Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

US Mortality in an International Context

Age Variations

Bibliographic Data

ID7980554
AuthorsJessica Y Ho (0000-0003-3240-6219, University of Pennsylvania), H Preston (0000-0001-7038-9689, University of Pennsylvania), Samuel H Preston
Year2010
Volume36
Issue4
Pages749-773
Publication date2010-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePopulation and Development Review (JOURNAL)
Journal identifiersISSN: 0098-7921 • E-ISSN: 1728-4457
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4457.2010.00356.x
PMID21174869
OpenAlexW2090379720
LanguageEN
Citations received40
References cited28

Compared to other developed countries, the United States ranks poorly in terms of life expectancy at age 50. We seek to shed light on the US's low life expectancy ranking by comparing the age‐specific death rates of 18 developed countries at older ages. A striking pattern emerges: between ages 40 and 75, US all‐cause mortality rates are among the poorest in the set of comparison countries. The US position improves dramatically after age 75 for both males and females. We consider four possible explanations of the age patterns revealed by this analysis: (1) access to health insurance; (2) international differences in patterns of smoking; (3) age patterns of health care system performance; and (4) selection processes. We find that health insurance and smoking are not plausible sources of this age pattern. While we cannot rule out selection, we present suggestive evidence that an unusually vigorous deployment of life‐saving technologies by the US health care system at very old ages is contributing to the age‐pattern of US mortality rankings. Differences in obesity distributions are likely to be making a moderate contribution to the pattern but uncertainty about the risks associated with obesity prevents a precise assessment

Context (archaeology · Developed country · Economic growth · Economics · Geography · Health care · Life expectancy · Mortality rate · Obesity · Population · Sociology · Demography · Global Health Care Issues · Health disparities and outcomes · Insurance, Mortality, Demography, Risk Management · Medicine · Gerontology

  • Mortality Crossover

    Open Access•I T Elo•International Encyclopedia of the…•2015

  • Recent trends in life expectancy across high income countries

    Open Access•Jessica Y Ho, Arun S Hendi•BMJ•2018

  • Why Do Americans Have Shorter Life Expectancy and Worse Health Than Do People in Other High-Income Countries?

    Mauricio Avendaño, Ichiro Kawachi•Annual Review of Public Health•2014

  • Lifespan and Healthspan

    E M Crimmins•The Gerontologist•2015

  • Impact of Healthcare Expenditures on Healthcare Outcomes in the Middle East and North Africa (Mena) Region

    Open Access•Bander Balkhi, Dhfer Alshayban et al.•Frontiers in Public Health•2021

  • A Double Decomposition of Standard Deviation Below the Modal Age at Death and the Role of Causes of Death

    Open Access•Viorela Diaconu, Virginia Zarulli et al.•European Journal of Population /…•2026

  • A New Method for Determining Why Length of Life is More Unequal in Some Populations Than in Others

    Open Access•Charlotte Nau, Claudia Nau et al.•Demography•2012

  • Disease prevalence, disease incidence, and mortality in the United States and in England

    Open Access•James Banks, Alastair Muriel et al.•Demography•2010

  • The Demography of Canada and the United States from the 1980s to the 2000s

    Open Access•Mario Barbieri, Nadine Ouellette•Population (English Edition•2012

  • Explaining the US Health Paradox

    Open Access•Julian Kettl, Marcos Baeza et al.•Comparative Sociology•2024

  • Modal lifespan and disparity at older ages by leading causes of death

    Open Access•Viorela Diaconu, Nadine Ouellette et al.•Journal of Population Research•2020

  • Causes of America’s Lagging Life Expectancy

    Open Access•Jessica Y Ho, Neil Mehta et al.•The Journals of Gerontology…•2021

  • Socioeconomic Disparities Do Not Explain the U.S. International Disadvantage in Mortality

    Open Access•Mario Barbieri, Mikko Myrskylä•The Journals of Gerontology…•2022

  • Age-Specific Mortality During the 2020 Covid-19 Pandemic and Life Expectancy Changes in the United States and Peer Countries, 1980–2020

    Open Access•Ryan K Masters, Steven H Woolf et al.•The Journals of Gerontology…•2022

  • Aging in the Americas

    Collin F Payne•The Journals of Gerontology…•2015

  • From Lifespan Inequality to Lifespan Inequity

    Open Access•Magdalena Muszyńska-Spielauer, Alyson Van Raalte et al.•Social Indicators Research•2025

  • Multi-Morbidity at Death and the US Disadvantage in Mortality

    Open Access•Mario Barbieri, Aline Désesquelles et al.•European Journal of Population /…•2025

  • Age-Specific Variation in Adult Mortality Rates in Developed Countries

    Open Access•H Zheng, Y C Yang et al.•Population Research and Policy…•2016

  • The Role of Despair in Predicting Self-Destructive Behaviors

    Open Access•L Gaydosh, Audrey Kelly et al.•Population Research and Policy…•2025

  • The Contribution of National Disparities to International Differences in Mortality Between the United States and 7 European Countries

