[ExI] US life expectancy stagnant and/or declining
kevinfreels at insightbb.com
Tue Apr 22 15:13:52 UTC 2008
Interesting article as we were recently debating the public health system:
Life expectancy no longer improving for large segment of the US population
One of the major aims of the U.S. health system is improving the health
of all people, particularly those segments of the population at greater
risk of health disparities. In fact, overall life expectancy in the U.S.
increased more than seven years for men and more than six years for
women between 1960 and 2000.
Now, a new, long-term study of mortality trends in U.S. counties over
the same four decades reports a troubling finding: These gains are not
reaching many parts of the country; rather, the life expectancy of a
significant segment of the population is declining or at best stagnating.
Researchers at the Harvard School of Public Health (HSPH) and the
University of Washington found that 4% of the male population and 19% of
the female population experienced either decline or stagnation in
mortality beginning in the 1980s.
“There has always been a view in U.S. health policy that inequalities
are more tolerable as long as everyone’s health is improving. There is
now evidence that there are large parts of the population in the United
States whose health has been getting worse for about two decades,” said
Majid Ezzati, Associate Professor of International Health at HSPH and
lead author of the study.
The majority of the counties that had the worst downward swings in life
expectancy were in the Deep South, along the Mississippi River, and in
Appalachia, extending into the southern portion of the Midwest and into
The researchers analyzed mortality data from the National Center for
and population data from the U.S. Census Bureau between 1959 and 2001.
The study is the first to look at mortality trends in the U.S. by county
over such a long period of time. (County data is the smallest measurable
unit for which mortality data is available.) The National Center for
Health Statistics stopped providing data after 2001.
The results showed that, between 1961 and 1999, average life expectancy
in the U.S. increased from 66.9 to 74.1 years for men and from 73.5 to
79.6 for women. Looking at individual counties, however, the researchers
found that beginning in the 1980s, the best-off counties continued to
improve but there was a stagnation or worsening of life expectancy in
the worst-off counties--what the researchers refer to as “the reversal
of fortunes.” As a result, while men in the best-off counties lived 9.0
years longer than those in the worst-off counties in 1983, by 1999 that
gap had increased to 11.0 years; for women the 1983 life expectancy gap
of 6.7 years increased to 7.5 years by 1999. Over the past few decades,
life expectancy in high-income countries around the world has gradually
risen, with few exceptions.
Given the consistent trend of declining mortality rates in high-income
countries, the results of this study, which show large segments of the
American population experiencing stagnating or worsening health
conditions, are particularly troubling. Ezzati said, “The finding that
4% of the male population and 19% of the female population experienced
either decline or stagnation in mortality is a major public health
concern.” Christopher Murray, Director of the Institute for Health
Metrics and Evaluation at the University of Washington and co-author of
the study, added that “life expectancy decline is something that has
traditionally been considered a sign that the health and social systems
have failed, as has been the case in parts of Africa and Eastern Europe.
The fact that is happening to a large number of Americans should be a
sign that the U.S. health system needs serious rethinking.”
The researchers also analyzed data on deaths from different diseases and
showed that the stagnation and worsening mortality was primarily a
result of an increase in diabetes, cancers and chronic obstructive
pulmonary disease, combined with a slowdown or halt in improvements in
cardiovascular mortality. An increase in HIV/AIDS and homicides also
played a role for men, but not for women.
The diseases that are responsible for this troubling trend seem to be
most related to smoking, high blood pressure, and obesity. “Smoking and
blood pressure have a long history of being controlled through both
personal and population strategies. There is good evidence on relatively
low-cost and effective ways of dealing with these issues if one of the
health system’s imperatives becomes to close this widening life
expectancy gap,” said Ezzati.
Source: Harvard School of Public Health
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