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Declining Life Expectancy in the United States: Missing the Trees for the Forest
Annual review of public health, 2021-04, Vol.42 (1), p.381-403
[Peer Reviewed Journal]
ISSN: 0163-7525 ;EISSN: 1545-2093 ;DOI: 10.1146/annurev-publhealth-082619-104231 ;PMID: 33326297
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Title:
Declining Life Expectancy in the United States: Missing the Trees for the Forest
Author:
Harper, Sam
;
Riddell, Corinne A
;
King, Nicholas B
Subjects:
cardiovascular diseases
;
health inequalities
;
homicide
;
life expectancy
;
opioids
;
suicide
Is Part Of:
Annual review of public health, 2021-04, Vol.42 (1), p.381-403
Description:
In recent years, life expectancy in the United States has stagnated, followed by three consecutive years of decline. The decline is small in absolute terms but is unprecedented and has generated considerable research interest and theorizing about potential causes. Recent trends show that the decline has affected nearly all race ethnic and gender groups, and the proximate causes of the decline are increases in opioid overdose deaths, suicide, homicide, and Alzheimer's disease. A slowdown in the long-term decline in mortality from cardiovascular diseases has also prevented life expectancy from improving further. Although a popular explanation for the decline is the cumulative decline in living standards across generations, recent trends suggest that distinct mechanisms for specific causes of death are more plausible explanations. Interventions to stem the increase in overdose deaths, reduce access to mechanisms that contribute to violent deaths, and decrease cardiovascular risk over the life course are urgently needed to improve mortality in the United States.
Publisher:
United States: Annual Reviews
Language:
English
Identifier:
ISSN: 0163-7525
EISSN: 1545-2093
DOI: 10.1146/annurev-publhealth-082619-104231
PMID: 33326297
Source:
Annual Reviews Open Access
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