1932

Abstract

Life expectancy has long been seen as an indicator of the quality of life as well as the health of a population. Recent trends in US life expectancy show growing inequality in life expectancy for some socioeconomic and geographic groupings but diminishing inequality by race and gender. For example, while African Americans had gains in life expectancy, non-Hispanic white women with low levels of education experienced drops. Overall, the United States continues to fall behind other countries in terms of life expectancy. One reason is our growing mortality in midlife from so-called deaths of despair. Public health programs cannot eliminate these adverse trends if they are not also accompanied by social policies supporting economic opportunity for US families.

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2019-07-30
2024-12-07
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Literature Cited

  1. Acciai F, Noah AJ, Firebaugh G 2015. Pinpointing the sources of the Asian mortality advantage in the United States. J. Epidemiol. Community Health 69:1006–11
    [Google Scholar]
  2. Antonovsky A. 1967. Social class, life expectancy and overall mortality. Milbank Mem. Fund Q. 45:31–73
    [Google Scholar]
  3. Arias E, Kochanek KD, Anderson RN 2015. How does cause of death contribute to the Hispanic mortality advantage in the United States? NCHS Data Brief 221, Natl. Cent. Health Stat., US Dep Health Hum. Serv Hyattsville, MD:
    [Google Scholar]
  4. Avendano M, Kawachi I. 2014. Why do Americans have shorter life expectancy and worse health than do people in other high-income countries?. Annu. Rev. Public Health 35:307–25
    [Google Scholar]
  5. Beckfield J, Bambra C. 2016. Shorter lives in stingier states: Social policy shortcomings help explain the US mortality disadvantage. Soc. Sci. Med. 171:30–38
    [Google Scholar]
  6. Beltrán-Sánchez H, Austad SN, Finch CE 2018. Science 361:6409
    [Google Scholar]
  7. Beltrán-Sánchez H, Crimmins EM, Finch CE 2012. Early cohort mortality predicts the rate of aging in the cohort: a historical analysis. J. Dev. Orig. Health Dis. 3:380–86
    [Google Scholar]
  8. Beltrán-Sánchez H, Finch CE, Crimmins EM 2015. Twentieth century surge of excess adult male mortality. PNAS 112:8993–98
    [Google Scholar]
  9. Bongaarts J. 2009. Trends in senescent life expectancy. Pop. Stud. 63:203–13
    [Google Scholar]
  10. Bowser D, Canning D, Okunogbe A 2016. The impact of tobacco taxes on mortality in the USA, 1970–2005. Tob. Control 25:52–59
    [Google Scholar]
  11. Case A, Deaton A. 2015. Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. PNAS 112:15078–83
    [Google Scholar]
  12. Case A, Deaton A. 2017. Mortality and morbidity in the 21st century. Brookings Pap. Econ. Act. 2017:397–476
    [Google Scholar]
  13. Cherlin AJ. 2018. Psychological health and socioeconomic status among non-Hispanic whites. PNAS 115:7176–78
    [Google Scholar]
  14. Chetty R, Stepner M, Abraham S, Lin S, Scuderi B et al. 2016. The association between income and life expectancy in the United States, 2001–2014. JAMA 315:1750–66
    [Google Scholar]
  15. Christensen K, Doblhammer G, Rau R, Vaupel JW 2009. Ageing populations: the challenges ahead. Lancet 374:1196–208
    [Google Scholar]
  16. Cossman JS, James WL, Cosby AG, Cossman RE 2010. Underlying causes of the emerging nonmetropolitan mortality penalty. Am. J. Public Health 100:1417–19
    [Google Scholar]
  17. Crimmins EM. 2015. Lifespan and healthspan: past, present, and promise. Gerontologist 55:901–11
    [Google Scholar]
  18. Crimmins EM. 2018. Trends in mortality, disease, and physiological status in the older population. Future Directions for the Demography of Aging: Proceedings of a Workshop MD Hayward, MK Majmundar 1–28 Washington, DC: Natl. Acad. Press
