Evidence map›Paper›PMID 26034046›Full record

ArticleJournal of epidemiology and community health2015

Pinpointing the sources of the Asian mortality advantage in the USA.

Francesco Acciai, Aggie J Noah, Glenn Firebaugh

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of epidemiology and community health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Racial and Ethnic Disparities in Survival among Patients with Cholangiocarcinoma in the United States: A Systematic Review and Meta-analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Heterogeneity in Asian Americans' mortality trends, 2000-2022.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  6. Article
  7. U.S.-Born Older Asians' Diminishing Health Advantage Relative to Other Racial Groups, 2005-2022.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  8. Article
  9. Article
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  11. Structural disadvantages to the kin network from intergenerational racial health inequities.Social forces; a scientific medium of social study and interpretation · 2024
    Article
  12. Racial and ethnic differences in reported haemophilia death rates in the United States.Haemophilia : the official journal of the World Federation of Hemophilia · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Francesco AcciaiDepartment of Sociology, Pennsylvania State University, University Park, Pennsylvania, USA.
Aggie J NoahDepartment of Sociology, Pennsylvania State University, University Park, Pennsylvania, USA.
Glenn FirebaughDepartment of Sociology, Pennsylvania State University, University Park, Pennsylvania, USA.
Pennsylvania State University · US

Funding

Population Research InstituteR24HD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI JOHNSON, DAVID R · 2001 to 2016
$9.7M
Training Program in Social Environments and Population HealthT32HD007514 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI JOHN D. ICELAND · 1999 to 2026
$5.1M
NICHD NIH HHS R24 HD041025NICHD NIH HHS R24 HD041025-11NICHD NIH HHS T-32HD007514NICHD NIH HHS T32 HD007514
6 · The paper itself

Abstract

backgroundAsian-Americans outlive whites by an average of nearly 8 years. By determining the sources of the Asian mortality advantage, we can pinpoint where there is the greatest potential for raising the life expectancy of whites and other groups in the USA.

methodsOur analyses include all Asian and white deaths in the USA between 2006 and 2010, from the Center for Disease Control. Using the International Classification of Diseases (V.10), we code causes of deaths into 19 categories, based on the most common causes as well as causes particularly relevant to racial differences. We then create life tables and apply a newly-developed demographic method to determine whether Asians have longer life expectancy because they are less likely than whites to die of causes of death that strike at younger ages, or because they tend to outlive whites regardless of cause of death.

resultsNearly 90% of the Asian-white life expectancy gap is attributable to the fact that Asians tend to outlive whites regardless of the cause of death. The causes that contribute the most to the gap are heart disease (24%) and cancers (18%). Men contribute somewhat more to the gap than women do (55% vs 45%), primarily because Asian-white differences in mortality are greater among men than among women with respect to suicide, traffic accidents and accidental poisoning.

conclusionsFor almost all causes of death, Asian victims tend to be older than white victims. The greatest potential for raising the life expectancy of whites to that of Asians, then, resides in efforts that effectively increase whites' average age at death for the most common causes of death.

Indexed as

Age DistributionAsianCause of DeathFemaleHumansIncidenceLife ExpectancyMaleRegistriesSex DistributionUnited StatesWhite PeopleDEMOGRAPHYMORTALITYSOCIAL INEQUALITIES

Identifiers

PMID26034046
PMCPMC4567918
OpenAlexW2113576655

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.