Evidence map›Paper›PMID 31190569›Full record

ArticleJournal of health and social behavior2019

Weathering, Drugs, and Whack-a-Mole: Fundamental and Proximate Causes of Widening Educational Inequity in U.S. Life Expectancy by Sex and Race, 1990-2015.

Arline T Geronimus, John Bound, Timothy A Waidmann, Javier M Rodriguez, Brenden Timpe

Abstract readComparative Study
In one paragraph

Article in Journal of health and social behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing 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

42 citing papers in PubMed.

  1. Article
  2. Heterogeneity in Asian Americans' mortality trends, 2000-2022.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  3. Review
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  5. Article
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  10. 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
  11. Native American "deaths of despair" and economic conditions.Research in social stratification and mobility · 2024
    Article
  12. Review
  13. Poverty Status at Birth Predicts Epigenetic Changes at Age 15.Journal of biomedical and life sciences · 2024
    Article
  14. Race, Poverty Status at Birth, and DNA Methylation of Youth at Age 15.Global journal of epidemiology and infectious disease · 2024
    Article
  15. Trends in cause-specific mortality: deaths of despair in Spain, 1980-2019.Journal of public health (Oxford, England) · 2023
    Article
  16. Article
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  18. 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

5 authors.

Arline T Geronimus1 University of Michigan, Ann Arbor, MI, USA.
John Bound1 University of Michigan, Ann Arbor, MI, USA.
Timothy A Waidmann3 Urban Institute, Washington, DC, USA.
Javier M Rodriguez4 Claremont Graduate University, Claremont, CA, USA.
Brenden Timpe1 University of Michigan, Ann Arbor, MI, USA.

Funding

TRAINING IN THE DEMOGRAPHY OF AGINGT32AG000221 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 1992 to 2026
$15.3M
Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 2017 to 2026
$6.5M
Economic distress and growing educational disparities in life expectancy: Weathering, high effort coping, and despairR01AG059743 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GERONIMUS, ARLINE T · 2018 to 2022
$1.9M
NIA NIH HHS R01 AG059743NIA NIH HHS T32 AG000221NICHD NIH HHS P2C HD041028
6 · The paper itself

Abstract

Discussion of growing inequity in U.S. life expectancy increasingly focuses on the popularized narrative that it is driven by a surge of "deaths of despair." Does this narrative fit the empirical evidence? Using census and Vital Statistics data, we apply life-table methods to calculate cause-specific years of life lost between ages 25 and 84 by sex and educational rank for non-Hispanic blacks and whites in 1990 and 2015. Drug overdoses do contribute importantly to widening inequity for whites, especially men, but trivially for blacks. The contribution of suicide to growing inequity is unremarkable. Cardiovascular disease, non-lung cancers, and other internal causes are key to explaining growing life expectancy inequity. Results underline the speculative nature of attempts to attribute trends in life-expectancy inequity to an epidemic of despair. They call for continued investigation of the possible weathering effects of tenacious high-effort coping with chronic stressors on the health of marginalized populations.

Indexed as

Educational StatusHealth Status DisparitiesRacial GroupsAdultAgedAged, 80 and overDrug OverdoseFemaleHumansLife ExpectancyMaleMiddle AgedSuicideUnited StatesVital Statisticscancerchronic diseaseJohn Henryismlife expectancy inequityopioid epidemicweathering

Identifiers

PMID31190569
PMCPMC6684959

What OpenQuestion holds

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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.