    [Google Scholar]
  19. Crimmins EM, Finch C. 2006. Infection, inflammation, height, and longevity. PNAS 103:498–503
    [Google Scholar]
  20. Crimmins EM, Kim JK, Saito Y 2016. Change in cognitively healthy and cognitively impaired life expectancy in the United States: 2000–2010. SSM Popul. Health 2:793–97
    [Google Scholar]
  21. Crimmins EM, Preston SH, Cohen B 2010. International Differences in Mortality at Older Ages: Dimensions and Sources Washington, DC: Natl. Acad. Press
    [Google Scholar]
  22. Crimmins EM, Preston SH, Cohen B 2011. Explaining Divergent Levels of Longevity in High-Income Countries Washington, DC: Natl. Acad. Press
    [Google Scholar]
  23. Crimmins EM, Shim H, Zhang YS, Kim JK 2019. Differences between men and women in mortality and the health dimension. Clin. Chem. 65:135–45
    [Google Scholar]
  24. Cunningham TJ, Croft JB, Liu Y, Lu H, Eke PI, Giles WH 2017. Vital signs: racial disparities in age-specific mortality among blacks or African Americans—United States, 1999–2015. Morb. Mort. Wkly. Rep. 66:444–56
    [Google Scholar]
  25. de Beer J, Bardoutsos A, Janssen F 2017. Maximum human lifespan may increase to 125 years. Nature 546:E16–17
    [Google Scholar]
  26. de Grey A. 2003. Foreseeable and more distant rejuvenation therapies. Aging Interventions and Therapies SIS Rattan 379–95 Singapore: World Sci.
    [Google Scholar]
  27. Dong X, Milholland B, Vijg J 2016. Evidence for a limit to human lifespan. Nature 538:257–259
    [Google Scholar]
  28. Dwyer-Lindgren L, Bertozzi-Villa A, Stubbs RW, Morozoff C, Shirude S et al. 2018. Trends and patterns of geographic variation in mortality from substance use disorders and intentional injuries among US counties, 1980–2014. JAMA 319:1013–23
    [Google Scholar]
  29. Elo IT. 2009. Social class differentials in health and mortality: patterns and explanations in comparative perspective. Annu. Rev. Sociol. 35:553–72
    [Google Scholar]
  30. Elo IT, Beltrán-Sánchez H, Macinko J 2014. The contribution of health care and other interventions to black-white disparities in life expectancy, 1980–2007. Popul. Res. Policy Rev. 33:97–126
    [Google Scholar]
  31. Elo IT, Turra CM, Kestenbaum B, Ferguson BR 2004. Mortality among elderly Hispanics in the United States: past evidence and new results. Demography 41:109–28
    [Google Scholar]
  32. Fenelon A. 2013a. Geographic divergence in mortality in the United States. Popul. Dev. Rev. 39:611–34
    [Google Scholar]
  33. Fenelon A. 2013b. Revisiting the Hispanic mortality advantage in the United States: the role of smoking. Soc. Sci. Med. 82:1–9
    [Google Scholar]
  34. Finch CE, Beltrán-Sánchez H, Crimmins EM 2014. Uneven futures of human lifespans: reckonings from Gompertz mortality rates, climate change, and air pollution. Gerontology 60:183–88
    [Google Scholar]
  35. Finch CE, Crimmins EM. 2004. Inflammatory exposure and historical changes in human life-spans. Science 305:1736–39
    [Google Scholar]
  36. Firebaugh G, Acciai F, Noah AJ, Prather C, Nau C 2014. Why lifespans are more variable among blacks than among whites in the United States. Demography 51:2025–45
    [Google Scholar]
  37. Fries JF. 1980. Aging, natural death, and the compression of morbidity. N. Engl. J. Med. 303:130–35
    [Google Scholar]
  38. Goldman DP, Cutler D, Rowe JW, Michaud PC, Sullivan J et al. 2013. Substantial health and economic returns from delayed aging may warrant a new focus for medical research. Health Affairs 32:1698–705
    [Google Scholar]
  39. Goldman N, Glei DA, Weinstein M 2018. Declining mental health among disadvantaged Americans. PNAS 115:7290–95
    [Google Scholar]
