ArticleAmerican journal of epidemiology2021
Are Recent Cohorts Getting Worse? Trends in US Adult Physiological Status, Mental Health, and Health Behaviors Across a Century of Birth Cohorts.
Article in American journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- "We adjusted for race": now what? A systematic review of utilization and reporting of race in American Journal of Epidemiology and Epidemiology, 2020-2021.Epidemiologic reviews · 2023Pooled it
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- Kids These Days! A Cross-Temporal Meta-Analysis of Changes in Emotional and Behavioral Problems of Population-Based Samples Over the Past Decades.Clinical child and family psychology review · 2026Review
- Sicker at all ages? Two decades of changing disease histories and mortality in the United States.International journal of epidemiology · 2026Article
- Educational Disparities in Disability in Mid- to Late-Life: How Much is Attributable to Pain?Journal of aging and health · 2026Article
- Multimorbidity trends in Catalonia, 2010-21: a population-based cohort study.International journal of epidemiology · 2026Article
- National Life Expectancy Lags Behind Benchmark Progress and the Role of Smoking: An International Comparison.European journal of population = Revue europeenne de demographie · 2025Article
- Trends in disability and limitations among US adults aged 18-44 years, 2000-2018.American journal of epidemiology · 2025Article
- Educational disparities in 20-year trajectories of psychological well-being in a national sample.Scientific reports · 2025Article
- Debt Collection Pressure and Mental Health: Evidence from a Cohort of U.S. Young Adults.Journal of health and social behavior · 2025Article
- The potential of single session intervention approaches to enhance the mental health and resilience of older adults, care partners, and healthcare systems.Frontiers in public health · 2025Article
- Generational differences in healthcare: the role of technology in the path forward.Frontiers in public health · 2025Article
- Younger Older Americans and Sarcopenic Obesity: The Moderating Role of Living Alone.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Cohort Differences in Physical Health and Disability in the United States and Europe.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Younger but sicker? Cohort trends in disease accumulation among middle-aged and older adults in Scotland using health-linked data from the Scottish Longitudinal Study.European journal of public health · 2024Article
- Generational differences in physical health and disability in the United States and Europe.medRxiv : the preprint server for health sciences · 2024Article
- "Eco-caring together" pro-ecological group-based community interventions and mental wellbeing: a systematic scoping review.Frontiers in psychology · 2024Article
- DC/TMD axis I subtyping: generational and gender variations among East Asian TMD patients.BMC oral health · 2023Article
- Acceptability and Feasibility of "Village," a Digital Communication App for Young People Experiencing Low Mood, Thoughts of Self-harm, and Suicidal Ideation to Obtain Support From Family and Friends: Mixed Methods Pilot Open Trial.JMIR formative research · 2023Article
- Cohort Trends in the Burden of Multiple Chronic Conditions Among Aging U.S. Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
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Abstract
Morbidity and mortality have been increasing among middle-aged and young-old Americans since the turn of the century. We investigated whether these unfavorable trends extend to younger cohorts and their underlying physiological, psychological, and behavioral mechanisms. Applying generalized linear mixed-effects models to data from 62,833 adults from the National Health and Nutrition Examination Surveys (1988-2016) and 625,221 adults from the National Health Interview Surveys (1997-2018), we found that for all sex and racial groups, physiological dysregulation has increased continuously from Baby Boomers through late-Generation X and Generation Y. The magnitude of the increase was higher for White men than for other groups, while Black men had a steepest increase in low urinary albumin (a marker of chronic inflammation). In addition, Whites underwent distinctive increases in anxiety, depression, and heavy drinking, and they had a higher level than Blacks and Hispanics of smoking and drug use in recent cohorts. Smoking is not responsible for the increasing physiological dysregulation across cohorts. The obesity epidemic contributes to the increase in metabolic syndrome but not in low urinary albumin. The worsening physiological and mental health profiles among younger generations imply a challenging morbidity and mortality prospect for the United States, one that might be particularly inauspicious for Whites.
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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.