Black and White Differences in Life Expectancy in 4 US States, 1969-2013. (November 2019)
- Record Type:
- Journal Article
- Title:
- Black and White Differences in Life Expectancy in 4 US States, 1969-2013. (November 2019)
- Main Title:
- Black and White Differences in Life Expectancy in 4 US States, 1969-2013
- Authors:
- Kaufman, Jay S.
Riddell, Corinne A.
Harper, Sam - Abstract:
- Objectives: Racial differences in mortality in the United States have narrowed and vary by time and place. The objectives of our study were to (1) examine the gap in life expectancy between white and black persons (hereinafter, racial gap in life expectancy) in 4 states (California, Georgia, Illinois, and New York) and (2) estimate trends in the contribution of major causes of death (CODs) to the racial gap in life expectancy by age group. Methods: We extracted data on the number of deaths and population sizes for 1969-2013 by state, sex, race, age group, and 6 major CODs. We used a Bayesian time-series model to smooth and impute mortality rates and decomposition methods to estimate trends in sex- and age-specific contributions of CODs to the racial gap in life expectancy. Results: The racial gap in life expectancy at birth decreased in all 4 states, especially among men in New York (from 8.8 to 1.1 years) and women in Georgia (from 8.0 to 1.7 years). Although few deaths occurred among persons aged 1-39, racial differences in mortality at these ages (mostly from injuries and infant mortality) contributed to the racial gap in life expectancy, especially among men in California (1.0 year of the 4.3-year difference in 2013) and Illinois (1.9 years of the 6.7-year difference in 2013). Cardiovascular deaths contributed most to the racial gap in life expectancy for adults aged 40-64, but contributions decreased among women aged 40-64, especially in Georgia (from 2.8 to 0.5 years).Objectives: Racial differences in mortality in the United States have narrowed and vary by time and place. The objectives of our study were to (1) examine the gap in life expectancy between white and black persons (hereinafter, racial gap in life expectancy) in 4 states (California, Georgia, Illinois, and New York) and (2) estimate trends in the contribution of major causes of death (CODs) to the racial gap in life expectancy by age group. Methods: We extracted data on the number of deaths and population sizes for 1969-2013 by state, sex, race, age group, and 6 major CODs. We used a Bayesian time-series model to smooth and impute mortality rates and decomposition methods to estimate trends in sex- and age-specific contributions of CODs to the racial gap in life expectancy. Results: The racial gap in life expectancy at birth decreased in all 4 states, especially among men in New York (from 8.8 to 1.1 years) and women in Georgia (from 8.0 to 1.7 years). Although few deaths occurred among persons aged 1-39, racial differences in mortality at these ages (mostly from injuries and infant mortality) contributed to the racial gap in life expectancy, especially among men in California (1.0 year of the 4.3-year difference in 2013) and Illinois (1.9 years of the 6.7-year difference in 2013). Cardiovascular deaths contributed most to the racial gap in life expectancy for adults aged 40-64, but contributions decreased among women aged 40-64, especially in Georgia (from 2.8 to 0.5 years). The contribution of cancer deaths to inequality increased in California and Illinois, whereas New York had the greatest reductions in inequality attributable to cancer deaths (from 0.6 to 0.2 years among men and from 0.2 to 0 years among women). Conclusions: Future research should identify policy innovations and economic changes at the state level to better understand New York's success, which may help other states emulate its performance. … (more)
- Is Part Of:
- Public health reports. Volume 134:Number 6(2019)
- Journal:
- Public health reports
- Issue:
- Volume 134:Number 6(2019)
- Issue Display:
- Volume 134, Issue 6 (2019)
- Year:
- 2019
- Volume:
- 134
- Issue:
- 6
- Issue Sort Value:
- 2019-0134-0006-0000
- Page Start:
- 634
- Page End:
- 642
- Publication Date:
- 2019-11
- Subjects:
- mortality -- race -- inequality
Public health -- United States -- Periodicals
614.0973 - Journal URLs:
- http://purl.access.gpo.gov/GPO/LPS23348 ↗
http://www.jstor.org/journals/00333549.html ↗
http://www.publichealthreports.org/archives/archives.cfm ↗
http://www.pubmedcentral.nih.gov/tocrender.fcgi?journal=347&action=archive ↗
https://uk.sagepub.com/en-gb/eur/public-health-reports/journal202574 ↗
http://www.sagepublications.com/ ↗
http://firstsearch.oclc.org ↗ - DOI:
- 10.1177/0033354919878158 ↗
- Languages:
- English
- ISSNs:
- 0033-3549
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6965.000000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 11729.xml