  40. Gregg EW, Cheng YJ, Srinivasan M, Lin J, Geiss LS et al. 2018. Trends in cause-specific mortality among adults with and without diagnosed diabetes in the USA: an epidemiological analysis of linked national survey and vital statistics data. Lancet 391:2430–40
    [Google Scholar]
  41. Harper S, Lynch J, Burris S, Davey Smith G 2007. Trends in the black-white life expectancy gap in the United States, 1983–2003. JAMA 297:1224–32
    [Google Scholar]
  42. Harper S, MacLehose RF, Kaufman JS 2014. Trends in the black-white life expectancy gap among US states, 1990–2009. Health Affairs 33:1375–82
    [Google Scholar]
  43. Hayward MD, Gorman BK. 2004. The long arm of childhood: the influence of early-life social conditions on men's mortality. Demography 41:87–107
    [Google Scholar]
  44. Hayward MD, Hummer RA, Sasson I 2015. Trends and group differences in the association between educational attainment and U.S. adult mortality: implications for understanding education's causal influence. Soc. Sci. Med. 127:8–18
    [Google Scholar]
  45. Hendi AS. 2015. Trends in U.S. life expectancy gradients: the role of changing educational composition. Int. J. Epidemiol. 44:946–55
    [Google Scholar]
  46. Hendi AS. 2017. Trends in education-specific life expectancy, data quality, and shifting education distributions: a note on recent research. Demography 54:1203–13
    [Google Scholar]
  47. Ho JY. 2013. Mortality under age 50 accounts for much of the fact that US life expectancy lags that of other high-income countries. Health Affairs 32:459–67
    [Google Scholar]
  48. Ho JY. 2017. The contribution of drug overdose to educational gradients in life expectancy in the United States, 1992–2011. Demography 54:1175–202
    [Google Scholar]
  49. Ho JY, Fenelon A. 2015. The contribution of smoking to educational gradients in U.S. life expectancy. J. Health Soc. Behav. 56:307–22
    [Google Scholar]
  50. Ho JY, Hendi AS. 2018. Recent trends in life expectancy across high income countries: retrospective observational study. BMJ 362:k2562
    [Google Scholar]
  51. Ho JY, Preston SH. 2010. US mortality in an international context: age variations. Popul. Dev. Rev. 36:749–73
    [Google Scholar]
  52. Hummer RA, Gutin I. 2018. Racial/ethnic and nativity disparities in the health of older US men and women. Future Directions for the Demography of Aging: Proceedings of a Workshop MD Hayward, MK Majmundar 31–66 Washington, DC: Natl. Acad. Press
    [Google Scholar]
  53. Hummer RA, Hayward MD. 2015. Hispanic older adult health & longevity in the United States: current patterns and concerns for the future. Daedalus 144:20–30
    [Google Scholar]
  54. Inst. Med 2011. For the Public's Health: The Role of Measurement in Action and Accountability Washington, DC: Natl. Acad. Press
    [Google Scholar]
  55. Kaplan GA, Ranjit N, Burgard S 2008. Lifting gates—lengthening lives: Did Civil Rights policies improve the health of African-American Women in the 1960s and 1970s?. Making Americans Healthier: Social and Economic Policy as Health Policy RF Schoeni, JS House, GA Kaplan, H Pollack 145–69 New York: Russell Sage
    [Google Scholar]
  56. Keppel KG, Pearcy JN, Heron MP 2010. Is there progress toward eliminating racial/ethnic disparities in the leading causes of death?. Public Health Rep 125:689–97
    [Google Scholar]
  57. Kochanek KD, Anderson RN, Arias E 2015. Leading causes of death contributing to decrease in life expectancy gap between black and white populations: United States, 1999–2013 NCHS Data Brief 218, Natl. Cent. Health Stat., US Dep. Health Hum. Serv Hyattsville, MD:
    [Google Scholar]
