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In 1950 men and women in the United States had a combined life expectancy of 68.9 years, the 12th highest life expectancy at birth in the world. Today, life expectancy is up to 79.2 years, yet the country is now 28th on the list, behind the United Kingdom, Korea, Canada, and France, among others. The United States does have higher rates of infant mortality and violent deaths than in other developed countries, but these factors do not fully account for the country's relatively poor ranking in life expectancy. International Differences in Mortality at Older Ages: Dimensions and Sources examines patterns in international differences in life expectancy above age 50 and assesses the evidence and arguments that have been advanced to explain the poor position of the United States relative to other countries. The papers in this deeply researched volume identify gaps in measurement, data, theory, and research design and pinpoint areas for future high-priority research in this area. In addition to examining the differences in mortality around the world, the papers in International Differences in Mortality at Older Ages look at health factors and life-style choices commonly believed to contribute to the observed international differences in life expectancy. They also identify strategic opportunities for health-related interventions. This book offers a wide variety of disciplinary and scholarly perspectives to the study of mortality, and it offers in-depth analyses that can serve health professionals, policy makers, statisticians, and researchers.
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
This volume presents a state of the art coverage of the measurement and evolution of mortality over time. It describes in great detail the changes in the cause patterns of mortality, the changes in mortality patterns at different ages, and specific analyses of mortality in particular countries. Derived from a meeting of the European Working Group on Health, Morbidity and Mortality held at the Vienna Institute of Demography, September 2011, it presents a cross-section of the work and concerns of mortality researchers across Europe, ranging from London and Madrid in the west to Moscow in the east, with a few additions from further afield. Although most of the papers focus on a particular population, the range of the papers is broad; taken together they present an inter-disciplinary cross-section of this multi-faceted field. Coverage includes estimating life expectancy in small areas, with an application to recent changes in US counties; socioeconomic determinants of mortality in Europe using the latest available data and short-term forecasts; predicting mortality from profiles of biological risk and performance measures of functioning; infant mortality measurement and rate of progress on international commitment using evidence from Argentina; avoidable factors contributing to maternal deaths in Turkey; changes in mortality at older ages: the case of Spain (1975- 2006); variable scales of avoidable mortality within the Russian population; long-term mortality decline in East Asia, and much more. Perspectives in Mortality Research will serve as a valuable resource for professionals and students in sociology, demography, public health and personal finance.
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
Almost 25 years have passed since the Demography of Aging (1994) was published by the National Research Council. Future Directions for the Demography of Aging is, in many ways, the successor to that original volume. The Division of Behavioral and Social Research at the National Institute on Aging (NIA) asked the National Academies of Sciences, Engineering, and Medicine to produce an authoritative guide to new directions in demography of aging. The papers published in this report were originally presented and discussed at a public workshop held in Washington, D.C., August 17-18, 2017. The workshop discussion made evident that major new advances had been made in the last two decades, but also that new trends and research directions have emerged that call for innovative conceptual, design, and measurement approaches. The report reviews these recent trends and also discusses future directions for research on a range of topics that are central to current research in the demography of aging. Looking back over the past two decades of demography of aging research shows remarkable advances in our understanding of the health and well-being of the older population. Equally exciting is that this report sets the stage for the next two decades of innovative researchâ€"a period of rapid growth in the older American population.
Old-age survival has considerably improved in the second half of the twentieth century. Why has such a substantial extension of human lifespan occurred? How long can we live? In this book, these fundamental questions are explored by experts from diverse fields. They report on recent cutting-edge studies about essential issues of human longevity and social factors of long survival in old age.
Explore international trends in health and longevity--with a special focus on older women! This essential book examines the latest research on life expectancy and “active life expectancy”--the number of years that women can expect to live free from major disability--in developed and developing countries around the world. It also explores the policy implications of the contributors’ findings. Here you'll find a global study using data from the World Health Organization, a European study using data from OECD countries, and studies of women in the United Kingdom, Fiji, The Netherlands, Japan, Canada, and the United States. With contributions from demographers, economists, epidemiologists, gerontologists, medical statisticians, policy analysts, physicians, public health directors, and sociologists, International Perspectives on Health Expectancies for Older Women compares mortality and morbidity trends in various populations. In addition to reviewing the current literature on active life expectancy, this informative book looks at: the distribution of total, unimpaired, and impaired life for several groups of older women defined by race, education, and marital history gender differences in health profiles in The Netherlands gender differences in life with and without six major diseases, including both morbid and mortal conditions in the United States how mortality and morbidity patterns differ for Canadian women and men 45 years of age and older, focusing on risk factors and chronic conditions such as low income, low education, abnormal body mass index, lack of physical activity, smoking, cancer, diabetes, and arthritis patterns of healthy life expectancy for older women around the globe a comparison of the development and progression of physical disability in Japanese men and women and more!
This handbook presents a comprehensive and up-to-date overview of unprecedented substantive, theoretical, methodological, and statistical developments and insights, and an in-depth examination of trends and patterns, in adult mortality around the world. With over two dozen chapters and more than 50 authors, this volume draws from top international mortality experts to provide one of the best overviews of life expectancy extant. The book documents remarkable gains in life expectancy, which stand out as one of the most important accomplishments of the twentieth century. Individuals in more developed countries can expect to live longer now than ever before, especially the Japanese who enjoy record-setting life expectancies. The book also explores unfortunate declines in life expectancy in selected countries brought on by such factors as infectious diseases; accidents, suicides, and homicides; and political and economic conflict and turmoil. This book synthesizes the wealth of mortality information available, clearly articulates the central findings to-date, identifies the most appropriate datasets and methods currently available, illuminates the central research questions, and develops an agenda to address these research questions. The authors carefully examine central factors related to mortality, including health behaviors, socioeconomic status, social relations, biomarkers, and genetic factors. The book will prove especially relevant to researchers, students, and policy makers within social and health sciences who want to better understand international trends and patterns in adult mortality.