Explaining recent mortality trends among younger and middle-aged White Americans

Masters, Ryan K.; Tilstra, Andrea M; Simon, Daniel

doi:10.1093/ije/dyx127

Cited by 119 publications

(123 citation statements)

References 19 publications

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“…Since publication of the original Case and Deaton report, efforts have been made to specify how the patterns observed vary across race, age, and gender. 18,19 When one looks at the big picture—with data spanning decades—we see that suicide rates are barely higher than they were in 1980 (Figure 1). We also see that deaths from alcoholic cirrhosis have increased only mildly since then.…”

Section: The True Deaths Of Despairmentioning

confidence: 99%

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America’s Declining Well-Being, Health, and Life Expectancy: Not Just a White Problem

et al. 2018

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Although recent declines in life expectancy among non-Hispanic Whites, coined “deaths of despair,” grabbed the headlines of most major media outlets, this is neither a recent problem nor is it confined to Whites. The decline in America’s health has been described in the public health literature for decades and has long been hypothesized to be attributable to an array of worsening psychosocial problems that are not specific to Whites. To test some of the dominant hypotheses, we show how various measures of despair have been increasing in the United States since 1980 and how these trends relate to changes in health and longevity. We show that mortality increases among Whites caused by the opioid epidemic come on the heels of the crack and HIV syndemic among Blacks. Both occurred on top of already higher mortality rates among all Americans relative to people in other nations, and both occurred among declines in measures of well-being. We believe that the attention given to Whites is distracting researchers and policymakers from much more serious, longer-term structural problems that affect all Americans. (Am J Public Health. Published online ahead of print September 25, 2018: e1–e6. doi:10.2105/AJPH. 2018.304585)

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Section: The True Deaths Of Despairmentioning

confidence: 99%

“…However, we do see that there is a shorter-term opioid epidemic that is predominantly affecting Whites. 19 …”

Section: The True Deaths Of Despairmentioning

confidence: 99%

America’s Declining Well-Being, Health, and Life Expectancy: Not Just a White Problem

et al. 2018

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“…[4] This term provides a useful contextual framework for studying socioeconomic risk factors of opioid overdoses and interventions to prevent associated fatalities. Nationwide, the rising rate of fatal opioid overdoses has disproportionately [5] but not exclusively [6] affected Whites, men and middle-aged individuals. The highest opioid overdose death rates are reported in Mountain, Rust Belt, and New England states as well as the South.…”

Section: Introductionmentioning

confidence: 99%

“…[14] National surveillance systems for opioid mortality typically do not capture detailed individual-level SES data. [1,5,6,7,8] Well-designed studies that include these data are often set in smaller geographic areas such as states, [11] and are not generalizable to the U.S. population. In this study we analyzed individual-level residential, demographic, and SES data from the Mortality Disparities in American Community Study (MDAC).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)

et al. 2020

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BackgroundUnderstanding relationships between individual-level demographic, socioeconomic status (SES) and U.S. opioid fatalities can inform interventions in response to this crisis. MethodsThe Mortality Disparities in American Community Study (MDAC) links nearly 4 million 2008 American Community Survey responses to the 2008-2015 National Death Index. Univariate and multivariable models were used to estimate opioid overdose fatality hazard ratios (HR) and 95% confidence intervals (CI).

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“…Since then, it happened that e0 could stagnate and even decrease in some countries, such as the USA (e.g., [4, 5]) or the UK [6]. For these two countries, it appears that decreases are mainly due to less wealthy people, particularly young and middle-aged ones in the USA because of what has been called the opioid crisis [7], but elderly people have also been hit because of the austerity policy in the UK [8]. …”

mentioning

confidence: 99%

Is Life Expectancy of French Women Going to Plateau and Oscillate?

Bourg¹

2019

Gerontology

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Some authors have hypothesised that life expectancy at birth could reach 100 years in developed countries in the next decades. Using recent data for French women, it is shown that life expectancy changes from 1993 to 2016 are mainly linked to mortality rates of oldest women. In recent years, it happened that life expectancy of French women oscillated, because of for instance influenza epidemics killing mainly oldest frail people. It is hypothesised that in coming years, life expectancy of French women (and one day of men?) will only very slightly increase and will show oscillations because of increased mortality the years of severe influenza, heatwave and other events threatening the life of frail oldest people. This fate could also be that of the other developed countries in the future, which would mean that life expectancy has begun to plateau.

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Explaining recent mortality trends among younger and middle-aged White Americans

Cited by 119 publications

References 19 publications

America’s Declining Well-Being, Health, and Life Expectancy: Not Just a White Problem

America’s Declining Well-Being, Health, and Life Expectancy: Not Just a White Problem

Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)

Is Life Expectancy of French Women Going to Plateau and Oscillate?

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