  58. Kochanek KD, Arias E, Anderson RN 2013. How did cause of death contribute to racial differences in life expectancy in the United States in 2010? NCHS Data Brief 125, Natl. Cent. Health Stat., US Dep. Health Hum. Serv Hyattsville, MD:
    [Google Scholar]
  59. Kochanek KD, Murphy SL, Xu J, Arias E 2017. Mortality in the United States, 2016 NCHS Data Brief 293, Natl. Cent. Health Stat., US Dep. Health Hum. Serv Hyattsville, MD:
    [Google Scholar]
  60. Kolodny A, Courtwright DT, Hwang CS, Kreiner P, Eadie JL et al. 2015. The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annu. Rev. Public Health 36:559–74
    [Google Scholar]
  61. Krumholz HM, Wang Y, Chen J, Drye EE, Spertus JA et al. 2009. Reduction in acute myocardial infarction mortality in the United States: risk-standardized mortality rates from 1995–2006. JAMA 302:767–73
    [Google Scholar]
  62. Lariscy JT, Hummer RA, Hayward MD 2015. Hispanic older adult mortality in the United States: new estimates and an assessment of factors shaping the Hispanic paradox. Demography 52:1–14
    [Google Scholar]
  63. Lee J, Phillips D, Wilkens J, Chien S, Lin A et al. 2018. Cross–country comparisons of disability and morbidity: evidence from the gateway to global aging data. J Gerontol. A Biol. Sci. Med. Sci. 73:1519–24
    [Google Scholar]
  64. Link BG, Phelan JC. 1995. Social conditions as fundamental causes of disease. J. Health Soc. Behav. 1995:Extra Issue80–94
    [Google Scholar]
  65. Link BG, Phelan JC. 1996. Understanding sociodemographic differences in health—the role of fundamental social causes. Am. J. Public Health 86:471–73
    [Google Scholar]
  66. Ma J, Ward EM, Siegel RL, Jemal A 2015. Temporal trends in mortality in the United States, 1969–2013. JAMA 314:1731–39
    [Google Scholar]
  67. Mackenbach JP, Valverde JR, Artnik B, Bopp M, Brønnum-Hansen H et al. 2018. Trends in health inequalities in 27 European countries. PNAS 115:6440–45
    [Google Scholar]
  68. Marck A, Antero J, Berthelot G, Sauliere G, Jancovici JM et al. 2017. Are we reaching the limits of Homo sapiens?. Front. Physiol. 8:812
    [Google Scholar]
  69. Markides KS, Eschbach K. 2011. Hispanic paradox in adult mortality in the United States. International Handbook of Adult Mortality R Rogers, EM Crimmins 227–40 Dordrecht, Neth: Springer
    [Google Scholar]
  70. Martin GM, LaMarco K, Strauss E, Kelner KL 2003. Research on aging: the end of the beginning. Science 299:1339–41
    [Google Scholar]
  71. Masters RK, Hummer RA, Powers DA 2012. Educational differences in U.S. adult mortality: a cohort perspective. Am. Sociol. Rev. 77:548–72
    [Google Scholar]
  72. Masters RK, Hummer RA, Powers DA, Beck A, Lin S, Finch BK 2014. Long-term trends in adult mortality for U.S. blacks and whites: an examination of period- and cohort-based changes. Demography 51:2047–73
    [Google Scholar]
  73. Masters RK, Tilstra AM, Simon DH 2017. Mortality from suicide, chronic liver disease, and drug poisonings among middle-aged US white men and women, 1980–2013. Biodemography Soc. Biol. 63:31–37
    [Google Scholar]
  74. McLeod CB, Lavis JN, MacNab YC, Hertzman C 2012. Unemployment and mortality: a comparative study of Germany and the United States. Am. J. Public Health 102:1542–50
    [Google Scholar]
  75. Meara E, Richards S, Cutler D 2008. The gap gets bigger: changes in mortality and life expectancy by education, 1981−2000. Health Affairs 27:350–60
    [Google Scholar]
  76. Mensah GA, Wei GS, Sorlie PD, Fine LJ, Rosenberg Y et al. 2017. Decline in cardiovascular mortality: possible causes and implications. Circ. Res. 120:366–80
    [Google Scholar]
  77. Mokdad AH, Dwyer-Lindgren L, Fitzmaurice C, Stubbs RW, Bertozzi-Villa A et al. 2017. Trends and patterns of disparities in cancer mortality among US counties, 1980–2014. JAMA 317:388–406
    [Google Scholar]
