Mortality under age 50 accounts for much of the fact that US life expectancy lags that of other high-income countries

Health Affairs

Volumn 32, Issue 3, 2013, Pages 459-467

  Ho, Jessica Y ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIRTH INJURY; CAUSE OF DEATH; DISEASES; DRUG OVERDOSE; GROUPS BY AGE; HOMICIDE; HUMAN; LIFE EXPECTANCY; MORTALITY; NONCOMMUNICABLE DISEASE; PREGNANCY COMPLICATION; SEX RATIO; UNITED STATES;

ADOLESCENT; ADULT; AGE FACTORS; CAUSE OF DEATH; CHILD; CHILD, PRESCHOOL; CROSS-CULTURAL COMPARISON; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; LIFE EXPECTANCY; MALE; MIDDLE AGED; MORTALITY; PREGNANCY; SEX FACTORS; SOCIOECONOMIC FACTORS; UNITED STATES; YOUNG ADULT;

EID: 84875022800     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.0574     Document Type: Article

References (45)

1. Thorpe KE, Howard DH, Galactionova K. Differences in disease prevalence as a source of the U.S.-European health care spending gap. Health Aff (Millwood). 2007; 26(6):w678-86. DOI: 10.1377/hlthaff.26.6.w678.
2. Banks J, Muriel A, Smith JP. Disease prevalence, disease incidence, and mortality in the United States and in England. Demography. 2010; 47(Suppl 1):s211-31.
3. Ho JY, Preston SH. U.S. mortality in an international context: age variations. Popul Dev Rev 2010;36(4): 749-73.
4. To access the Appendix, click on the Appendix link in the box to the right of the article online.
5. Oeppen J, Vaupel J. Broken limits to life expectancy. Science. 2002;296: 1029-31.
6. Reinhardt UE, Hussey PS, Anderson GF. U.S. health care spending in an international context. Health Aff (Millwood). 2004;23(3):10-25.
7. National Research Council, Institute of Medicine. U.S. health in international perspective: shorter lives, poorer health. Washington (DC): National Academies Press; 2013.
8. National Research Council. Explaining divergent levels of longevity in high-income countries. Washington (DC): National Academies Press; 2011.
9. Elo IT, Preston SH. Effects of earlylife conditions on adult mortality: a review. Popul Index. 1992; 58(2): 186-212.
10. Kuh D, Ben-Shlomo Y. Introduction: a life course approach to the aetiology of adult chronic disease. In: Kuh D, Ben-Shlomo Y. A life course approach to chronic disease epidemiology. Oxford: Oxford University Press; 1997. p. 3-14.
11. Hayward MD, Gorman BK. The long arm of childhood: the influence of early life social conditions on men's mortality. Demography. 2004;41(1): 87-107.
12. Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD. Counting the dead and what they died from: an assessment of the global status of cause of death data. Bull World Health Organ. 2005;83(3):171-7.
13. Human Mortality Database [home page on the Internet]. Berkeley (CA): University of California; 2011 [cited 2013 Jan 30]. Available from: http://www.mortality.org
14. World Health Organization. Detailed data files of the WHO Mortality Database [Internet]. Geneva: WHO; 2011 [cited 2013 Jan 30]. Available from: http://www.who.int/whosis/mort/download/en/index.html
15. Statistics Canada. Health-life expectancy and deaths-detailed tables from CANSIM [Internet]. Ottawa: Statistics Canada; 2010 [cited 2013 Jan 30]. Available from: http://www5.statcan.gc.ca/subjectsujet/result-resultat.action?pid=2966&id=2979&lang=eng&type=ARRAY&pageNum=1&more=0
16. Mathers CD, Lopez AD, Murray CJL. The burden of disease and mortality by condition: data, methods, and results for 2001. In: Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL, editors. Global burden of disease and risk factors. New York (NY): Oxford University Press;2006. p. 45-240.
17. Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: final data for 2007. National Vital Stat Rep. 2010; 58(19).
18. Preston SH, Heuveline P, Guillot M. Demography: measuring and modeling population processes. Oxford: Blackwell Publishers; 2001.
19. Désesquelles A, Salvatore MA, Frova L, Pace M, Pappagallo M, Meslé F, et al. Revisiting the mortality of France and Italy with the multiplecause-of-death approach. Demogr Res. 2010;23:771-806.
20. For example, it seems unlikely a death from firearm discharge would be misclassified under communicable diseases or noncommunicable conditions rather than as a homicide. Deaths from drug-related causes may fall under nontransport injuries or noncommunicable conditions, both important contributors.
21. The top five contributors to the US female shortfall in life expectancy at birth are noncommunicable diseases excluding cardiovascular disease (56 percent), cardiovascular disease (21 percent), transport injuries (8 percent), nontransport injuries (7 percent), and perinatal conditions (5 percent).
22. The top five contributors to the US male shortfall in life expectancy at birth are cardiovascular disease (28 percent), noncommunicable diseases excluding cardiovascular disease (19 percent), transport injuries (14 percent), nontransport injuries (13 percent), and homicide (13 percent).
