Evidence map›Paper›PMID 30508118›Full record

ArticleInternational journal of epidemiology2019

Recent trends in US mortality in early and middle adulthood: racial/ethnic disparities in inter-cohort patterns.

Emma Zang, Hui Zheng, Yang Claire Yang, Kenneth C Land

Abstract read
In one paragraph

Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Identifying the Changing Landscape of Younger Adult Mortality in the United States from 1999 to 2021.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Observational
  2. The Role of Despair in Predicting Self-Destructive Behaviors.Population research and policy review · 2025
    Article
  3. Younger Older Americans and Sarcopenic Obesity: The Moderating Role of Living Alone.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  4. Reevaluating the "deaths of despair" narrative: Racial/ethnic heterogeneity in the trend of psychological distress-related death.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
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  11. Child suicide rates during the COVID-19 pandemic in England.Journal of affective disorders reports · 2021
    Article
  12. Article
  13. A New Look at Cohort Trend and Underlying Mechanisms in Cognitive Functioning.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
    Article
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  15. Article
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

4 authors.

Emma ZangSanford School of Public Policy, Duke University, Durham, NC, USA.
Hui ZhengDepartment of Sociology, Ohio State University, Columbus, OH, USA.
Yang Claire YangDepartment of Sociology, Lineberger Cancer Center, and Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kenneth C LandDepartment of Sociology and Social Science Research Institute, Duke University, Durham, NC, USA.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI Giovanna M Merli · 2015 to 2026
$5.7M
Institute for Population ResearchP2CHD058484 · NICHD · OHIO STATE UNIVERSITY · PI HAYFORD, SARAH R · 2014 to 2023
$5.0M
Life Course Process of Alzheimer's Disease: Sex Difference and Biosocial MechanismsR01AG057800 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI YANG, YANG CLAIRE · 2017 to 2021
$3.6M
Population Heterogeneity in the Effects of Obesity on Mortality over the Life CourseR03AG053463 · NIA · OHIO STATE UNIVERSITY · PI ZHENG, HUI · 2017 to 2018
$148k
NCHS CDC HHS R03 SH000046NCI NIH HHS P30 CA016086NIA NIH HHS R01 AG057800NIA NIH HHS R03 AG053463NICHD NIH HHS P2C HD050924NICHD NIH HHS P2C HD058484NICHD NIH HHS P2C HD065563
6 · The paper itself

Abstract

backgroundA striking increase in the all-cause mortality of US middle-aged non-Hispanic Whites in the past two decades has been documented by previous studies. The inter-cohort patterns in US mortality, as well as their racial/ethnic disparities, are still unclear.

methodsUsing official mortality data, we study US annual mortality rates for ages 25-54 from 1990 to 2016 by gender and race/ethnicity. We conduct an age-period-cohort analysis to disentangle the period and cohort forces driving the absolute changes in mortality across cohorts. Nine leading causes of death are also explored to explain the inter-cohort mortality patterns and their racial/ethnic disparities.

resultsWe find cohort-specific elevated mortality trends for gender- and race/ethnicity-specific populations. For non-Hispanic Blacks and Hispanics, Baby Boomers have increased mortality trends compared with other cohorts. For non-Hispanic White females, it is late-Gen Xers and early-Gen Yers for whom the mortality trends are higher than other cohorts. For non-Hispanic White males, the elevated mortality pattern is found for Baby Boomers, late-Gen Xers, and early-Gen Yers. The mortality pattern among Baby Boomers is at least partially driven by mortality related to drug poisoning, suicide, external causes, chronic obstructive pulmonary disease and HIV/AIDS for all race and gender groups affected. The elevated mortality patterns among late-Gen Xers and early-Gen Yers are at least partially driven by mortality related to drug poisonings and alcohol-related diseases for non-Hispanic Whites. Differential patterns of drug poisoning-related mortality play an important role in the racial/ethnic disparities in these mortality patterns.

conclusionsWe find substantial racial/ethnic disparities in inter-cohort mortality patterns. Our findings also point to the unique challenges faced by younger generations.

Indexed as

Health Status DisparitiesAcquired Immunodeficiency SyndromeAdultAlcohol-Related DisordersBlack or African AmericanCardiovascular DiseasesCause of DeathCohort StudiesDiabetes MellitusDrug OverdoseEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedAdult mortalitycohort analysisgender disparitiesracial/ethnic disparities

Identifiers

PMID30508118
PMCPMC6934031

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Registered trials

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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.