  78. Monnat SM. 2018. Factors associated with county-level differences in U.S. drug-related mortality rates. Am. J. Prev. Med. 54:611–19
    [Google Scholar]
  79. Montez JK. 2017. Deregulation, devolution, and state preemption laws’ impact on US mortality trends. Am. J. Public Health 107:1749–50
    [Google Scholar]
  80. Montez JK, Hummer RA, Hayward MD 2012. Educational attainment and adult mortality in the United States: a systematic analysis of functional form. Demography 49:315–36
    [Google Scholar]
  81. Montez JK, Hummer RA, Hayward MD, Woo H, Rogers RG 2011. Trends in the educational gradient of US adult mortality from 1986 through 2006 by race, gender, and age group. Res. Aging 33:145–71
    [Google Scholar]
  82. Montez JK, Martikainen P, Remes H, Avendano M 2015. Work-family context and the longevity disadvantage of US women. Soc. Forces 93:1567–97
    [Google Scholar]
  83. Montez JK, Zajacova A. 2013a. Explaining the widening education gap in mortality among US white women. J. Health Soc. Behav. 54:166–82
    [Google Scholar]
  84. Montez JK, Zajacova A. 2013b. Trends in mortality risk by education level and cause of death among US white women from 1986 to 2006. Am. J. Public Health 103:473–79
    [Google Scholar]
  85. Montez JK, Zajacova A, Hayward MD 2016. Explaining inequalities in women's mortality between U.S. States. SSM Popul. Health 2:561–71
    [Google Scholar]
  86. Murphy SL, Xu J, Kochanek KD, Curtin SC, Arias E 2017. Deaths: final data for 2015. Natl. Vital Stat. Rep. 66:6
    [Google Scholar]
  87. Murray CJ, Kulkarni SC, Michaud C, Tomijima N, Bulzacchelli MT et al. 2006. Eight Americas: investigating mortality disparities across races, counties, and race-counties in the United States. PLOS Med 3:e260
    [Google Scholar]
  88. Nelson K, Fritzell J. 2014. Welfare states and population health: the role of minimum income benefits for mortality. Soc. Sci. Med. 112:63–71
    [Google Scholar]
  89. Noelke C, Beckfield J. 2014. Recessions, job loss, and mortality among older US adults. Am. J. Public Health 104:e126–34
    [Google Scholar]
  90. Olshansky SJ, Antonucci T, Berkman L, Binstock RH, Boersch-Supan A et al. 2012. Differences in life expectancy due to race and educational differences are widening, and many may not catch up. Health Affairs 31:1803–13
    [Google Scholar]
  91. Olshansky SJ, Carnes BA, Desesquelles A 2001. Prospects for human longevity. Science 291:1491–92
    [Google Scholar]
  92. Pomeranz JL, Pertschuk M. 2017. State preemption: a significant and quiet threat to public health in the United States. Am. J. Public Health 107:6900–2
    [Google Scholar]
  93. Preston SH. 2014. Commentary: when people behave badly. Epidemiology 25:191–93
    [Google Scholar]
  94. Preston SH, Glei DA, Wilmoth JR 2010. Contribution of smoking to international differences in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources EM Crimmins, SH Preston, B Cohen 105–31 Washington, DC: Natl. Acad. Press
    [Google Scholar]
  95. Preston SH, Stokes A. 2011. Contribution of obesity to international differences in life expectancy. Am. J. Public Health 101:2137–43
    [Google Scholar]
  96. Riddell CA, Morrison KT, Kaufman JS, Harper S 2018. Trends in the contribution of major causes of death to the black-white life expectancy gap by US state. Health Place 52:85–100
    [Google Scholar]
  97. Roth GA, Dwyer-Lindgren L, Bertozzi-Villa A, Stubbs RW, Morozoff C et al. 2017. Trends and patterns of geographic variation in cardiovascular mortality among US counties, 1980–2014. JAMA 317:1976–92
    [Google Scholar]
  98. Sasson I. 2016. Trends in life expectancy and lifespan variation by educational attainment: United States, 1990–2010. Demography 53:269–93