    Karen Van Hedel, Mauricio Avendaño et al.•American Journal of Public Health•2015

  • Contribution of Obesity to International Differences in Life Expectancy

    H Preston, Samuel H Preston et al.•American Journal of Public Health•2011

  • A Social History of Disease

    Open Access•Sean A P Clouston, Mordecai S Rubin et al.•Demography•2016

  • Research Note

    Open Access•Iliya Gutin, L Gaydosh•Demography•2025

  • Aging in the Context of Cohort Evolution and Mortality Selection

    Open Access•H Zheng•Demography•2014

  • Life Expectancy and Health Expectancy in the Twenty-first Century

    Open Access•E M Crimmins•Demography•2025

  • Trend breaks in life expectancy in the United States over 120 years and potential sources of future gains

    Jiaxin Shi, Jason M Fletcher•Population Studies•2025

  • Truncated cross-sectional average length of life

    Vladimir Canudas-Romo, Michel Guillot•Population Studies•2015

  • The role of smoking on mortality compression

    Open Access•Alyson Van Raalte, Mikko Myrskylä et al.•Demographic Research•2015

  • Subnational contribution to life expectancy and life span variation changes

    Open Access•Wen Su, Alyson Van Raalte et al.•Demographic Research•2024

  • Greater mortality variability in the United States in comparison with peer countries

    Open Access•R G Rogers, R A Hummer et al.•Demographic Research•2020

  • Aging Populations, Mortality, and Life Expectancy

    E M Crimmins, Y S Zhang•Annual Review of Sociology•2019

  • Social Inequality and the Future of US Life Expectancy

    Iliya Gutin, R A Hummer•Annual Review of Sociology•2021

  • Trends in Non-Hispanic White Mortality in the United States by Metropolitan-Nonmetropolitan Status and Region, 1990-2016

    Open Access•I T Elo, Arun S Hendi et al.•Population and Development Review•2019

  • The Contemporary American Drug Overdose Epidemic in International Perspective

    Open Access•Jessica Y Ho•Population and Development Review•2019

  • Is the US Old-Age Mortality Advantage Vanishing

    Open Access•Alberto Palloni, James A Yonker•Population and Development Review•2016

  • Geographic Divergence in Mortality in the United States

    Open Access•Andrew Fenelon•Population and Development Review•2013

  • Are older adults living in more equal counties healthier than older adults living in more unequal counties? A propensity score matching approach

    Open Access•Hwajung Choi, Sarah Burgard et al.•Social Science & Medicine•2015

  • Identifying the Confounders of Marginalization and Mortality in Mexico, 2003-2007

    Open Access•Carlos Díaz-Venegas•Social Indicators Research•2014

  • Comparaison de survie de cohortes entre les pays d'Europe centrale et orientale et les pays à longévité élevée

    Open Access•Marília R Nepomuceno, Vladimir Canudas-Romo•Population•2019

  • La démographie du Canada et des États-Unis des années 1980 aux années 2000

    Open Access•Mario Barbieri, Magali Barbieri et al.•Population•2012

  • Measuring The Health Of Nations

    Ellen Nolte, Martin Mckee et al.•Health Affairs•2008

  • The Impact of Nearly Universal Insurance Coverage on Health Care Utilization

    David Card, Carlos Dobkin et al.•American Economic Review•2008

  • Inflammatory Exposure and Historical Changes in Human Life-Spans

    Open Access•Caleb E Finch, E M Crimmins•Science•2004

  • Cause-Specific Excess Deaths Associated With Underweight, Overweight, and Obesity

    Katherine M Flegal, Barry I Graubard et al.•JAMA•2007

  • The Distribution of Human Genetic Diversity

    Open Access•L B Jorde, W Scott Watkins et al.•The American Journal of Human…•2000

  • Body-mass index and cause-specific mortality in 900 000 adults

    Open Access•Prospective Studies Collaboration Prospective Studies Collaboration,…•The Lancet•2009

  • A new method for estimating smoking-attributable mortality in high-income countries

    H Preston, Samuel H Preston et al.•International Journal of…•2010

  • Relation between trends in late middle age mortality and trends in old age mortality—is there evidence for mortality selection

    Fanny Janssen, A Peeters et al.•Journal of Epidemiology and…•2005

  • Differential Mortality in the United States

    Edward G Stockwell, Evelyn M Kitagawa et al.•Contemporary Sociology A Journal…•1975

  • The Oldest Old

    Sally Bould, Richard M Suzman et al.•Contemporary Sociology A Journal…•1993

  • Contribution of Obesity to International Differences in Life Expectancy

    H Preston, Samuel H Preston et al.•American Journal of Public Health•2011

  • Sex mortality differences in The United States

    Open Access•H Preston, Samuel H Preston et al.•Demography•2006

  • Cardiac Procedure Use and Outcomes in Elderly Patients with Acute Myocardial Infarction in the United States and Quebec, Canada, 1988 to 1994

    Louise Pilote, Olga Saynina et al.•Medical Care•2003

  • Educational differentials in mortality

    Open Access•I T Elo, H Preston et al.•Social Science & Medicine•1996

Unique citing works40
Citations per year2,5
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 40
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae