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"How does your Zip code impact your life span? I've lived in my current Zip code for 18 months. Why should that have any impact on my life span?"
What that means is that people who live in more affluent communities live longer.

Note: this does not mean that where you live determines your longevity.

What it means is that living in more affluent communities and having an improved longevity both come from the same cause.
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