ArticleThe journal of economic perspectives : a journal of the American Economic Association2021
Rising Geographic Disparities in US Mortality.
Article in The journal of economic perspectives : a journal of the American Economic Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Article
- Why the mortality penalty of smoking is rising over time.PNAS nexus · 2026Article
- The Newest Federalism and Population Health.The Milbank quarterly · 2026Article
- US State Policy Index for Population Health Analyses.The Milbank quarterly · 2026Article
- US State Policy Contexts and Mental Health Among Working-Age Adults.The Milbank quarterly · 2026Article
- Observational
- Childhood SES gradients in adult functional limitations: Does state-level macro-economic context matter?Social science & medicine (1982) · 2025Article
- Mapping Mental Health Across US States: the Role of Economic and Social Support Policies.The Milbank quarterly · 2025Article
- Spatially Continuous Maps of Disease Risk: An Analysis of Mortality Disparities in the United States.AJPM focus · 2025Article
- Social and Demographic Determinants of Health: A Descriptive Study on the Impact of Place of Residence and Community Belonging.Healthcare (Basel, Switzerland) · 2025Article
- The Association between the Volatility of Income and Life Expectancy in the United States.Journal of labor economics · 2025Article
- Place effects on adult obesity and cardiometabolic health: Evidence from a natural experiment.Health & place · 2025Article
- Observational
- Ten Americas: a systematic analysis of life expectancy disparities in the USA.Lancet (London, England) · 2024Article
- Cancer mortality and geographic inequalities: a detailed descriptive and spatial analysis of social determinants across US counties, 2018-2021.Public health · 2024Observational
- Are the geographic disparities in U.S. violent crime rising?PloS one · 2024Article
- Is fair representation good for children? effects of electoral partisan bias in state legislatures on policies affecting children's health and well-being.Social science & medicine (1982) · 2023Article
- Electoral Democracy and Working-Age Mortality.The Milbank quarterly · 2023Article
- Association of Place With Adolescent Obesity.JAMA pediatrics · 2023Article
- Heterogenous Effects of Local Government Spending on Mortality Across Racial Groups Among Working-Age Adults in the U.S.AJPM focus · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
The 21st century has been a period of rising inequality in both income and health. In this paper, we find that geographic inequality in mortality for midlife Americans increased by about 70 percent between 1992 and 2016. This was not simply because states like New York or California benefited from having a high fraction of college-educated residents who enjoyed the largest health gains during the last several decades. Nor was higher dispersion in mortality caused entirely by the increasing importance of "deaths of despair," or by rising spatial income inequality during the same period. Instead, over time, state-level mortality has become increasingly correlated with state-level income; in 1992 income explained only 3 percent of mortality inequality, but by 2016 state-level income explained 58 percent. These mortality patterns are consistent with the view that high-income states in 1992 were better able to enact public health strategies and adopt behaviors that, over the next quarter-century, resulted in pronounced relative declines in mortality. The substantial longevity gains in high-income states led to greater cross-state inequality in mortality.
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Registered trials
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.