ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2022
Causes of America's Lagging Life Expectancy: An International Comparative Perspective.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Changes in Life Expectancy After Stroke Among Americans Aged 50 and Above by Sex, 1996-2018.Journal of the American Geriatrics Society · 2026Article
- Changing educational attainment as a driver of cohort changes in healthy longevity: a decomposition analysis of US birth cohorts.American journal of epidemiology · 2026Article
- Causes of Excess Deaths in the US Compared With Other High-Income Countries.JAMA network open · 2026Article
- Temporal trends in cardiovascular disease and diabetes prevalence in the United States: assessing compression versus expansion.Scientific reports · 2026Article
- Catching up with stagnation: cause-specific dynamics of change in life expectancy at age 65 in the United States, Canada, and Latin America, 2000-2019.The Gerontologist · 2025Observational
- Realistic expectations for changes to average human lifespan in the near future.Biogerontology · 2025Article
- Pervasive stagnation: flat and increasing cardiovascular disease mortality rates after 2010 across US states and counties.American journal of epidemiology · 2025Article
- Developing the Next Generation of Physician Changemakers: "You Have to Love the People, and Love the Process".Cureus · 2025Article
- Role of Cardiovascular Deaths on Changes in the Longevity Gap Between U.S. and Other Countries.American journal of preventive medicine · 2025Observational
- Article
- Gazing into the crystal ball: Do adolescent survival expectations predict premature mortality risk in the United States?Social science & medicine (1982) · 2025Article
- Association of tea consumption with life expectancy in US adults.Nutrition journal · 2024Article
- Closing the Data Gaps on Trends in Dementia and Related Care in Low- and Middle-Income Countries.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Life expectancy and geographic variation in mortality: an observational comparison study of six high-income Anglophone countries.BMJ open · 2024Observational
- Where Does the Black-White Life Expectancy Gap Come From? The Deadly Consequences of Residential Segregation.Population and development review · 2024Article
- US exceptionalism? International trends in midlife mortality.International journal of epidemiology · 2024Article
- Inequalities in life expectancy and cardiometabolic disease mortality across and within high-income countries.Cell metabolism · 2024Article
- Reply to Polizzi and Dowd: Within-country counterfactual reveals importance of retirement age mortality in addition to established concern about working ages.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- The "double jeopardy" of midlife and old age mortality trends in the United States.Proceedings of the National Academy of Sciences of the United States of America · 2023Article
- The Role of Healthy Diet and Lifestyle in Centenarians.Nutrients · 2023Article
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Abstract
objectivesThis study assesses how American life expectancy compares to other high-income countries and identifies key age groups and causes of death responsible for the U.S. life expectancy shortfall.
methodsData from the Human Mortality Database, World Health Organization Mortality Database, and vital statistics agencies for 18 high-income countries are used to examine trends in U.S. life expectancy gaps and how American age-specific death rates compare to other countries. Decomposition is used to estimate the contribution of 19 age groups and 16 causes to the U.S. life expectancy shortfall.
resultsIn 2018, life expectancy for American men and women was 5.18 and 5.82 years lower than the world leaders and 3.60 and 3.48 years lower than the average of the comparison countries. Americans aged 25-29 experience death rates nearly 3 times higher than their counterparts. Together, injuries (drug overdose, firearm-related deaths, motor vehicle accidents, homicide), circulatory diseases, and mental disorders/nervous system diseases (including Alzheimer's disease) account for 86% and 67% of American men's and women's life expectancy shortfall, respectively. DISCUSSION: American life expectancy has fallen far behind its peer countries. The U.S.'s worsening mortality at the prime adult ages and eroding old-age mortality advantage drive its deteriorating performance in international comparisons.
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