US State Disparities in Life Expectancy, Disability-Free Life Expectancy, and Disabled Life Expectancy Among Adults Aged 25 to 89 Years

被引:14
|
作者
Farina, Mateo P. [1 ]
Zajacova, Anna [2 ]
Montez, Jennifer Karas [3 ,4 ]
Hayward, Mark D. [5 ,6 ]
机构
[1] Univ Southern Calif, Leonard Davis Sch Gerontol, Los Angeles, CA 90007 USA
[2] Univ Western Ontario, Dept Sociol, London, ON, Canada
[3] Syracuse Univ, Dept Sociol, Syracuse, NY USA
[4] Syracuse Univ, Aging Studies Inst, Syracuse, NY USA
[5] Univ Texas Austin, Dept Sociol, Austin, TX 78712 USA
[6] Univ Texas Austin, Populat Res Ctr, Austin, TX 78712 USA
关键词
UNITED-STATES; EDUCATIONAL-ATTAINMENT; ACTIVE LIFE; MORTALITY; TRENDS; RATES;
D O I
10.2105/AJPH.2020.306064
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. To estimate total life expectancy (TLE), disability-free life expectancy (DFLE), and disabled life expectancy (DLE) by US state for women and men aged 25 to 89 years and examine the cross-state patterns. Methods. We used data from the 2013-2017 American Community Survey and the 2017 US Mortality Database to calculate state-specific TLE, DFLE, and DLE by gender for US adults and hypothetical worstand best-case scenarios. Results. For men and women, DFLEs and DLEs varied widely by state. Among women, DFLE ranged from 45.8 years in West Virginia to 52.5 years in Hawaii, a 6.7-year gap. Men had a similar range. The gap in DLEs across states was 2.4 years for women and 1.6 years for men. The correlation among DFLE, DLE, and TLE was particularly strong in southern states. The South is doubly disadvantaged: residents have shorter lives and spend a greater proportion of those lives with disability. Conclusions. The stark variation in DFLE and DLE across states highlights the large health inequalities present today across the United States, which have significant implications for individuals' well-being and US states' financial costs and medical care burden.
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页码:708 / 717
页数:10
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