adolescent substance use? We lean on John Schulenberg's developmental framework to examine this question, focusing on the potential young adult milestones of high school and college graduation, employment, residential independence, romantic partnership, and parenth…
Diagnosing social ills
Medicine, as an institution and discipline, has embraced social determinants of health as a key influence on clinical practice and care. Beyond simply acknowledging their importance, most recent versions of the International Classification of Diseases explicitly codify social determinants as a viable diagnostic category. This diagnostic shift is noteworthy in the United States, where 'Z-codes' were introduced to facilitate the documentation of il…
Changes in the association between county industrial composition and working-age mortality from 2000 to 2022
Rising working-age mortality in recent decades was partly due to declines in the manufacturing industry. Less is known about how working-age mortality was associated with concurrent changes in other industries and whether those associations fluctuated over time alongside exogenous shocks to labor markets. This study draws on the precarious work literature to assess temporally specific associations between industry composition and mortality, which…
The Role of Despair in Predicting Self-Destructive Behaviors
Working age (25-64) mortality in the US has been increasing for decades, driven in part by rising deaths due to drug overdose, as well as increases in suicide and alcohol-related mortality. These deaths have been hypothesized by some to be due to despair, but this has rarely been empirically tested. For despair to explain mortality due to alcohol-related liver disease, suicide, and drug overdose, it must first predict the behaviors that lead to s…
Research Note
The trend of increasing U.S. working-age (25–64) mortality is well-documented. Yet, our understanding of its causes is incomplete, and analyses are often limited to using population data with little information on individual behaviors and characteristics. One characterization of this trend centers on the role of despair as a catalyst for self-destructive behaviors that ultimately manifest in mortality from suicide and substance use. The role of d…
Changes in the Education-Health Gradient Within U.S. States, 1993–2019
The association between educational attainment and health (i.e., the education-health gradient) among U.S. adults has strengthened in recent decades; however, explanations for this trend are incomplete. This study builds on recent work showing that the strength of the gradient differs across U.S. states. We asked, how and why has the gradient changed over time in each U.S. state? Using 27 years of cross-sectional data from the 1993–2019 Behaviora…
Body size, cardiometabolic risk, and educational disparities in mortality among U.S. adults, 1988-2019
Obesity remains a focal issue in population health, yet recent evidence finds many adults with obesity have favorable cardiometabolic health, sometimes better than their 'healthy' weight counterparts. While biomedical research frames this a function of random biological differences in the population, the co-occurrence of obesity with other morbidities is influenced by social factors, such as individuals' socioeconomic status and the many resource…
Psychology (16 works) · Medicine (15 works) · Health disparities and outcomes (13 works) · Population (10 works) · Sociology (10 works) · Demography (9 works) · Environmental health (7 works) · Psychiatry (7 works) · Demography (6 works) · Gerontology (6 works)