23. The decomposition estimates of the overall life expectancy shortfall attributable to mortality below age fifty took into account years of life lost below and above age fifty from deaths occurring below age fifty (that is, the number of years an individual would have lived past age fifty had he or she not died beforeage fifty). The cause-deleted life table results focused exclusively on years of life lost below age fifty.
24. Esping-Andersen G. The three worlds of welfare capitalism. Cambridge: Polity Press; 1990.
25. Martinson ML, Teitler JO, Reichman NE. Health across the life span in the United States and England. Am J Epidemiol. 2011; 173(8):858-65.
26. Comparisons were also performed between the United States and each individual country (available upon request). HIV, communicable diseases excluding HIV, maternal conditions, nd suicide (among women) are not major contributors to Americans' excess mortality below age fifty for any comparison. Although some heterogeneity in the contributions of other cause categories exists, the results comparing the United States to the mean of the comparison countries are robust.
27. Joseph KS, Liu S, Rouleau J, Lisonkova S, Hutcheon JA, Sauve R, et al. Influence of definition based versus pragmatic birth registration on international comparisons of perinatal and infant mortality: population based retrospective study. BMJ. 2012;344:e746.
28. Lynch J, Davey Smith G, Harper S, Hillemeier M, Ross N, Kaplan GA, et al. Is income inequality a determinant of population health? Part 1. A systematic review. Milbank Q. 2004;82(1):5-99.
29. Kennedy BP, Kawachi I, Prothrow-Stith D. Income distribution and mortality: cross-sectional ecological study of the Robin Hood index in the United States. BMJ. 1996;312: 1004-7.
30. Calculations by the author, both sexes combined.
31. Transportation Research Board. Achieving traffic safety goals in the United States: lessons from other nations. Washington (DC): The Board; 2010. (Special Report No. 300).
32. Centers for Disease Control and Prevention. Poisoning in the United States: fact sheet [Internet]. Atlanta (GA): CDC; [last updated 2012 Jun 29; cited 2012 Dec 12]. Available from: http://www.cdc.gov/homeandrecreationalsafety/poisoning/poisoning-factsheet.htm
33. Nonmedical use of prescription drugs (use of drugs without a prescription, in ways other than prescribed, or solely for inducing an experience or feeling) is a significant contributor.
34. Centers for Disease Control and Prevention. Prescription painkiller overdoses in the US. Vital Signs [serial on the Internet]. 2011 Nov [cited 2012 Dec 12]. Available from: http://www.cdc.gov/vitalsigns/painkilleroverdoses/
35. Degenhardt L, Chiu W, Samspon N, Kessler RC, Anthony JC, Angermeyer M, et al. Toward a global view of alcohol, tobacco, cannabis, and cocaine use: findings from the WHO World Mental Health Surveys. PLoS Medicine. 2008;5(7):e141.
36. Swendsen J, Anthony JC, Conway KP, Degenhardt L, Dierker L, Glantz M, et al. Improving targets for the prevention of drug use disorders: sociodemographic predictors of transitions across drug use stages in the national comorbidity survey replication. Prev Med. 2008;47(6): 629-34.
37. Scott KM, Bruffaerts R, Tsang A, Ormel J, Alonso J, Angermeyer MC, et al. Depression-anxiety relationships with chronic physical conditions: results from the World Mental Health surveys. J Affect Disord. 2007;103(1):113-20.
38. Swendsen J, Conway KP, Degenhardt L, Glantz M, Jin R, Merikangas KR, et al. Mental disorders as risk factors for substance use, abuse and dependence: results from the 10-year follow-up of the National Comorbidity Survey. Addiction. 2010;105(6):1117-28.
39. The WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. J Am Med Assoc. 2004;291(21):2581-2590.
40. Although not the main focus of this paper, socioeconomic inequalities in life expectancy are sizeable within the United States. In 2000 life expectancy differentials at age twenty-five between those with high and low education were eight and five years among males and females, respectively. See Note 41 Among adults ages 50-74, Americans at all wealth levels were less healthy than their European counterparts, but Americans in the lowest wealth tertile experienced the largest health disadvantage. See Note 42
41. Meara ER, Richards S, Cutler DM. The gap gets bigger: changes in mortality and life expectancy, by education, 1981-2000. Health Aff (Millwood). 2008;27(2):350-60.
42. Avendano M, Glymour M, Banks J, Mackenbach JP. Health disadvantage in US adults aged 50 to 74 years: A comparison of the health of rich and poor Americans with that of Europeans. Am J Public Health. 2009;99:540-548.
43. Kellermann AL, Rivara FP, Rushforth NB, Banton JG, Reay DT, Francisco JT, et al. Gun ownership as a risk factor for homicide in the home. New Engl J Med. 1993;329: 1084-91.
44. Cummings P, Koepsell TD, Grossman DC, Savarino J, Thompson RS. The association between the purchase of a handgun and homicide or suicide. Am J Public Health. 1997;87:974-8.
45. Miller M, Azrael D, Hemenway D. Firearm availability and unintentional firearm deaths, suicide, and homicide among 5-14 year olds. J Trauma. 2002;52:267-75.