    [Google Scholar]
  99. Sasson I. 2017. Reply to trends in education-specific life expectancy, data quality, and shifting education distributions: a note on recent research. Demography 54:1215–19
    [Google Scholar]
  100. Schuchat A, Houry D, Guy GP 2017. New data on opioid use and prescribing in the United States. JAMA 318:425–26
    [Google Scholar]
  101. Shiels MS, Chernyavskiy P, Anderson WF, Best AF, Haozous EA et al. 2017. Trends in premature mortality in the USA by sex, race, and ethnicity from 1999 to 2014: an analysis of death certificate data. Lancet 389:1043–54
    [Google Scholar]
  102. Sidney S, Quesenberry CP, Jaffe MG, Sorel M, Nguyen-Huynh MN et al. 2016. Recent trends in cardiovascular mortality in the United States and public health goals. JAMA Cardiol 1:594–99
    [Google Scholar]
  103. Singh GK, Hiatt RA. 2006. Trends and disparities in socioeconomic and behavioural characteristics, life expectancy, and cause-specific mortality of native-born and foreign-born populations in the United States, 1979–2003. Int. J. Epidemiol. 35:903–19
    [Google Scholar]
  104. Singh GK, Siahpush M. 2014. Widening rural-urban disparities in life expectancy, US, 1969–2009. Am. J. Prev. Med. 46:e19–29
    [Google Scholar]
  105. Syme SL, Berkman LF. 1976. Social class, susceptibility and sickness. Am. J. Epidemiol. 104:1–8
    [Google Scholar]
  106. Turra CM, Goldman N. 2007. Socioeconomic differences in mortality among U.S. adults: insights into the Hispanic paradox. J. Gerontol. B Psychol. Sci. Soc. Sci. 62:S184–92
    [Google Scholar]
  107. Van Dyke M, Greer S, Odom E, Schieb L, Vaughan A et al. 2018. Heart disease death rates among blacks and whites aged ≥35 years—United States, 1968–2015. MMWR Surveill. Summ. 67:1–11
    [Google Scholar]
  108. Vaupel JW. 1997. The average French baby may live 95 or 100 years. Longevity: To the Limits and Beyond JM Robine, JW Vaupel, B Jeune, M Allard 11–27 Berlin/Heidelberg: Springer-Verlag
    [Google Scholar]
  109. Vaupel JW. 2010. Biodemography of human ageing. Nature 464:536–42
    [Google Scholar]
  110. Wang H, Schumacher AE, Levitz CE, Mokdad AH, Murray CJ 2013. Left behind: widening disparities for males and females in US county life expectancy, 1985–2010. Popul. Health Metr. 11:8
    [Google Scholar]
  111. Wilmoth JR. 2000. Demography of longevity: past, present, and future trends. Exp. Gerontol. 35:1111–29
    [Google Scholar]
  112. Woolf SH, Aron LY. 2013. The US health disadvantage relative to other high-income countries: findings from a National Research Council/Institute of Medicine report. JAMA 309:771–72
    [Google Scholar]
  113. Woolf SH, Chapman DA, Buchanich JM, Bobby KJ, Zimmerman EB, Blackburn SM 2018. Changes in midlife death rates across racial and ethnic groups in the United States: systematic analysis of vital statistics. BMJ 362:k3096
    [Google Scholar]
  114. Woolhandler S, Himmelstein DU. 2017. The relationship of health insurance and mortality: Is lack of insurance deadly. Ann. Intern. Med. 167:424–31
    [Google Scholar]
  115. Xu J, Murphy SL, Kochanek KD, Bastian B, Arias E 2018. Deaths: final data for 2016. Natl. Vital Stat. Rep. 67:5
    [Google Scholar]
  116. Yang Q, Tong X, Schieb L, Vaughan A, Gillespie C et al. 2017. Vital signs: recent trends in stroke death rates—United States, 2000–2015. Morb. Mort. Wkly. Rep. 66:933–39
    [Google Scholar]
  117. Yang YC. 2008. Trends in US adult chronic disease mortality, 1960–1999: age, period, and cohort variations. Demography 45:387–416
    [Google Scholar]
  118. Zajacova A, Montez JK. 2017. Macro-level perspective to reverse recent mortality increases. Lancet 389:991–92
    [Google Scholar]
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